RSS Episodes Archive

Lab Medicine Edition | CBC: Hemoglobin/Anemia (Micro, Macro, Hemolytic)

HOST: Andy Herber, P.A.-C. GUEST: Ronald S. Go, M.D. Join our host, Andy J. Herber, P.A.-C., as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting. Providers are frequently tasked with evaluating all aspects of the CBC. A keen understanding of this laboratory test is essential to providing quality care for patients. Joining the first episode of this series is renown Mayo Clinic Hematologist, Ronald S. Go, M.D., who will be discussing evaluating abnormalities, hemoglobin and differing types of anemia. Learn more about our Lab Medicine Edition here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 25, 2024

Diversity, Equity and Inclusion (DEI) in Healthcare

Hosts: Dawn Davis, M.D. and Sanj Kakar, M.D., @sanjkakar Guests: Anjali Bhagra, M.D. and Basel Sharaf, M.D., DDS On this episode, Dr. Anjali Bhagra and Dr. Basel Sharaf join hosts Dr. Dawn Davis and Dr. Sanj Kakar to discuss the transformation of Diversity, Equity and Inclusion (DEI) in healthcare. At Mayo Clinic there are populations of patients of various backgrounds that are seen and treated at by a diverse group of health care professionals. Meeting the needs of those facing healthcare disparities is also a critical part of the DEI conversation. Dr. Bhagra and Dr. Sharaf share their unique experiences over time serving patients at Mayo Clinic. Dr. Bhagra highlights the RISE for Equity national CME course, that brings together leaders with a solution driven mindset. The event will be held in Washington D.C. from August 1-3, 2024, where leaders gather to Reflect, Inspire, Strengthen and Empower (RISE). Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or here and on Twitter @MayoMedEd.

April 23, 2024

Lab Medicine Edition | Electrolytes: Calcium (Hypercalcemia, Hypocalcemia)

HOST: Andy Herber, P.A.-C. GUEST: Mira T. Keddis, M.D. Join our host, Andy J. Herber, P.A.-C. to take a deeper look at hypercalcemia and hypocalcemia. This podcast will do a review of the management of calcium disorders with guest, Mira T. Keddis, M.D. Mayo Clinic Talks: Lab Medicine Edition | Mayo Clinic School of Continuous Professional Development Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 18, 2024

RISE FOR EQUITY Podcast: Pride in Health: Navigating the Path to LGBTQ+ Health Equity

Brought to you by: Mayo Clinic Talks Podcast Host: Nicole Nfonoyim-Hara Guest: Victor G. Chedid, M.D., M.S. On this episode of the RISE for Equity podcast, Victor G. Chedid, M.D., M.S., joins host Nicole Nfonoyim-Hara to explore the critical topic of Health Equity within the LGBTQ+ communities. Delving into the multifaceted dimensions of this issue, the discussion sheds light on the significant impact of healthcare and access for LGBTQ+ individuals, from confronting prevalent challenges to presenting actionable resources for patients and healthcare providers alike. Join us for an engaging dialogue poised to resonate with both professionals and patients alike, as we navigate the landscape of healthcare equity. Victor G. Chedid, M.D., M.S., is a physician specializing in gastroenterology and hepatology, with subspecialty certification in Gastroenterology and Hepatology and Internal Medicine. Dr. Chedid has a subspecialty interest in Inflammatory Bowel Diseases. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. “The point of the IBD Pride Clinic is to declare to the world that we have that safe space for you, and that we’re ready and welcoming and wanting you to come seek your care with us in a safe affirming space and we strive to keep your needs at the center of all our endeavors, just like the Mayo Clinic always says—the clinic’s value is the patient’s needs come first.” – Victor G. Chedid, M.D., M.S. “Creating affirming spaces for physicians is very important. Creating affirming spaces for medical students is very important. As a medical student, when you see somebody who's more senior than you, who belongs to the community, who's advocating, who is out and proud and is doing research in these fields or in LGBT health equity, you’d probably think “I can be that person.” – Victor G. Chedid, M.D., M.S.

April 16, 2024

Lab Medicine Edition | Electrolytes: Potassium (Hyperkalemia, Hypokalemia)

HOST: Andy Herber, P.A.-C. GUEST: Mira T. Keddis, M.D. Join our host, Andy J. Herber, P.A.-C., as he explores potassium disorders that are commonly encountered by Primary Care Providers. High and Low potassium if not appropriately managed can lead to lethal complications. This episode provides a discussion about the workup and management of Hyperkalemia and Hypokalemia with Mira T. Keddis, M.D. Mayo Clinic Talks: Lab Medicine Edition | Mayo Clinic School of Continuous Professional Development Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 11, 2024

When to Refer a Patient for a Lung Transplant

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Kelly Pennington, M.D. Guest: Sahar Saddoughi, M.D., Ph.D. The lung is one of the most common organs transplanted, trailing transplants of kidney, liver, and heart, with over 2600 performed in 2022. Lung transplantation may involve transplanting either one or both lungs, and occasionally performed together with a heart transplant. Although some patients with a lung transplant have lived more than 10 years, only about half are alive after 5 years. In this podcast, we’ll discuss “When to Refer a Patient for a Lung Transplant”. Who’s a candidate for a lung transplant and when should we think about this for our patients? How successful is a lung transplant and what are conditions that would exclude a patient from the procedure? These are all questions I’ll be asking my guests, thoracic surgeon, Sahar Saddoughi, M.D., Ph.D., and pulmonologist, Kelly Pennington, M.D., both from the Mayo Clinic in honor of ‘National Donate Life Month’. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. https://www.mayoclinic.org/departments-centers/lung-transplant/home/orc-20211835

April 9, 2024

Lab Medicine Edition | Electrolytes: Sodium (Hypernatremia, Hyponatremia)

HOST: Andy Herber, P.A.-C. GUEST: Mira T. Keddis, M.D. Join our host, Andy J. Herber, P.A.-C., as he explores Hyponatremia and Hypernatremia; common findings in both the inpatient and outpatient settings. Sodium disorders are associated with an increased morbidity and mortality for patients. Guest, Mira T. Keddis, M.D. , renown Mayo Clinic Nephrologist, joins the podcast to provide guidance on understanding evaluations and management of sodium abnormalities. Mayo Clinic Talks: Lab Medicine Edition | Mayo Clinic School of Continuous Professional Development Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 4, 2024

When to Refer a Patient for a Heart Transplant

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Drew N. Rosenbaum, M.D. The first heart transplant patient survived only 18 days as the early attempts of heart transplantation were plagued by immune rejection of the transplanted organ. Today, thanks to the many advances in organ transplantation, heart transplant patients typically lead productive lives for years. 75% of heart transplant patients live at least 5 years and nearly 85% return to work. Who’s a candidate for a heart transplant? How long do patients typically wait for a heart transplant and when should we think about a heart transplant for our patients? These are questions I’ll be asking my guest, Drew N. Rosenbaum, M.D., a cardiologist from the Mayo Clinic. The topic for this podcast is “When to Refer a Patient for a Heart Transplant” in honor of 'National Donate Life Month'. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 2, 2024

Menopause and Women’s Health Edition | Menopause and Sexual Health

HOST - Dawn Marie R. Davis, M.D. GUEST - Jennifer Vencill, PhD, LP Sexual health during menopause is often a forgotten topic for female patients. Dr. Jennifer Vencill joins the podcast to discuss common sexual health concerns normal, what to expect, and how to seek assistance for patients in terms of sexual health during menopause and later life. This episode is brought to you by: https://www.astellas.com/us/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu or on Twitter @MayoMedEd. To learn more about this episode: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

March 28, 2024

RISE FOR EQUITY Podcast: Breaking Down Weight Bias: Unpacking Prejudice in the Doctor’s Office

Host: Nicole Nfonoyim-Hara Guest: Sumit Bhagra, M.D. On this episode of the RISE for Equity podcast, Dr. Sumit Bhagra joins host, Nicole Nfonoyim-Hara, to discuss the topic of the issue of weight bias in healthcare and its profound health implications. Delving into the roots of weight bias, the discussion explores its detrimental effects on both physical and psychological well-being, examines responses to weight bias from both doctors’ and patients’ point of view, and advocates for actionable changes that can be implemented to support patients in achieving optimal health, no matter their size. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/ About our Guest: Sumit Bhagra, M.D. is an endocrinologist and site lead physician in Albert Lea and Austin, Minnesota. He serves as the Medical Director for Contracting and Payer Relations for Mayo Clinic Health System. Follow him on Twitter @SumitBhagraMD or on LinkedIn. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. “As we look at how we've dismantled all the biases and the isms, weight bias is probably the most acceptable of the biases in our community. You don't have to do much. Just look at any TV show or movie, and you'll still see people being mocked because of their body weight. It's the last of the isms standing, and we've got to work really hard to dismantle that as well.” —Sumit Bhagra, M.D. “If we introspect into the origin of the bias, we'll notice that the belief that people are 100 percent in control of their body weight is probably the basis for the bias. Because if we truly understand the systemic nature of any health problems, particularly weight gain, we can probably empathize more with the person who lives in a larger body as opposed to blaming them for being in that shape.” — Sumit Bhagra, M.D.

March 26, 2024

Menopause and Women’s Health Edition | Hormones and Sexual Health After Cancer

HOST - Dawn Marie R. Davis, M.D. GUEST - Carol Kuhle, DO, MPH Guest, Dr. Carol Kuhle, joins the podcast to discuss the importance of hormones, hormone regulation, sexual health and hormone driven cancers. The needs of women with cancer and cancer survivors are often overlooked when it comes to the effect of hormones and the outcomes for sexual health and relationships for these patients. This episode is brought to you by: https://www.astellas.com/us/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu or on Twitter @MayoMedEd. To learn more about this episode: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

March 21, 2024

Tuberculosis

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Zelalem Temesgen, M.D. It’s thought that a variant of tuberculosis originated in East Africa around 3 million years ago with the current strain of Mycobacterium tuberculosis dating back at least 20,000 years. Although easily spread from one person to another, not everyone infected develops active disease. The management of tuberculosis varies, and although there is a vaccine, it’s not commonly used in the U.S. Effective pharmacologic treatment is available, however drug-resistant strains have presented challenges in some cases. This podcast is in recognition of World Tuberculosis Day, March 24, the day that Dr. Robert Koch reported Mycobacterium Tuberculosis. We’ll discuss the disease, it’s diagnosis and management with infectious disease specialist and Professor of Medicine, Zelalem Temesgen, M.D., from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 19, 2024

Menopause and Women’s Health Edition | Topical and Non-Hormonal Therapies

HOST - Dawn Marie R. Davis, M.D. GUEST - Hannah C. Nordhues, M.D. GUEST - Amber Klindworth, P.A.-C. Menopause symptoms for women not only have a personal impact on the individual, but also a public health impact. Studies have shown an annual economic impact of 1.8 billion dollars in lost workdays and 25 billion dollars in medical costs for women coping with the symptoms of menopause. Hannah C. Nordhues, M.D., and Amber Klindworth, P.A.-C., serve as guests to discuss the impact of menopause on everyday life for women and discuss non-hormonal treatment options for these patients. This episode is brought to you by: https://www.astellas.com/us/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu or on Twitter @MayoMedEd. To learn more about this episode: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

March 14, 2024

Update in Asthma

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: John C. Lewis, M.D. It’s estimated that 25 million people in the U.S. have asthma; this represents about 1 in every 13 individuals. It’s more common in females and is a leading cause of chronic disease in children. Asthma represents a common reason for an outpatient visit and is unfortunately, also a relatively common reason for hospitalization. Although it’s felt that almost all deaths from asthma are preventable with appropriate management, over 3,000 people per year die from asthma. How do we properly evaluate patients we suspect have asthma? What are the goals for their management and what are the current recommendations for treatment? For this podcast we’ll discuss an update in asthma with my guest, John C. Lewis, M.D., from the Division of Allergic Disease at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu access this podcast and more here or on Twitter @MayoMedEd.

March 12, 2024

Menopause & Women’s Health Edition | Menopause and Hormonal Therapy

HOST - Dawn Marie R. Davis, M.D. GUEST - Jewel M. Kling, M.D., M.P.H. The number of midlife women transitioning into menopause is substantial with more than one million women in the U.S. entering menopause each year. Symptoms such as vasomotor symptoms (VMS), mood and sleep disturbances, and sexual problems are common during the menopause transition, yet often go untreated. Menopausal hormone therapy (HT) is often the preferred and most effective treatment option for menopausal symptoms. Dr. Juliana (Jewel) Kling joins the podcast to discuss this important topic. This episode is brought to you by: https://www.astellas.com/us/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about this episode at: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

March 7, 2024

A Career in Academic Medicine

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D. Guests: Rondell P. Graham, M.B.B.S. | Laura E. Raffals, M.D. | Sophie J. Bakri, M.D. A career in academic medicine can be rewarding, but also requires careful consideration to determine the best pathway to pursue. Join hosts Sanj Kakar, M.D. and Dawn Davis, M.D. as they discuss with our guests their personal journeys and lessons learned. Guests for this episode are Sophie J. Bakri, M.D, a Professor and Chair of Ophthalmology in Rochester, MN, Rondell P. Graham, M.B.B.S. a Professor of Laboratory Medicine and Pathology, along with a Consultant Pathologist in Rochester, MN and Laura Raffals, M.D., a Professor of Medicine and Chair of the Operations Coordinating Group for Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 5, 2024

Menopause and Women’s Health Edition | Menopause and Bone Health

HOST - Dawn Marie R. Davis, M.D. GUEST - Suneela Vegunta, M.D. Dr. Suneela Vegunta joins the podcast to discuss the importance of the protecting the musculoskeletal system in patients during the menopause stage of life. Hormonal decline can have a significant impact on bone density, mobility and independence, causing osteopenia and osteoporosis. Topics covered in this episode include the impact of hormones on bone density, risk factors for osteoporosis and strategies to maintain and protect bone health. This episode is brought to you by: https://www.astellas.com Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To learn more about this episode at: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

February 29, 2024

Menopause and Women’s Health Edition | Introduction to Menopause

HOST - Dawn Marie R. Davis, M.D. GUEST - Jackie M. Thielen, M.D. Menopausal concerns in women have been often neglected due to uncertainty and misunderstanding. The goal of this podcast is to offer clarity regarding the basics of menopause. Guest Dr. Jackie Thielen, who is the founding medical director for the Women's Health Specialty Clinic on the Mayo Clinic Florida campus, is the guest speaker kicking off this women’s health mini-series focusing on Menopause. This episode is brought to you by: https://www.astellas.com Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To learn more about this episode at: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

February 27, 2024

Identifying and Treating Thyroid Disorders

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: M. Regina Castro, M.D. It’s estimated that at least 12% of the U.S. population have some form of thyroid disorder. It’s more common in women and well over half of all patients with a thyroid dysfunction don’t know they have a problem. We encounter patients with hypothyroidism often; especially sub-clinical hypothyroidism and thyroid nodules are also found frequently. What do we need to consider when contemplating thyroid replacement therapy in a patient? How long do we need to re-image thyroid nodules? And when should we refer a patient with a thyroid nodule for a fine needle aspirate? In this podcast, I’ll discuss these questions and more with M. Regina Castro, M.D., from the Division of Endocrinology and Metabolism at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 20, 2024

Rheumatology Edition | Temporal Arteritis

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Cornelia M. Weyand, M.D., Ph.D. Guest: Kenneth J. Warrington, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Temporal arteritis is an inflammatory rheumatologic disorder that typically occurs in those over the age of 50. It can have devastating complications including loss of vision and stroke. It can have various presentations and at times can be challenging to diagnose. It also has an interesting relationship with polymyalgia rheumatica. Although there are abnormal lab tests associated with temporal arteritis, there is no one diagnostic test. A temporal artery biopsy is performed to establish a definitive diagnosis. Our topic for today’s podcast is temporal arteritis and my guests include Cornelia M. Weyand, M.D., Ph.D. and Kenneth J. Warrington, M.D., both from the Division of Rheumatology at the Mayo Clinic. We’ll discuss the typical symptoms of temporal arteritis, its potential complications, how to make a diagnosis and its treatment. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition

February 15, 2024

Outpatient Antibiotic Stewardship

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Kelsey L. Jensen, Pharm.D., R.Ph. Guest: Daniel Ilges, Pharm.D., R.Ph., BCIPD The appropriate use of antibiotics is important for a variety of reasons. It helps keep our patients safe, helps maintain antibiotic effectiveness in treating bacterial infections, and helps control the cost of patient care. Very few new antibiotics have been introduced in the past few decades. Because of this, as well as the accelerated emergence of antibiotic resistance, it’s more important than ever that we practice careful and responsible use of antibiotics. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients. This podcast will focus on out-patient antibiotic stewardship and my guests include Kelsey L. Jensen, Pharm.D., R.Ph., and Daniel Ilges, Pharm.D., R.Ph., BCIPD, both pharmacists at the Mayo Clinic. We’ll discuss how antibiotics are often prescribed incorrectly, the barriers we face as clinicians in prescribing antibiotics and how we can all improve our antibiotic stewardship. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 13, 2024

Rheumatology Edition | What Primary Care Providers Need to Know About Polymyalgia Rheumatica

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Cornelia M. Weyand, M.D., Ph.D. Guest: Kenneth J. Warrington, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Polymyalgia rheumatica was first described in 1966 as a case report. It can have a wide range of symptoms and at times, can be challenging to diagnose. As with most rheumatologic disorders, the exact cause isn’t known. While there are no specific laboratory tests which establish a diagnosis, there are some that are very useful. One of the most important features of polymyalgia is its relationship with vasculitis and temporal arteritis. In this podcast, we’ll discuss polymyalgia rheumatica with rheumatologists Cornelia M. Weyand, M.D., Ph.D., and Kenneth J. Warrington, M.D., from the Mayo Clinic. We’ll review the typical presenting symptoms, how to establish a diagnosis, helpful laboratory tests and its management. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition

February 8, 2024

Chest Pain: What’s the Best Test?

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Katie A. Young, MD We now have a variety of tests to assess patients who present with chest pain. These tests include such basic assessment tools such as a resting ECG to the most invasive of cardiac tests, a coronary angiogram. But there are multiple tests in between these two extremes. Each have their specific benefits and limitations. Which test or tests should we order for patients with chest pain? What are the potential risks of these tests to the patient? In this podcast, we’ll discuss these questions and more with cardiologist Katie A. Young, M.D., from the Department of Cardiovascular Disease from the Mayo Clinic. The topic for today’s podcast is “Chest Pain: What’s the Best Test?” Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 6, 2024

Rheumatology Edition | Sjogren’s Syndrome “The Basics”

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Alicia M. Hinze, M.D., M.H.S. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Sjogren’s is an autoimmune disorder that has a somewhat unusual presentation. In addition to arthralgias, patients often develop a dry mouth and dry eyes and symptoms can vary from person to person. It also commonly mimics other medical conditions, and this may account for its typically delayed diagnosis. Like most other autoimmune diseases, the exact cause isn’t known, but Sjogren’s is treatable. In this podcast, we’ll review the presentation of Sjogren’s, how to establish a diagnosis and how patients with the condition should be managed. Our guest is Alicia M. Hinze, M.D., M.H.S., from the Division of Rheumatology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition

February 1, 2024

Blood Donation and How it Relates to Primary Care

Host: Darryl S. Chutka. M.D. [@chutkaMD] Guest: Justin E. Juskewitch, M.D., Ph.D. January is National Blood Donor Month | Here are a few interesting facts regarding blood donations: Over 4.5 million American lives are saved each year by blood transfusion and approximately 40,000 units of donated blood are used each day in the U.S. A single individual involved in a motor vehicle accident can easily require over 100 units of blood. We each have about 10 units of blood in our body and each donation represents about one unit. Surprisingly, only 38% of the population is eligible to donate blood and of these eligible individuals, only 5%, actually donate. The topic for this podcast is “Blood Donation and How it Relates to Primary Care” and my guest is Justin E. Juskewitch, M.D., Ph.D., from Transfusion Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 30, 2024

Rheumatology Edition | When to Suspect (RA) Rheumatoid Arthritis

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Vanessa L. Kronzer, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Rheumatoid arthritis is a chronic inflammatory, autoimmune disorder. While it typically results in a symmetric and erosive arthritis, many patients have an atypical presentation and up to 40% of those with rheumatoid arthritis have extra-articular manifestations. It tends to be progressive over years and can be quite debilitating. Fortunately, there are some new treatments available which have given our patients hope of a remission from this disease. This podcast will explore rheumatoid arthritis and we’ll discuss its clinical manifestations, how to establish a diagnosis and its management. Our guest is Vanessa L. Kronzer, M.D., from the Division of Rheumatology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition

January 25, 2024

Update in Cervical Cancer Screening

Host: Darryl S. Chutka, M.D., @ChutkaMD Guest: Evelyn A. Reynolds, M.D. January is Cervical Cancer Awareness Month | Cervical cancer is the fourth most common malignancy in women worldwide, although the number of new cases in the U.S. has been declining. The vast majority of cervical cancers are caused by infection with the Human Papilloma Virus. Due to a combination of HPV immunization and early detection with cervical cancer screening, advanced cases are becoming much less common and when detected early, cervical cancer is one of the more treatable malignancies. Although cervical cancer screening is relatively easy to perform, the guidelines for performing the test have become more complicated. In this podcast, we’ll discuss cervical cancer screening with my guest Evelyn A. Reynolds, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. I’ll be asking her when to start screening, how often patients should be screened, when we can stop screening and more. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 23, 2024

Rheumatology Edition | Is It Always Lupus?

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Ali A. Duarte Garcia, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Systemic lupus erythematosus (SLE) is a chronic systemic autoimmune disease with a variety of immunological and laboratory abnormalities, as well as numerous clinical manifestations. It can affect almost every organ and has the potential to cause severe organ damage. Most patients experience flares of the disease alternating with periods of remission. Lupus is much more common in women than men and there are significant geographical and ethnic differences in the incidence and eventual outcome of the disease. It’s known as the great imitator because it can mimic a variety of other diseases and it’s not uncommon for patients to have symptoms for over 5 years, before a diagnosis of lupus is established. The topic for this podcast is systemic lupus and our guest is Ali A. Duarte Garcia, M.D., a rheumatologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition

January 18, 2024

RISE for Equity Podcast: Breaking Barriers | Inclusive Health Perspectives through Diverse Clinical Trials and Community Engagement

While historically there has been limited inclusion of racial and ethnic minorities in research studies and clinical trials, critical strides have been taken in medicine to increase representation to help address health disparities and inequities. Gaining diverse perspectives in research provides an opportunity to enhance our understanding of the unique challenges faced by different racial and ethnic groups and also helps dismantle biases and stereotypes. On this episode of the RISE for Equity podcast, Kim M. Barbel Johnson, D.O., M.P.H., and Doug Murrell, JR, M.P.A. join host Nicole Nfonoyim-Hara to discuss the impacts of diversifying decentralized clinical trials, and the impacts of community engagement in healthcare. Guest: Dr. Kim M. Barbel Johnson is a community-centric, patient-focused Family Physician and Principal Research Investigator working in the Hematology and Oncology departments, at Mayo Clinic, Jacksonville, Florida. Douglas (Doug) Murrell works with Community Engagement department of Mayo Clinic’s Center for Clinical and Translational Science (CCATS) as the Operations Manager for the Community-Engaged Research Program. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/

January 16, 2024

Rheumatology Edition | When Are Rheumatology Lab Tests Indicated?

Host: Darryl S. Chutka. M.D. [@chutkaMD] Guest: Ashima Makol, M.B.B.S. Guest: Matthew J. Koster, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. We have multiple laboratory tests available to help us diagnose rheumatologic conditions; rheumatoid factor, ANA, ESR, CRP and more. It’s gotten quite confusing trying to decide which tests to order when we suspect a specific rheumatologic problem. When are these tests helpful? How specific are these tests for the condition we’re trying to diagnose and what does it mean when we have a positive but low titer test in an asymptomatic patient? In today’s podcast, we’ll answer these questions and more with our guests, Ashima Makol, M.B.B.S., and Matthew J. Koster, M.D., both from the Division of Rheumatology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 11, 2024

Rheumatology Edition | What Everyone Should Know About Gout

Host: Darryl S. Chutka. M.D. [@chutkaMD] Guest: Lynne S. Peterson, M.D. Guest: Clement J. Michet JR, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is the first of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please stayed tuned in future weeks for the next six episodes! Gout is the most common inflammatory arthritis and is a result of the deposition of monosodium urate crystals in and around the joints. It’s typically a mono-articular arthritis and is more common in men. Many patients who have had an acute attack of gout say it’s the worst pain they have ever experienced. Management consists of both treating acute episodes as well as preventing future attacks. The topic of this podcast is “What Everyone Should Know About Gout” and our guests include Lynne S. Peterson, M.D., and Clement J. Michet JR, M.D., both rheumatologists from the Mayo Clinic. We’ll discuss the pathophysiology of gout, its typical presentation, how to establish a diagnosis and management tips. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 9, 2024

THE BEST OF SEASON 1: Exercise is Medicine ”Adding Years to Life and Life to Years”

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Robert Scales, Ph.D., M.S. As we bid farewell to the year 2023 and embrace the possibilities for 2024, what better time to refocus on both us and our patient’s well-being? In today's episode, we’re going to revisit an episode from Season One, “Exercise is Medicine: Adding Years to Life and Life to Years”. During the annual intersection of the new year and new exercise routines, this is a very fitting topic! Let’s take a listen to how exercise can truly play a role in our overall health and well-being from our featured guest speaker, Robert Scales, Ph.D., M.S. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 2, 2024

THE BEST OF SEASON 1: Microaggressions in Medicine

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guests: Catherine Njathi-Ori, M.D. | Erin O'Brien, M.D. | Nafisseh Warner, M.D. Today we’re excited to bring back a special lecture by popular demand from Season 1 of Mayo Clinic Talks Podcast. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 26, 2023

RISE for Equity Podcast: Equity in Every Season | Navigating Cold, Flu, and COVID Disparities

Brought to you by: Mayo Clinic Talks Podcast Flu and cold season is an annual concern for people around the world. Specifically in the United States, there are massive disparities in both care and outcomes for communities of color related to both diagnosis and treatment of flu and cold. On this episode of the RISE for Equity podcast, Nusheen Ameenuddin, M.D., M.P.H., joins host Nicole Nfonoyim-Hara to discuss COVID’s impact on cold and flu, protecting our communities, and how we can improve education and access to care for marginalized communities. “The truth of the matter is genetically, we're all very similar. It's not an issue of race, it's an issue of racism. When we actually step back, people can be like, ‘Oh, that situation was a one-off.’ And when we actually look at the data, it's not a one-off. The fact is, we're not asking the right questions, and we need to look deeper to ensure that we are providing the best possible care, the most objective care, the most patient-centered care, particularly when we see that we're falling short. And, and the numbers don't lie.” Guest: Nusheen Ameenuddin, M.D., M.P.H., is currently an Assistant Professor and Consultant (tenured staff physician) in the Division of Community Pediatric and Adolescent Medicine, Department of Pediatrics, at the Mayo Clinic, Rochester, MN. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/

December 21, 2023

Assessing the Older Patient with New Cognitive Symptoms

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Ericka E. Tung, M.D., M.P.H. If we see older patients, we commonly see Alzheimer’s Disease and other dementias in our practice. At times, the presenting symptoms can be quite subtle and it’s not uncommon for the diagnosis to take several years to establish. Very often, any early symptoms which are noticed are attributed to the aging process. Although we don’t have very effective options for treating dementia, it’s still important to diagnose the condition as early as possible. In this podcast, we’ll be discussing “Assessing the Older Patient with New Cognitive Symptoms.” We’ll review the usefulness of a mental status exam, recommended lab tests, whether a brain imaging study is indicated and more with our guest, Ericka E. Tung, M.D., M.P.H., an internist, and geriatrician from the Division of Community Internal Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 19, 2023

Functional Bowel Disorders: Identification & Treatment Updates

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Tisha N. Lunsford, M.D. Functional bowel disorders are very common, most often tend to affect those under the age of 50 and can cause symptoms ranging from a mild inconvenience to severe debilitation. Symptoms can vary significantly from patient to patient and the treatment varies with the predominant symptoms. While the exact cause isn’t known, there are a few interesting associations with other health conditions. In this podcast, we’ll discuss functional bowel disorders with gastroenterologist, Tisha N. Lunsford, M.D., from the Mayo Clinic. We’ll review common symptoms, the recommended evaluation, and the available management options for functional bowel disorders. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 12, 2023

Taking Care of Your Personal Well-Being “In Their Own Words”

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D. Guests: Brian T. Carlsen, M.D.| Sharonne N. Hayes, M.D. Health care professionals often struggle with personal well-being due to career demands. There are simple and straightforward ways to improve well-being despite a demanding profession. We welcome you to learn from two Mayo Clinic physicians who share their personal journeys and suggestions for well-being. Watch the full episode here: https://ce.mayo.edu/internal-medicine/content/taking-care-your-personal-well-being-their-own-words Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 5, 2023

Taking Care of Your Personal Well-Being “From the Experts”

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D. Guests: Donald D. Hensrud, M.D., M.S.| Shanda Blackmon, M.D., M.P.H. | Colin P. West, M.D., Ph.D. Well-being is a timely and important topic for patients and health care professionals alike. Physicians and allied health staff must take care of themselves to optimally serve others. We welcome you to learn about health care professional well-being from three Mayo Clinic physicians who are nationally recognized experts in the field. Watch the full-length video here Learn more and connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 28, 2023

Welcome to Season 2 of Mayo Clinic’s RISE for Equity Podcast

Brought to you by: Mayo Clinic Talks Podcast RISE cofounders Anjali Bhagra, M.D., M.B.A., and Barbara L. Jordan, M.A., discuss the crucial role of equity in healthcare, and how Mayo Clinic is building an ecosystem of equity to create a more inclusive environment for staff and patients. In reflecting on season 1 of the RISE for Equity podcast, Dr. Bhagra shared, “I think in this space, it is incredibly important for us to learn from and disseminate stories. I'm very, very proud of the fact that we got to learn from amazing colleagues, collaborators, and innovators through this platform.” “We're in this together. We're in very troubled times across the globe and now more than ever is the right time for us to come united with our differences and use this platform, if it works for you, to understand the nuances of different identities and also to understand the power of community in problem-solving.” – Dr. Anjali Bhagra “All of us have to put on that equity lens and ensure that we are not harming others who may not be at the table. That we are not, without intention, creating systemic issues that are impacting the care of our patients, that are impacting the longevity, the retention of employees. We see it one step at a time, one policy at a time, one practice at a time, with the goal in the end to provide equitable care.” – Barbara Jordan Learn more at https://mcpress.mayoclinic.org/rise-for-equity/

November 21, 2023

Genes & Your Health | Respiratory Disease and Health Disparities

Host: Denise M. Dupras, M.D., Ph.D. Guest: Victor E. Ortega, M.D., Ph.D. Common respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD) often present differently in individuals. What is the genetic basis for this difference and how can we use knowledge of genetic factors to support patient care? Additionally, the implications of applying genetics across diverse populations are explored. Listen in to hear about this and more in Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Victor E. Ortega, M.D., Ph.D. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 15, 2023

Pain Management Beyond Opioids

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Christy L. Hunt, D.O. Pain management is a combination of science and art. We have a variety of treatment options to choose from however some have significant potential for harm and some the potential to be abused and carry the risk of dependence. We need to choose our treatments carefully, based on the type of pain we are treating as well as other health conditions found in our patient. In addition to the various analgesic products, other options include injections, nerve blocks and several integrative medicine alternatives. In this podcast, we’ll discuss the various pain management options we have available and hopefully give you some new ideas to help manage pain in your patients. Our guest for this podcast is Christy L. Hunt, D.O., a Pain Medicine specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 14, 2023

Osteoporosis, Fragility & Bone Health Edition | “Hip Hip Hooray” The Surgical Management of Hip & Knee Arthritis

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Matthew P. Abdel, M.D. Arthritis of the hip or knee is a common cause of pain and disability. It can cause significant limitations in mobility and a reduced quality of life. Hip and knee replacements have the potential to change all that. They’re safe, have a high success rate and can allow the patient to get back to a healthy, active lifestyle. Who’s a candidate for a hip or knee replacement? What’s the optimal timing of the procedure? What’s important in obtaining an optimal outcome from surgery and what are the complications of a hip or knee replacement? Our guest for today’s podcast is Matthew P. Abdel, M.D., an orthopedic surgeon at the Mayo Clinic. He’ll be answering these questions and more as we discuss the surgical management of hip and knee arthritis. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 9, 2023

Genes & Your Health Edition | Genetic Informed Risk Assessments

Host: Denise M. Dupras, M.D., Ph.D. Guest: Kullo, Iftikhar J., M.D. While genetic conditions and risk for disease have traditionally been focused on monogenetic causes, it is now recognized that multiple genetic changes are often involved in risk for disease. What conditions are polygenetic and what should we be looking for to help identify these risks for our patients? Find out more in the latest episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Iftikhar J. Kullo. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 8, 2023

Attention-Deficit / Hyperactivity Disorder (ADHD) in Adults

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Mohit Chauhan, M.B.B.S. Attention-deficit / hyperactivity disorder (ADHD) has the potential to impact and impair multiple aspects of life, including underachievement in education, difficulty with employment and challenging social relationships. ADHD has long been felt to be a disorder of childhood that gradually diminishes as one approaches adulthood, however it’s now being questioned whether ADHD can develop in adulthood. It’s thought that around 4% of adults have ADHD and that the majority are undiagnosed and untreated. In this podcast, we’ll discuss ADHD in adults, its effects on those who have it, and how it can be managed. Our guest is Mohit Chauhan, M.B.B.S., a psychiatrist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 7, 2023

Osteoporosis, Fragility & Bone Health Edition | “Sticks & Stones May Break My Bones” Common Fractures Associated with Osteoporosis

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Krystin A. Hidden, M.D. Guest: Jad Sfeir, M.D., M.S. Osteoporosis is responsible for approximately two million fractures per year. It’s estimated that 50% of all women and 25% of all men over age 50 will suffer an osteoporosis-related fracture. Bone fractures, especially of the spine and hip are the most serious complications of osteoporosis. While vertebral compression fractures can cause chronic back pain, hip fractures can result in chronic disability and even death. Yet nearly 80% of older Americans who suffer fractures have not been tested or treated for osteoporosis and it is a very treatable condition. Today’s podcast is about common fractures associated with osteoporosis and my guests include Krystin A. Hidden, M.D., from the Department of Orthopedic Surgery and Jad Sfeir, M.D., M.S., from the Division of Endocrinology and Metabolism. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 2, 2023

Genes & Your Health Edition | Spotlight on PGx: Pain

Host: Denise M. Dupras, M.D., Ph.D. Guest: Wayne Nicholson, M.D., Pharm.D. Guest: Eric T. T. Matey, Pharm.D., R.Ph. Do you know the correlation between pharmacogenomics (PGx), or the interaction between a patient’s genes and their response to medications, and pain management? How could you incorporate PGx into your pain management toolbox? And how can you use PGx to help inform appropriate medication and dosage? Tune into this episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health miniseries, “Spotlight on PGx: Pain,” featuring Nick T. Nicholson, M.D., Pharm.D. and Eric T. Matey, Pharm.D., R.Ph. to find out! Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 1, 2023

Intimate Partner Violence

Host: Joshua D. Luciew, MPAS, PA-C Guest: Cesar A. Gonzalez, Ph.D., L.P. Guest: Maryam Mahmood, M.B., Ch.B. As primary care providers, we are charged with ensuring our patients are healthy. According to the World Health Organization, “health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.” However, sometimes our patients will not inform us of what problems or difficulties that they may be facing in their lives, which makes it difficult to help in these situations. As result, we must screen or ask patients specific questions in attempts to make sure they are okay. One such example that we may screen for in these instances is intimate partner violence. This condition has many presentations and can affect anyone. Intimate partner violence or domestic violence is reported to be a serious, preventable, public health concern as it affects more than 32 million Americans. Tune in to this episode to learn more about what intimate partner violence looks like, the psychology behind intimate partner violence perpetrators, how we should be screening for this, and what we can do to help our patients in these situations. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 31, 2023

Osteoporosis, Fragility & Bone Health Edition | “Stiffen Up” Management of Osteoporosis

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Kurt A. Kennel, M.D. According to the Bone Health and Osteoporosis Foundation, over 50 million Americans have osteoporosis. Up to one in two women and one in four men will experience a bone fracture due to the disease. Osteoporosis is a common cause of hip, wrist and vertebral fractures and can result in significant complications including chronic pain, disability and even death. When detected early, these complications need not occur and we now have a variety of very effective treatments for osteoporosis, some relatively new. In this podcast, we’ll discuss the treatment options for osteoporosis with Kurt A. Kennel, M.D., an endocrinologist at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 26, 2023

Genes & Your Health Edition | Navigating the Genetic Testing World – The Role of a Genetic Counselor

Host: Denise M. Dupras, M.D., Ph.D. Guest: Jennifer L. Kemppainen, M.S., CGC With increased availability and accessibility of genetic testing, genetic counselors are playing a critical role in helping patients understand family and medical histories and genetic indications and conditions that may impact them or their loved ones. How do genetic counselors help patients to feel comfortable and understand the often-confusing world of genetic testing? Learn more in this episode of Mayo Clinic's Center for Individualized Medicine Genes & Your Health podcast miniseries featuring Jennifer L. Kemppainen, M.S., CGC, Supervisor of Genetic Counselors and Assistant Professor in Medical Genetics at Mayo Clinic in Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 25, 2023

Nutrition & Cardiovascular Health

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guests: Stephen Kopecky, M.D. Guest: Tara Schmidt, M. ED, RDN, LD It’s a well-accepted fact that diet plays a significant role in the development as well as prevention of cardiovascular disease, a major cause of morbidity and mortality in the U.S. The typical U.S. diet results in a predisposition to obesity, hypertension, and hyperlipidemia; all risk factors for cardiovascular disease. Fortunately, diet is a potentially reversible risk factor. As health care clinicians, its our responsibility to assess our patients’ diet and make recommendations for a healthy food intake to reduce their risk of cardiovascular disease. The topic for this podcast is nutrition and cardiovascular health and my guests include preventive cardiologist Stephen Kopecky, M.D., and registered dietician and nutritionist Tara Schmidt, both from the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 24, 2023

Osteoporosis, Fragility & Bone Health Edition | Osteoporosis “Getting to the Core”

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Jad Sfeir, M.D., M.S. 80% of those with osteoporosis are women and many have no idea they have it. While a variety of bone fractures can result from osteoporosis, hip fractures are the most serious complication. They represent a significant economic burden and often result in major changes to an individual’s lifestyle. The good news is osteoporosis can be detected with relatively simple screening tests and we now have a variety of treatment options available to manage the condition and reduce the risk of fracture. The topic for this podcast is osteoporosis, and our guest is Jad Sfeir, M.D., M.S., an endocrinologist at the Mayo Clinic. We’ll discuss the pathophysiology of osteoporosis, who and when to screen and the latest management options. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 19, 2023

Genes & Your Health Edition | Ethical Considerations

Host: Denise M. Dupras, M.D., Ph.D. Guest: Karen Meagher, Ph.D. In today’s world, primary care physicians have a variety of genetic and genomic testing available for patients. But what ethical considerations should be kept in mind during patient visits to ensure the needs of the patient always come first? Find out in this episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Karen Meagher, Ph.D, assistant professor in the Biomedical Ethics Research Program at Mayo Clinic in Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 18, 2023

“Hacking” The Unexplained Chronic Cough

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Sumedh S. Hoskote, M.B.B.S. A patient with an unexplained cough is commonly seen in an outpatient primary care practice. While there are several potential causes, fortunately, most are relatively benign. However, determining the cause can be challenging and its best to use an organized approach in the evaluation. Using the patient’s history, chest imaging studies, pulmonary function and occasionally laboratory tests, we’re usually able to determine the cause. What are the most common causes of a persistent cough? What approach is recommended in the evaluation? And what should we do when no cause is apparent? We’ll discuss “The Unexplained Chronic Cough” in this podcast with our guest, Sumedh S. Hoskote, M.B.B.S., a pulmonologist in the Division of Pulmonary and Critical Care at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 17, 2023

Osteoporosis, Fragility & Bone Health Edition | Calcium & Vitamin D “When Enough is Enough”

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Daniel L. Hurley, M.D. Calcium and vitamin D are essential in building healthy bone; they’re especially important early in life as our bone mineral density increases. Yet many individuals are not receiving adequate amounts of calcium or vitamin D. What are the most common dietary sources of calcium? Is dietary calcium superior to calcium supplements? Should our patients be taking supplemental calcium and/or vitamin D? In this podcast, we’ll review the importance of calcium and vitamin D and I’ll be discussing these questions with our guest, endocrinologist and bone specialist, Daniel L. Hurley, M.D., from the Division of Endocrinology and Metabolism at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 12, 2023

Genes & Your Health Edition | All in the Family

Host: Denise M. Dupras, M.D., Ph.D. Guest: Richard Presutti, D.O. With the rapid changing field of genetic testing, a common question we receive from primary care providers is, “where do I start”? Well, it’s all in the family… history, that is. During this episode of Genes & Your Health, learn more about the importance of family history, what it can tell us, and different criteria to look for. This episode features Richard Presutti, D.O., an assistant professor and chair of the Department of Family Medicine for Mayo Clinic in Florida, and a co-director of Genomics in Action for Mayo Clinic’s Center for Individualized Medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 11, 2023

Osteoporosis, Fragility & Bone Health Edition | Bone Basics & Tips for Good Bone Health

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Daniel L. Hurley, M.D. We now have a variety of pharmacologic options for treating osteoporosis which are effective in increasing bone density, but more importantly decreasing the risk of fractures. However, rather than treating osteoporosis, what advice can we give our patients that will help prevent loss of bone mass and hopefully prevent osteoporosis. Do we know what it takes to build strong, healthy bones? Which nutrients are important for bone development? What role does exercise play and what type of exercise should we be recommending? I’ll be asking these questions and more to our guest, Daniel L. Hurley, M.D., an endocrinologist at the Mayo Clinic as we discuss “Bone Basics and Tips for Good Bone Health”. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 10, 2023

Valvular Heart Disease: The Mitral Valve

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Rekha Mankad, M.D. Mitral valve disorders are extremely common, one of the most common is mitral valve prolapse. The majority of these patients live their life without symptoms, but some go on to develop significant mitral regurgitation or less likely, mitral stenosis. How can we recognize mitral valve disease and what’s recommended to confirm a diagnosis? How should these patients be followed? Do they need a lifetime of cardiac imaging? When is a cardiologist needed to help manage these patients? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., a cardiologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 3, 2023

Valvular Heart Disease: The Aortic Valve

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Rekha Mankad, M.D. It’s estimated that between 2% and 3% of the population has some form of valvular heart disease and this increases with age. Most of these patients are initially cared for by primary care providers. Most valvular disease deaths are due to disease of the aortic valve and it’s important to recognize these patients early in order to assess for progression and the need for surgical intervention. What are the presenting symptoms of aortic valve disease? What’s the best way to manage and follow these patients and when should a cardiologist and cardiac surgeon become involved in the care of the patient? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 26, 2023

Thyroid Hormone & Brain Development in Children

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Siobhan Pittock, M.B., B. Ch Thyroid hormone plays an important role in metabolism of adults. It plays an even more important role in children. Undiagnosed hypothyroidism in children not only impairs metabolism but can result in stunted physical growth and impaired cognitive development. Congenital hypothyroidism is one of the most common causes of intellectual disability. This may present as poor performance or behavior problems in school. It can also be associated with hearing and language development. The topic for this podcast is “Thyroid Hormone and Brain Development in Children” and my guest is Siobhan Pittock, M.B., B. Ch, a pediatric endocrinologist from the Mayo Clinic. We’ll discuss how thyroid hormone affects brain development, the causes of hypothyroidism in a fetus or newborn and whether brain damage from hypothyroidism in childhood is reversible. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 19, 2023

Tired Teens: Chronic Fatigue in Adolescents

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Philip R. Fischer, M.D. Among adolescents, complaints regarding fatigue are relatively common and it’s been assumed to be associated with the hormonal changes of puberty, the various social conflicts common in adolescence and a variety of educational expectations. At times, fatigue becomes chronic and may be accompanied by other physical symptoms including mood disorders, headaches, musculoskeletal pains, and various GI symptoms. When chronic fatigue in adolescence has been investigated, no single causal factor has been found and its likely to be multi-factorial. The topic for this podcast is “Chronic Fatigue in Adolescents” and we’ll discuss this with our guest Philip R. Fischer, M.D., a pediatrician from the Department of Pediatrics at the Mayo Clinic. https://mcpress.mayoclinic.org/product/tired-teens/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 12, 2023

”The Heat is On” Heat-Related Conditions

Host: Sanj Kakar, M.D. @sanjkakar Guest: Neha P. Raukar, M.D., M.S We’ve all been experiencing the intense heat and humidity, and did you know that this past July was one of the hottest months on record. Exposure to heat poses a major threat to high-risk populations by substantially contributing to increased morbidity and mortality. Our podcast today is tackling the most common heat-related conditions with Neha P. Raukar, M.D., M.S., Associate Professor of Emergency Medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 5, 2023

What’s New with C. Difficile?

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Sahil Khanna, M.B.B.S., M.S. It’s estimated that C. difficile causes about a half million infections each year in the U.S. and 1 in 6 of those will have a recurrence within a couple months. Although C. difficile typically occurs following the use of antibiotics, it can also be spread from one individual to another, especially in hospitals and skilled nursing facilities. What are the common symptoms of an infection with C. difficile? How do we test for it? How should an infection be treated and what do we do with patients who have one or more recurrences. In this podcast, we’ll be discussing “What’s New with C. Difficile?” and these are some of the questions I’ll be asking our guest, Sahil Khanna, M.B.B.S., M.S., a gastroenterologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 29, 2023

The Role of Nutrition in Lowering the Risk of Chronic Disease

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Katherine A. Zeratsky, R.D.N., L.D. Chronic disease is creating a tremendous financial impact on our healthcare system. Cardiovascular disease alone accounts for approximately 18 million deaths globally, annually. Most often, we think of pharmacologic therapy in managing chronic disease, yet there’s good evidence that shows adults who eat a healthy diet have a lower risk of suffering from a variety of chronic diseases. Diet can play an extremely important role in preventing and managing such conditions as hypertension, hyperlipidemia, osteoporosis, and malignancy. Today’s podcast will review the role of nutrition in lowering the risk of chronic disease and our guest is registered dietician and nutritionist, Katherine A. Zeratsky, R.D.N., L.D., from the Division of Endocrinology at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 22, 2023

Diagnostic Uncertainty & Undiagnosed Illness

Host: Darryl S. Chutka M.D. [@chutkaMD] Guest: Liz A. Gilman, M.D. Guest: Chris R. Stephenson, M.D., M.H.P.E. As clinicians, we’re used to obtaining health information from our patients through a medical history, performing a physical exam and ordering a variety of lab tests or imaging studies. We then formulate a differential diagnosis and eventually a diagnosis to explain the patient’s health problem. But what happens when a diagnosis isn’t obvious or we’re uncertain what may be causing the patient’s problems. What if a patient asks us a question and we don’t know the answer? How do we express our uncertainty to our patients and how do our patients react to our uncertainty? In this podcast, we’ll discuss diagnostic uncertainty and how to approach our patients when we can’t find a specific diagnosis to explain their symptoms. Our guests include Liz A. Gilman, M.D., and Chris R. Stephenson, M.D., M.H.P.E., both from the Division of General Internal Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 15, 2023

Psychiatric Issues Stemming From COVID-19

Host: Darryl S. Chutka M.D. [@chutkaMD] Guest: Teresa A. Rummans, M.D. The COVID-19 pandemic has caused innumerable health complications. One complication which hasn’t received a lot of attention has been the effect seen on mental health. Since the pandemic, the incidence of mental illness has increased dramatically, both in patients who have been infected as well as those suffering the social consequences of the pandemic. This has led to mental health disorders representing a major cause of disability. What can we learn from a historical perspective as a result of previous pandemics? How does the COVID-19 virus produce the variety of neuropsychiatric disorders commonly seen? And most importantly, how can we help our patients with their mental health disorders associated with the pandemic? This podcast will review “Psychiatric Issues Stemming From COVID-19” with our guest, Teresa A. Rummans, M.D., a psychiatrist from the Department of Psychiatry and Psychology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 8, 2023

“Lettuce Eat” Plant-Based Diets: Healthy & Non-Healthy

Host: Darryl S. Chutka M.D. [@chutkaMD] Guest: Lisa Lammert, R.D.N., L.D. Cardiovascular disease is the leading cause of death to individuals in the U.S. Many feel that our typical American diet with its high saturated fat content is a major contributor to this. There’s good evidence that shows plant-based diets are cost-effective in lowering the risk factors for cardiovascular disease including obesity, hyperlipidemia, hypertension, and diabetes. They may also lower the number of medications an individual needs to take to manage their chronic diseases. So, are there any disadvantages to a plant-based diet? Are all plant-based diets healthy and what are the nutritional challenges for a patient on a plant-based diet? We’ll discuss these questions in this podcast on “Plant-Based Diets”. Our guest is Lisa Lammert, a registered dietician and nutritionist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 1, 2023

Obesity Edition | Post Bariatric Patient: Common Issues & Weight Regain

Host: Ishna A. Sharma, M.D. (@IshnaSharmaMD) Guest: Julia A. Jurgensen, APRN, C.N.P., D.N.P. The issue of obesity has become a significant public health concern not only in the United States but across the globe. Bariatric surgery was performed on almost 200,000 patients in the U.S. alone in 2020. Despite the recommendation for regular follow-up visits with bariatric providers, studies indicate a high rate of loss to follow-up among these patients. Consequently, they may seek assistance from a primary care physician years later, presenting concerns such as malnutrition or weight gain. Today, we are fortunate to have Julia A. Jurgensen, APRN, C.N.P., D.N.P. , a Mayo Clinic nurse practitioner who specializes in obesity and has vast experience managing patients who have undergone bariatric surgery. Link to weight loss blog referenced in the episode: https://connect.mayoclinic.org/blog/weight-management-1/tab/newsfeed/#ch-tab-navigation Mayo Clinic Talks Obesity Edition Online CME Course Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 27, 2023

Alopecia: Handling Our Patients with Hair Loss

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Jason C. Sluzevich, M.D. Hair loss is quite common and although it occurs more commonly in men, it can also occur in women. It’s estimated that up to 80% of men and nearly 50% of women experience hair loss. While it’s not a life-or-death health issue, it can have a negative effect on confidence and self-esteem and a significant amount of money is spent on hair regrowth products and restoration procedures. Did you know that about 95% of our total skin area is covered in hair and you can lose up to 50% of your hair before it’s noticeable to others? How does hair loss differ in males and females? Why do some men go bald? And how effective is the pharmacologic treatment that’s available in producing hair regrowth? We’ll discuss these questions and more with our guest, Jason C. Sluzevich, M.D., a dermatologist at the Mayo Clinic. The topic for this podcast is “Handling Our Patients with Hair Loss”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 25, 2023

Obesity Edition | Pediatric Obesity

Host: Ishna A. Sharma, M.D. (@IshnaSharmaMD) Guest: Seema Kumar, M.D. Guest: Todd A. Kellogg M.D. The topic of concern that is currently growing in both the United States and around the world is the issue of childhood obesity. According to the CDC growth charts, the number of children and adolescents affected in the US is about 15 million, with the prevalence reaching nearly 20% between the years 2017 and 2020. This is characterized by having a BMI that is at or above the 95th percentile. In order to delve deeper into this issue, we are pleased to have Seema Kumar, M.D., a pediatric endocrinologist at Mayo Clinic, and Todd A. Kellogg, M.D., a metabolic and bariatric surgeon, joining us today. Resources mentioned in the episode: American Academy of Pediatrics community resources Mayo Clinic Talks Obesity Edition Online CME Course Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 20, 2023

Vestibular Schwannomas (aka Acoustic Neuromas)

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Michael J. Link, M.D. Guest: Matthew L. Carlson, M.D. Hearing loss is a commonly seen symptom in a primary care office practice, as is tinnitus and vertigo. Fortunately, they’re almost always due to a benign cause. However, these symptoms may represent something more ominous, an acoustic neuroma, also known as a vestibular schwannoma. It’s important to consider this diagnosis when we see them in our patients, as there is the potential for serious consequences to develop if this remains untreated. What type of hearing loss is associated with a vestibular schwannoma? What are the other associated symptoms? How do we go about evaluating these patients and how are they best treated? I’ll be asking these questions of our guests Michael J. Link, M.D., a neurosurgeon from the Department of Neurologic Surgery and Mathew L. Carlson, M.D., a head and neck surgeon from the Department of Otolaryngology, both at the Mayo Clinic in Rochester, Minnesota. Our topic for this podcast is vestibular schwannomas. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 18, 2023

Obesity Edition | Surgical Weight Loss

Host: Ishna Sharma, MD (@IshnaSharmaMD) Guest: Omar M. Ghanem, M.D. Obesity has become a significant public health crisis worldwide, with the United States being no exception. A range of treatments is available, but metabolic and bariatric surgery is widely regarded as the most effective and sustainable option for managing obesity. In fact, this type of surgery can reduce the risk of premature death by 30% to 50%. Today's guest is Omar M. Ghanem, M.D., a prominent metabolic bariatric and foregut surgeon at Mayo Clinic. Dr. Ghanem is renowned for his extensive research work, which has resulted in over 75 peer-reviewed publications. Mayo Clinic Talks Obesity Edition Online CME Course Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 13, 2023

Food Intolerance: When “Food Allergies” Aren’t Allergies

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Imad Absah, M.D. Food intolerance is relatively common. It represents a gut sensitivity to one or more foods, usually resulting in various GI symptoms. A food intolerance is not the same as a food allergy, although our patients often consider their symptoms an allergy to a specific food. Food intolerance doesn’t result in any significant health disorder or serious complications and is usually more of a nuisance to the patient. The treatment varies depending on the food involved. The topic for this podcast is food intolerance and our guest is Imad Absah, M.D., a pediatric gastroenterologist from the Mayo Clinic. We’ll discuss how we determine if a patient is experiencing a food intolerance or a food allergy, the most common offending foods, the mechanisms for food intolerance and how we manage the condition. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 11, 2023

Obesity Edition | Endoscopic Weight Loss

Host: Dr. Ishna Sharma, MD (@IshnaSharmaMD) Guest: Barham K. Abu Dayyeh, M.D., M.P.H. The problem of obesity is a major public health concern both in the U.S. and globally. Despite the roughly 250,000 bariatric procedures performed in the U.S. annually, only 4% of them are endoscopic procedures. It's noteworthy that the use of endoscopy for managing obesity is still in its developmental stage. Today, we are privileged to have Barham K. Abu Dayyeh, M.D., M.P.H., a bariatric endoscopy specialist and gastroenterologist at Mayo Clinic, to share his valuable insights. Mayo Clinic Talks Obesity Edition Online CME Course Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 6, 2023

Functional Dyspepsia: BOOM! BANG! Burning & Pain!

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: David J. Cangemi, M.D. Functional dyspepsia, also known as non-ulcer dyspepsia, represents chronic upper GI symptoms of indigestion and not infrequently abdominal discomfort. Diagnosing functional dyspepsia can be challenging since there are no definitive diagnostic tests. This often results in patients seeking multiple medical opinions searching for a specific cause and treatment for their symptoms. What are the common presenting symptoms of functional dyspepsia? What’s an appropriate evaluation and how do we treat our patients who have it? In this podcast, we’ll discuss these questions and more with David J. Cangemi, M.D., a gastroenterologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 4, 2023

Obesity Edition | Medical Weight Loss

Host: Ishna Sharma, M.D. https://twitter.com/IshnaSharmaMD Guest: Maria Collazo-Clavell, M.D. An escalating public health concern on a global scale is the growing prevalence of obesity, which is also a cause for concern within the United States. Statistical data reveals that approximately 15% of American adults make an attempt to shed off excess weight at some stage in their lives using supplements. Currently, there are a range of supplements and pharmaceuticals that have received approval from the FDA for weight loss purposes. Our esteemed guest today is Maria L. Collazo-Clavell, M.D., an authority in the fields of obesity and endocrinology, who is affiliated with the Mayo Clinic. Mayo Clinic Talks Obesity Edition Online CME Course Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 29, 2023

HIV & Attitudes Towards PrEP

Host: Joshua D. Luciew, MPAS, PA-C Guest: Maryam Mahmood, M.B., Ch.B. Guest: Cesar A. Gonzalez, Ph.D., L.P. As primary care providers, evaluating patients with a virus is a common part of our practice. This ranges from colds, a painful shingles outbreak, COVID-19, RSV bronchiolitis, influenza, and many more. Oftentimes, after a detailed physical exam, we tell our patients the cause of their symptoms are due to a virus and that their symptoms should improve in a couple days to weeks. However, we know that sometimes the symptoms of a viral infection can be a harbinger of more severe disease. In today’s talk, we will be discussing a virus. Acute infection with this virus can present with fever, fatigue, myalgias, arthralgias, lymphadenopathy, sore throat, headache, diarrhea, weight loss, and rash. This constellation of symptoms, especially when they persist for a prolonged duration of time can be representative of an acute HIV infection. Tune in to this episode to learn more about the pathophysiology of HIV, how a patient can contract HIV, the tests to perform when an acute HIV infection is suspected, how to prevent an HIV infection, and to learn a bit more about anal Pap smears. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 27, 2023

Obesity Edition | Obese Adult Patient Presents to Primary Care Provider

Host: Ishna A. Sharma, M.D. https://twitter.com/IshnaSharmaMD Guest: Meera Shah, M.B., Ch.B. Obesity has become a significant public health crisis in both the U.S. and around the world. Globally, over 1.9 million people are overweight, and 650 million people are obese. In the U.S., 39.8% of the adult population is obese. Obesity leads to hypertension, hyperlipidemia, coronary artery disease, diabetes, sleep apnea and even certain cancers. Outside of the morbidity and mortality associated with this, obesity also leads to almost $200 billion annually in healthcare costs. Obesity is a complex medical issue, and one of the first settings a patient may receive care for this is at the PCP office. This episode is the first episode in our Obesity Edition focused on how a primary care physician can help an obese adult patient who visits them in clinic. This episode will concentrate on the basics: How to approach the conversation with a patient; How to guide their next steps; How to continue caring for an obese patient once they are underway in their management. Today, we’re joined by Meera Shah, M.B., Ch.B., a Mayo Clinic endocrinologist specializing in obesity, who will help guide us in answering these questions and more. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 22, 2023

Healthy Start: Nutrition in Early Childhood

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Angela C. Mattke, M.D. The early years of a child are extremely important for establishing growth, maturation, and development. Good nutrition is felt to be an important component for these benefits to take place. Yet, there’s evidence that a substantial proportion of our children are not receiving the nutrition they should. Inadequate nutrition can lead to issues not only in later childhood but chronic health problems in adulthood as well. The topic for this podcast is “Nutrition in Early Childhood”. We’ll be discussing such issues as: What are the most common nutritional deficiencies our young children face? What are the potential long-term complications of inadequate nutrition in early childhood and what’s the solution to improving nutrition? My guest is Angela C. Mattke, M.D., a pediatrician from the Division of Community Pediatrics and Adolescent Medicine at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 20, 2023

LGBTQIA+ Health for Primary Care

Host: Joshua D. Luciew, MPAS, P.A.-C. Guest: Juliana (Jewel) M. Kling, M.D., M.P.H. Individuals who belong to the LGBTQIA+ population are a part of the communities we provide care. Every member of this group is unique, and recognizing how sexual orientation and gender identity influences each person, including how these concepts may evolve and change over a life span, can help us provide more inclusive and whole person care. Many members of the LGBTQIA+ population either do not have access to, or do not seek quality medical care due to stigma and discrimination, which then leads to many disparities. By learning how to provide culturally sensitive care, we can help reduce healthcare disparities for LGBTQIA+ folks. Tune in to this episode to learn more about the LGBTQIA+ community, some of the disparities the community faces, and learn about some special considerations that may arise in your care of the LGBTQIA+ patient. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 13, 2023

Testosterone Supplementation in Men: Risks, Benefits & Best Practices

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Nahid Punjani, M.D., M.P.H Testosterone has a variety of health benefits. It helps maintain bone density, muscle mass, red blood cell production and sexual function. Testosterone levels in men tend to peak between age 30 to 40 then gradually decline and it’s not unusual to find low testosterone levels in men over the age of 50. It’s also known that in men with hypogonadism, testosterone supplementation can improve libido, bone density and muscle mass. Should we be checking testosterone levels in our middle-age male patients? How do we determine who should receive testosterone supplementation and finally what are the risks of supplementation? In this podcast, these are all questions I’ll be asking our guest, Nahid Punjani, M.D., M.P.H, a urologist at the Mayo Clinic as we discuss “Testosterone Supplementation in Men”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 6, 2023

Celiac Disease & Gluten Sensitivity: “No Loafing Matter”

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Amy S. Oxentenko, M.D. It’s estimated that less than 1/3 of individuals with celiac disease have been properly diagnosed. When those with celiac disease ingest gluten, an immune response develops which attacks the small intestine leading to inadequate absorption of nutrients. If left untreated, celiac disease can lead to a variety of nutritional deficiencies as well as other serious consequences. Those with celiac disease are also at increased risk for coronary disease and small bowel cancers. In this podcast we’ll review celiac disease and gluten sensitivity with our guest, Amy S. Oxentenko, M.D., a gastroenterologist at the Mayo Clinic. We’ll discuss the symptoms of celiac disease, how to diagnose the condition and how patients with celiac disease should be managed. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 30, 2023

Sleep Medicine Edition | Violent Dreams, Sleepwalking & Other Strange Nighttime Events

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guests: Robin M. Lloyd, M.D., & Michael Silber, M.B. Ch.B. In most people, sleep is a peaceful activity. Dreaming is a normal component of our sleep and represents activity of the brain at a time the rest of our body is inactive. However, for some individuals sleep is not a peaceful activity. Some can experience very violent dreams, often associated with physical movements. Sleepwalking is another nighttime activity which some experience. Violent dreams and sleepwalking can place the patient as well as others at risk for injury. How common are these behaviors? What causes them and how can these patients be treated. In this podcast, we’ll discuss violent dreams, sleep walking and other strange nighttime events with Mayo Clinic sleep specialists, Robin M. Lloyd, M.D., from the Department of Pediatrics and Adolescent Medicine and Michael Silber, M.B. Ch.B., from the Department of Neurology. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 25, 2023

Food Allergy: Common Causes, Diagnosis & Treatment

Host: Darryl S. Chutka, M.D. @ChutkaMD Guest: Gerald W. Volcheck, M.D. Food allergy is an immune reaction that develops following ingestion of sometimes even a very small amount of the offending food product. It’s thought to occur in up to 4% of adults and is not to be confused with a food intolerance, which is much more common. It’s important to recognize patients who develop a food allergy as they can develop not only relatively benign problems such as GI symptoms or hives, but also more severe and potentially life-threatening conditions such as bronchospasm or even anaphylaxis. What are the most common foods that produce allergies? How should these patients be evaluated and how do we manage them? Our topic for this podcast is “Food Allergy” and these are some of the questions I’ll be asking our guest, Gerald W. Volcheck, M.D., from the Division of Allergic Diseases at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 23, 2023

Sleep Medicine Edition | Restless Leg Syndrome (RLS)

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Michael Silber, M.B. Ch.B. It’s estimated that up to 10% of the U.S. population has restless leg syndrome, with most patients middle aged or older. Since it tends to occur in the latter part of the day, it commonly interferes with an individual’s ability to sleep and is one of several known sleep disorders. Unfortunately, there is no cure, however there are a variety of treatment options available. The topic for this podcast is restless leg syndrome and my guest is sleep specialist and neurologist, Michael Silber, M.B. Ch.B., from the Mayo Clinic. We’ll discuss the symptoms and pathophysiology of restless leg syndrome, other medical conditions often confused with it as well as the various treatment options. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 18, 2023

Women in Medicine

Hosts: Dawn Marie R. Davis, M.D. and Sanjeev (Sanj) Kakar, M.D. Guest: Erin K. O'Brien, M.D. Guest: Bobbi S. Pritt, M.D. Guest: Sandhya Pruthi, M.D. Our society is changing with women assuming more prominent roles. We have a female Vice President and recent books by Sheryl Sandberg (Lean In) and Michelle Obama (The Light We Carry), have highlighted the importance in inequities women have, and continue to have, on a daily basis. Mayo Clinic continues to evolve and lead this change in healthcare with female leaders incorporated throughout the practice. To celebrate this, we invited three dynamic physicians at Mayo Clinic’s Rochester campus, Erin K. O’Brien, M.D., Bobbi S. Pritt, M.D., and Sandhya Pruthi, M.D., to share their stories and perspectives in this week’s podcast. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 16, 2023

Sleep Medicine Edition | Medications for Insomnia: What Works?

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Bhanuprakash (Bhanu) Kolla, M.D. A common question we get from patients is “What can you give me to help me sleep?”. Explaining how our sleep changes with age; becoming less efficient, more fragmented with multiple reasons for nighttime awakenings is met with understanding from the patient but is always followed by the question “So, what are you going to give me to help me sleep?”. How does sleep change with aging? Why do we often have difficulty falling and staying asleep, and does the ideal pharmacologic agent exist that can be taken nightly, helps us fall asleep, remain asleep throughout the night and allow us to wake up feeling refreshed in the morning? In this podcast, we’ll discuss these questions with our guest, Bhanuprakash (Bhanu) Kolla, M.D., a psychiatrist from the Department of Psychiatry and Psychology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 11, 2023

The Tick Talk of Lyme Disease: How to Diagnose & When to Treat

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Elitza S. Theel, Ph.D. Lyme disease is quite common with more than 400,000 new cases per year in the United States alone. It’s associated with a constellation of typical symptoms, but it can also produce symptoms which are very unusual and vague. As a result, it can mimic a variety of other diseases. An accurate diagnosis of Lyme disease can be challenging, often resulting in a delay or even lack of treatment. In this podcast, we’ll discuss the typical presentation of Lyme disease as well as some of its more unusual presenting symptoms. We’ll also cover how to establish a diagnosis and its current treatment recommendations. Our guest is Elitza S. Theel, Ph.D., a clinical microbiologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 9, 2023

Sleep Medicine Edition | Cognitive Behavioral Therapy for Treatment of Insomnia

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Michael H. Silber, M.B.Ch.B. Difficulty initiating and maintaining sleep is a common problem for many patients. Over-the-counter sleeping aids are used by many and we commonly get asked for prescription medications to help with their sleep. Unfortunately, the ideal sleeping medication doesn’t exist and many have potentially worrisome adverse effects, some produce daytime somnolence and others may have the potential to produce dependence. Cognitive behavioral therapy is an alternative treatment option to pharmacologic therapy and is safe, can be easily taught, and offers an alternative to the many with chronic insomnia. In this podcast, we’ll discuss this innovative treatment option with sleep expert, Michael H. Silber, M.B.Ch.B., a neurologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 4, 2023

Seasonal Allergies: It’s Not Easy To Be Sneezy

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mansi J. Kanuga, M.D. Millions of Americans suffer from seasonal allergies causing a variety of symptoms which often force them to stay indoors and limit their activities. Allergic rhinitis carries a significant economic burden accounting for an estimated 2 million lost school days, and 6 million lost workdays per year. Fortunately, there are numerous treatment options available. The topic for today’s podcast is seasonal allergies and our guest is Mansi J. Kanuga, M.D., an allergist at the Mayo Clinic. We’ll discuss how to use the patient’s history to determine the patient’s allergies, when allergy tests are indicated and management of seasonal allergies. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 2, 2023

Sleep Medicine Edition | Sleep Apnea & its Complications

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Timothy I. Morgenthaler, M.D. It’s estimated that about 30 million people in the U.S. have sleep apnea and most don’t even know they have it. Only 20% of those with sleep apnea have been diagnosed with the condition. Sleep apnea becomes more common with advancing age and is thought to be present in up to 80% of men over the age of 80. With an increased prevalence of obesity in our population, the numbers of those with sleep apnea has increased dramatically. We’re all aware of the daytime drowsiness that is so common in patients who are untreated, but there are other numerous and potentially serious complications that can also occur. In today’s podcast, we’ll discuss the common presenting symptoms of sleep apnea, how to diagnose the condition, and the potential consequences in those who remain untreated. Our guest is Timothy I. Morgenthaler, M.D., a sleep specialist from the Division of Pulmonary and Critical Care Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 27, 2023

Benign Scrotal Masses & Testicular Cancer Screening

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Bradley C. Liebovich, M.D. Testicular cancer accounts for only around 1% of all cancers in men and is most common in males from age 15 to 35. Around 10,000 new cases are diagnosed per year resulting in about 400 deaths. While testicular cancer is relatively uncommon, other abnormalities occur in the scrotum which are quite common and fortunately, relatively benign. Most of these conditions present as a scrotal mass and can be quite frightening to the patient if they discover them. In today’s podcast, we’ll discuss scrotal masses including testicular cancer with our guest, Bradley C. Liebovich, M.D., from the Department of Urology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 25, 2023

Sleep Medicine Edition | The Patient Who Cannot Tolerate CPAP: Alternative Approaches to Obstructive Sleep Apnea

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Eric J. Olson, M.D. It’s estimated that about 30 million people in the U.S. have sleep apnea and the worldwide prevalence is approaching 1 billion. The traditional treatment is continuous positive airway pressure or CPAP which is quite effective and used to enhance ventilation. Unfortunately, there are a significant number of patients with sleep apnea who can’t tolerate CPAP. This may result in an untreated patient, increasing their risks to a variety of potentially serious complications. How do we manage the CPAP-intolerant patient? What else is available for the patient with sleep apnea? Which patients are candidates for these alternative treatments and how effective are they? In this podcast, we’ll discuss these questions and more with our guest, sleep expert Eric J. Olson, M.D., from the Division of Pulmonary and Critical Care at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 20, 2023

Sleep Medicine Edition | The Sleepy or Fatigued Patient: Yawning for Relief

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Michael H. Silber, M.B., Ch.B. Depending on the patient, a complaint of feeling tired, fatigued or sleepy may all mean the same thing. In others they may not feel that sleepiness is the same as fatigue or tiredness. Once we sort out what the patient is actually describing, how do we evaluate the sleepy patient? How much sleep do we need per night and what’s an inadequate amount of sleep? How do we evaluate the quality of a patient’s sleep and what role does age play in the evaluation of a patient’s sleep? These are questions we’ll discuss with our guest for this podcast, Michael H. Silber, M.B., Ch.B., a neurologist and sleep expert at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 18, 2023

Liver Transplant Selection Criteria

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Michael D. Leise, M.D. The liver is the second-most transplanted organ; nearly 10,000 patients received a liver transplant in 2021. The major factor, which has limited the transplants performed, has been the availability of the donated organs and some patients have waited several years before an acceptable organ becomes available. Transplants can be performed for a variety of end-stage liver diseases, usually giving patients years of additional life. Who’s a candidate for a liver transplant and what criteria for selection are required? Our topic for this podcast is “Liver Transplant Selection Criteria” and we’ll discuss this topic with our guest, Michael D. Leise, M.D., from the Division of Gastroenterology and Hepatology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 11, 2023

Post-Kidney Transplant Care for Primary Care Providers

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Samy M. Riad, M.D. Kidney transplants are quite common; over 20,000 transplants will have been performed by the end of 2022 and there are currently just under 90,000 individuals on the national transplant waiting list. They’ve been remarkably successful in giving patients with renal failure an improved quality of life. However, patients who have had kidney transplants have unique medical needs. Since most transplant patients will return to their primary care providers for the majority of their ongoing care, what important information do we need to successfully care for these patients? What unique medical needs do they have? And what potential health problems are more commonly seen in transplant patients? In this podcast, our guest, Samy M. Riad, M.D., a nephrologist at the Mayo Clinic will answer these questions and more as we discuss the management of the post-renal transplant patient. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 4, 2023

Prostate Cancer & Men’s Health Edition | Primary Care Management of the Post-Prostate Cancer Patient

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Scott M. Cheney, M.D. Except for skin cancer, prostate cancer is the most common malignancy in males. 1 in 8 men will be diagnosed with prostate cancer during his lifetime, most over the age of 65. If diagnosed early, treatment is quite effective and results in a very favorable survival rate. Several very effective treatment options are now available for patients. In this podcast, we’ll discuss the various treatments and what patients can expect following each option. We’ll review how a post-prostate cancer patient should be followed by their primary care provider and when there might be reason for concern of a recurrence. The guest for this podcast is Scott M. Cheney, M.D., a urologist from the Mayo Clinic in Phoenix, Arizona. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 31, 2023

Prostate Cancer & Men’s Health Edition | Updates in Advanced Prostate Cancer

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Alan H. Bryce, M.D. Prostate cancer is the second most common malignancy in men, second only to skin cancer and due to increased efforts in screening, most prostate cancers are found very early, and these men have an excellent survival rate. Unfortunately, a percentage of men develop an advanced prostate cancer and the disease becomes much more aggressive with significantly lower survival rates. Who’s at risk for advanced prostate cancer? How does the survival rate change with metastatic disease? Finally, what are the various treatment options and how effective are they? In this podcast, we’ll discuss these questions with our guest, Alan H. Bryce, M.D., from the Division of Hematology and Oncology at the Mayo Clinic. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 29, 2023

Prostate Cancer & Men’s Health Edition | Prostate Cancer & Sexual Health

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Nahid Punjani, M.D., M.P.H. Issues related to the prostate can play a significant role in a man’s sexual function. We commonly use medications for benign prostate problems such as BPH which can produce adverse effects. It’s also very common for the treatment of prostate cancer, whether we use radiation therapy, surgical prostatectomy, or hormonal therapy to cause sexual dysfunction. In this podcast, we’ll review the important role the prostate plays in sexual function as we discuss the “Prostate and Sexual Health” with our guest, Nahid Punjani, M.D., M.P.H., a urologist at the Mayo Clinic. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 27, 2023

Prostate Cancer & Men’s Health Edition | Treatment of Prostate Cancer

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: R. Jeffrey Karnes, M.D. Prostate cancer is the most common solid organ malignancy in males, and it’s estimated that 1 in 8 men will develop prostate cancer during their lifetime. When diagnosed early, it has an excellent survival rate with a variety of very effective treatment options. What are the advantages and disadvantages of each? Why would one option be chosen over another and how do the adverse effects of the various treatments differ? In this podcast, I’ll be discussing these questions with our guest, R. Jeffrey Karnes, M.D., a urologist at the Mayo Clinic. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 24, 2023

Prostate Cancer & Men’s Health Edition | Screening for Prostate Cancer

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Daniel M. Frendl, M.D., Ph.D. Prostate cancer is one of the most common malignancies in men, second only to skin cancer. It’s estimated that 1 in 8 men will develop prostate cancer during their lifetime. The predominant screening test for prostate cancer has been the prostate specific antigen or PSA. However, there has been some controversy surrounding the use of PSA. It’s an easily administered test, it’s relatively inexpensive and it’s capable of identifying men with possible prostate cancer. So, what’s the controversy? Is the PSA an effective screening test? Who should be tested and how have urologists modified their practice to manage patients with an elevated PSA? We’ll discuss these questions in today’s podcast on “Screening for Prostate Cancer” with our guest, Daniel M. Frendl, M.D., Ph.D., a urologist at the Mayo Clinic. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 22, 2023

Prostate Cancer & Men’s Health Edition | Benign Prostatic Hyperplasia (BPH)

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mitchell R. Humphreys, M.D. Benign prostatic hyperplasia or BPH is quite common in middle-age and older men. It’s estimated that up to 70% of men over age 60 have symptoms from BPH. While BPH is not a life-threatening condition, it does produce symptoms which can negatively affect the lifestyle of our patients. Since most of the patients with BPH are managed by primary care providers, we should be comfortable with the variety of treatment options available. When should treatment be initiated? What’s available pharmacologically? And when should a urologist be consulted to consider a surgical option? In this podcast, we’ll discuss these questions and more with Mitchell R. Humphreys, M.D., from the Department of Urology at the Mayo Clinic. This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 20, 2023

Healthcare Professional Burnout: Contributors, Consequences & Solutions

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Colin P. West, M.D., Ph.D. The practice of medicine is often stressful and at times, even frustrating. Sometimes the stress and frustration can get out of hand and lead us to feeling overwhelmed and hopeless. This has been described as burnout. There’s good evidence to suggest that well over half of all physicians practicing in the U.S. have exhibited some symptoms of burnout at some time during their career. Healthcare professional burnout not only has negative consequences for the clinician, but also for patients, as patient care can often suffer. What are the symptoms of burnout, can we prevent them and how can we manage those who are experiencing professional burnout? We’ll discuss these questions and more with Colin P. West, M.D., Ph.D., an internist in the Division of General Internal Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 14, 2023

Nutrition History Taking: A Practical Approach

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Tara Schmidt, MEd, RDN, LD Nutrition is so important to our health. What and how much we eat can help keep us healthy or increase our risk of developing a number of health problems including cardiovascular disease, diabetes, malignancy or a variety of degenerative health conditions. Unfortunately, many of our patients obtain their information regarding nutrition from the media which is often very inaccurate. It’s our responsibility as primary care providers to assess our patients’ nutritional status and give them accurate recommendations regarding dietary changes they should make in order to remain healthy. This starts with a nutritional history. Yet very few of us have had any formal education in nutrition. How do we take a nutritional history? What are the important questions to ask? We’ll discuss this and other nutritional issues with our guest for this podcast, Tara Schmidt, MEd, RDN, LD, a registered dietician at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 7, 2023

THE BEST OF SEASON 1: Varicose Veins & Venous Insufficiency

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Thom W. Rooke, M.D. Today, we’re excited to bring back a special lecture by popular demand from Season 1 of Mayo Clinic Talks Podcast. We’ll be discussing varicose veins and venous insufficiency with Thom W. Rooke, M.D., from Cardiovascular Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 28, 2023

Multiple Sclerosis: A Primary Care Perspective

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Eoin Flanagan, M.B., B.Ch. Nearly 1 million individuals in the U.S. have multiple sclerosis. Most acquire the disease between the ages of 20 and 50. It’s often difficult to establish a diagnosis as the symptoms can be vague and often vary significantly from one individual to another. The disease can be very frightening, often debilitating, and progressive; up until recently, we’ve had very little to offer patients in the way of treatment. However, in the past few years there have been numerous advances in treatment options which have given hope to the many patients with MS. We’ll be discussing multiple sclerosis in this podcast. Our guest is Eoin Flanagan, M.B., B.Ch., a neurologist from the Department of Neurology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 21, 2023

Determining the Source of GI Blood Loss

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Andrew C. Storm, M.D. Determining the source of GI blood loss can be a challenging dilemma. On occasion, we have clues regarding where we should start looking, but in some cases, no such clues exist. It’s best to use a stepwise approach to determining the source and in most cases, this will give us the answer we need. When a cause is found, most tend to be from an upper GI source rather than the colon. Whereas an upper endoscopy and colonoscopy will determine the source in the majority, in some cases, more aggressive techniques are required. In this podcast, we’ll be discussing GI blood loss, and which approach we should use to determine the source. Our guest is Andrew C. Storm, M.D., a gastroenterologist from the Division of Gastroenterology and Hepatology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 14, 2023

Year 3 of COVID-19: Harsh Truths, Brutal Realities & Glimmers of Hope

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Greg A. Poland, M.D. [@drgregpoland] Severe acute respiratory syndrome coronavirus 2, also known as COVID-19, is a novel virus with a rapidly changing genotype. It’s responsible for over a million deaths so far. One of every 300 Americans have died as a result of the virus and infection with COVID-19, and it has been responsible for a reduction in life expectancy in the U.S. for both 2021 and 2022. There are 4 widely available, approved vaccines in the United States, yet an inadequate number of individuals have been immunized and very few are still wearing protective masks. The consequences of this include continued excess morbidity and mortality as well as the development of a variety of new variants of the virus. Our guest for this podcast is Greg A. Poland, M.D., an internist, and the director of vaccine research at the Mayo Clinic. He’s also the lead author of an article published in Mayo Clinic Proceedings in December 2022. The article is entitled “Year 3 of COVID-19: Harsh Truths, Brutal Realities and Glimmers of Hope”. We’ll be discussing some of the key points from this article. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 7, 2023

THE BEST OF SEASON 1: Effective Communication Skills for a Time Strapped Practice

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Daniel L. Hurley, M.D. Today we’re excited to bring back a special lecture by popular demand from Season 1 of Mayo Clinic Talks Podcast. Today we’re joined by Daniel L. Hurley, M.D., a Mayo Clinic Endocrinologist and heavily awarded educator and practitioner. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 31, 2023

How to Use Pulmonary Function Tests Effectively

Host: Darryl S. Chutka, M.D. [@chutkaMD;] Guest: Alexander S. Niven, M.D. Pulmonary function tests are extremely useful in both diagnosing and managing patients with respiratory disease. In addition to a medical history, physical exam and imaging studies, they give us a great deal of information of the pulmonary physiology and help us understand why patients have various respiratory symptoms. However, there are quite a number of pulmonary function tests available to us and which tests we should order can be confusing. Do we know when spirometry, lung volumes or diffusion capacity will be useful for evaluating the various pulmonary conditions? Our guest for this podcast is Alexander S. Niven, M.D., from the Division of Pulmonary and Critical Care Medicine at the Mayo Clinic and he’ll provide answers to these questions and more as we discuss “How to Use Pulmonary Function Tests Effectively”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 24, 2023

Obesity Update in Women

Guest: Ekta Kapoor, M.B.B.S. Host: Darryl S. Chutka, M.D. [@chutkaMD] Obesity is becoming a serious epidemic in the United States, and it’s estimated that if current trends continue, by 2030 nearly half of all adults in the U.S. will be obese. Prevalence rates of obesity are steadily increasing in both men and women and some of the highest rates are seen in post-menopausal women. Obesity carries an increased risk for a variety of medical conditions and death rates of several types of cancer increase in obese women. The topic for this podcast is obesity in women and our guest is women’s health expert, Ekta Kapoor, M.B.B.S., from the Mayo Clinic. We’ll discuss reasons women tend to develop obesity in middle age, the risks associated with the type of obesity that occurs following menopause and effective strategies to manage weight gain with aging in women. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 17, 2023

THE BEST OF SEASON 1: The Risks & Benefits of Coffee

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Donald D. Hensrud, M.D., M.S. Today we’re excited to bring back a special lecture by popular demand from Season 1 of the Mayo Clinic Talks Podcast. Darryl S. Chutka, M.D., a general internist at Mayo Clinic in Rochester, Minnesota, and Donald D. Hensrud, M.D., M.S., a physician in Preventative Medicine & the Medical Director for the Mayo Clinic Healthy Living Program discusses the risks and benefits of drinking coffee. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 10, 2023

Sudden Cardiac Arrest in Athletes

Host: Sanjeev (Sanj) Kakar, M.D., [@sanjkakar] Guest: Michael J. Ackerman, M.D., Ph.D. Guest: Thomas M. Munger, M.D. Much attention has been paid to sudden cardiac arrest in athletes. Did you know the likelihood of sudden cardiac arrest in high school athletes is between 1 in 50,000 to 1 in 80,000 and for college-aged players, the risk is estimated at 1 in 13,426. Among National Collegiate Athletic Association (NCAA) athletes, there is an increased risk in those who are male, of black race and play basketball. In this podcast, we discuss what the causes of sudden cardiac arrest are, the role of screening protocols and what can be done in patients who experience this event with cardiology experts Tom M. Munger, M.D., and Michael J. Ackerman, M.D., Ph.D. SPECIAL EPISODE: https://ce.mayo.edu/content/mayo-clinic-talks-podcasts-special-episode-sudden-cardiac-arrest-athletes Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 9, 2023

Management of Patients with Late-Stage Dementia: A Caring Hand

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mairead M. Bartley, M.B., B.Ch., B.A.O. Dementia is a devastating health condition for patients, their families, and a challenging disease for primary care providers. Whereas the diagnosis is usually straightforward to establish, the pharmacologic treatment options have been, at best, disappointing. With little to nothing to offer our patients which would improve their cognitive status; our responsibility for their management doesn’t end there. We still have a responsibility to provide ongoing care to these patients as well as their caregivers as they progress into the later stages of dementia. This brings up numerous management challenges including maintaining our patient’s independence, as well as numerous safety and nutrition issues. This podcast will review the management of the patient with later stage dementia with our guest is Mairead M. Bartley, M.B., B.Ch., B.A.O., a geriatrician and internist in the Division of Community Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 3, 2023

Alternative Therapies for Hyperlipidemia: The Lipid-ome of Lowering Cholesterol

Host: Darryl S. Chutka, M.D. [@ChutkaMD] Guest: Stephen Kopecky, M.D. [@DrSteveKopecky] Hyperlipidemia is extremely common in the U.S., and we have a variety of pharmacologic agents which are very effective in treating this condition and improving our patients’ lipid profile. Yet there are patients who have elevated lipids but may not meet the criteria for pharmacologic therapy and other patients who don’t tolerate the medications we commonly prescribe. What are the alternative treatments available for managing hyperlipidemia and how effective are they? How do they compare with pharmacologic therapy? We’ll discuss these issues and more in this podcast with our guest, preventive cardiologist Stephen Kopecky, M.D., from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 27, 2022

Hand & Wrist Disorders: Lend Me a Hand (& Wrist)

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Sanjeev (Sanj) Kakar, M.D. [@sanjkakar] The hand and wrist are very complex parts of our anatomy and composed of multiple tendons, muscles, and nerves. The hand also contains over 30 bones. Hand or wrist complaints are some of the more common reasons patients come to their primary care provider, and at times, the cause can be quite elusive. We need to be able to accurately assess the patient’s symptoms, diagnose the various disorders and determine which ones need to be referred for specialty care and which ones we can manage on our own. In this podcast, we’ll discuss some of the most common hand and wrist disorders with Sanjeev Kakar, M.D., a hand specialist from the Department of Orthopedics at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 20, 2022

Chronic Kidney Disease: What Primary Care Providers Need to Know

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mira T. Keddis, M.D. [@keddis_mira] Chronic kidney disease can have a major impact on a patient’s quality of life; reducing their energy level, impacting their diet and may limit medications or alter medication dosages we prescribe. It’s estimated that kidney disease affects nearly 40 million people in the U.S. or 15% of the population, and two out of five adults with severe kidney disease don’t even know they have it. As primary care providers, we need to know how to prevent kidney disease, how we assess renal function and how to manage those with moderate to severe renal impairment. Our guest for today’s podcast is Mira T. Keddis, M.D., a nephrologist at the Mayo Clinic in Scottsdale, Arizona. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 13, 2022

Glaucoma: Not So Easy on the Eyes

Guest: Cheryl L. Khanna, M.D. Host: Darryl S. Chutka, M.D. [@chutkaMD] Glaucoma is a very common eye disease affecting more than 70 million people worldwide and it’s a leading cause of blindness, accounting for over 12% of blindness around the world. While it tends to be more common in older individuals, it can occur in younger patients as well. There are a variety of types of glaucoma as well as several new treatment options available. In this podcast, we’ll discuss the various types of glaucoma, its treatment options and what we should do as primary care providers to help patients get a proper diagnosis and prevent the vision loss which can be associated with glaucoma. Our guest is Cheryl L. Khanna, M.D., an ophthalmologic surgeon at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 6, 2022

Abortion: What the Primary Care Provider Should Know

Guest: Regan N. Theiler, M.D., Ph.D. Host: Darryl S. Chutka, M.D. @chutkaMD Abortion is a common procedure. three out of ten pregnancies and six out of ten unintended pregnancies end with an induced abortion. Overall, about one in four women in the U.S. will have an abortion by the age of 45 years. The U.S. Supreme Court’s June 2022 ruling to overturn Roe vs. Wade has shifted the legal battle over abortion to the states, resulting in some states prohibiting abortion and others moving to safeguard it. The topic for this podcast is abortion and what the primary care provider should know. Our guest is Regan N. Theiler, M.D., Ph.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Faculty Twitter: [@chutkaMD; https://twitter.com/ChutkaMD]

November 29, 2022

Vaccine Recommendations: 2022 Important Updates

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Robert M. Jacobson, M.D. [@RobertJMD] Immunizations are one of the greatest success stories in modern medicine and it’s estimated that they’ve saved more lives and prevented more disabilities than any other medical intervention. They’re probably responsible, more than any other medical advance, in contributing to our increased longevity as a population. They’re also extremely cost-effective and their benefits far outweigh the very small risks they carry. This podcast will review new information regarding immunizations and how we as clinicians can increase our patients’ immunization rates. Our guest is Robert M. Jacobson, M.D., a pediatrician, and expert in immunizations from the Department of Pediatrics at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Faculty Twitter: [@chutkaMD; https://twitter.com/ChutkaMD] [@RobertJMD; https://twitter.com/robertjmd]

November 22, 2022

What To Know About Home Genetic Testing

Guest: Matthew J. Ferber, Ph.D. Host: Darryl S. Chutka, M.D. [@chutkaMD] Over the past decade or so, we’ve learned a great deal about the human genome, and this has allowed us to determine which medical conditions our patients are at an increased risk of developing and which medications may be best suited for their medical problems. In addition to the clinical genetic tests we use in our practice, direct to consumer home genetic testing has become extremely popular. This podcast will review home genetic testing and what information patients can expect with these tests, whether the information they receive is accurate and how home genetic testing differs from the genetic tests we order. Our guest is Matthew J. Ferber, Ph.D., a clinical molecular geneticist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 15, 2022

Evaluation & Management of Osteoporosis: Make No Bones About It

Host: Darryl S. Chutka, M.D. (@chutkaMD) https://twitter.com/ChutkaMD Guest: Kurt A. Kennel, M.D. Hip fractures have had a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, they’ll have an even greater impact in the future. In addition to the economic burden, hip fractures often result in major changes to one’s lifestyle. As a result, the detection, prevention and management of osteoporosis becomes an important health strategy. The topic for this podcast is osteoporosis and our guest is Kurt A. Kennel, MD., a Mayo Clinic Endocrinologist, and specialist in bone metabolism. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 8, 2022

Reducing Medical Supply Chain Vulnerability: Now You See It, Now You Don’t

Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: Darryl S. Chutka, M.D. (@chutkaMD) The COVID-19 pandemic exposed the vulnerability of the medical product supply chain and its impact on providing optimal healthcare. The spread of the disease was accompanied by not only shortages of personal protective equipment but also medications and many other products we depend on every day in our clinical practice. We’ve learned that we cannot provide adequate or timely health care when there are shortages of important products. As a result, the health of our patients and healthcare providers has been endangered. It’s also resulted in a rationing of care and an increased risk of error as we’re forced to use sub-standard or replacement products. It’s caused us to look for new solutions to reduce our medical supply chain vulnerabilities. Our guest for this podcast is Pritish K. Tosh, M.D., an infectious disease specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Twitter Handles: (@chutkaMD); https://twitter.com/ChutkaMD (@DrPritishTosh); https://twitter.com/drpritishtosh

November 1, 2022

Colon Polyps: A Real Bum-mer

Guest: John B. Kisiel, M.D. (@DrJohnKisiel) Host: Darryl S. Chutka, M.D. (@chutkaMD) Colon polyps are relatively common in our population and, in most cases, are relatively easily found and removed, thereby reducing one's risk of developing colorectal cancer. What are the various types of colon polyps and which polyps have a greater tendency to become malignant? How long does it take a polyp to develop into colon cancer and how often does colonoscopy miss polyps? These are just some of the topics we’ll discuss in today’s podcast. Our guest is John B. Kisiel, M.D., a gastroenterologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 25, 2022

Genes & Your Health Edition: Precision Medicine for Obesity: From Phenotypes to Multi Omics

Host: Denise M. Dupras, M.D., Ph.D. Guest: Andres J. Acosta, M.D., Ph.D. (@dr_aac) The obesity epidemic continues to escalate in the United States and obesity rates are increasing around the world. It is estimated that by 2030, 50% of adults and 25% of children worldwide will be obese. Patients are the interaction of their genetics and environment; this episode explores the importance of understanding the mechanisms behind food intake regulation and weight to develop individualized therapies to treat obesity. Our guest for this episode is Andres J. Acosta, M.D., Ph.D., a physician-scientist at Mayo Clinic in Rochester, Minnesota. He is also an assistant professor of medicine at Mayo Clinic College of Medicine and Science, and principal investigator of the Precision Medicine for Obesity Laboratory.

October 20, 2022

Uterine Fibroids: Under Pressure

Guest: Elizabeth (Ebbie) A. Stewart, M.D. Host: Darryl S. Chutka, M.D. Uterine fibroids are the most common tumor of the female reproductive tract and women who are approaching menopause are at greatest risk for having them. In most cases, they don’t produce symptoms and only a minority of women require treatment. The topic for this podcast is uterine fibroids and we’ll discuss how fibroids can be diagnosed, their most common symptoms, who requires treatment and some of the latest treatment options with our guest, Elizabeth A. Stewart, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 18, 2022

Genes & Your Health Edition: Epigenomics Research – Understanding Genetics of Treatment Resistance

Guest: Alexandre Gaspar Maia, Ph.D. (@gasparma1a) Host: Denise M. Dupras, M.D., Ph.D. Epigenomics is a fascinating field in which researchers chart the locations and understand the functions of all chemical tags that mark the genome. The epigenome is the first boundary from the exterior world to our DNA sequence, and it can change dramatically. This episode discusses the state of the art of epigenomics analysis and the epigenome in the context of specific cells. Additionally, it explores the future of epigenomics for individualized medicine and in better understanding genetics of treatment resistance. The guest for this episode is Alexandre Gaspar Maia, Ph.D., an assistant professor in the Functional Genomics Laboratory at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 13, 2022

Scoliosis: Around The Bend

Host: Edward R. Laskowski, M.D Guest: Anthony A. Stans, M.D. The evaluation and treatment of scoliosis is an area that has created some controversy over the years. Should we be screening kids in school? When do we brace kids with scoliosis? And what are the indications for surgery? To help us answer these questions and more, I am delighted to welcome Anthony A. Stans, M.D., a consultant in the Division of Pediatric Orthopedic Surgery with special interest in the treatment of spinal deformity. He is past Chair of the Mayo Clinic Division of Pediatric Orthopedic Surgery and past Surgeon in Chief for the Mayo Clinic Children’s Center. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 11, 2022

Genes & Your Health Edition: Neurodegenerative Brain Disease

Guest: Bradley F. Boeve, M.D. Host: Denise M. Dupras, M.D., Ph.D. Family history is so important in deciphering genetic causes for neurodegenerative disorders. As we study polygenetic situations, we are learning that often it is not just one gene, but the contribution of multiple genes that lead to the presentation of a patient with cognitive or brain function deterioration that occurs at a variable rate. In this episode, we discuss genes and neurodegenerative brain disease, and our guest is Bradley F. Boeve, M.D., a consultant in the Department of Neurology and the Center for Sleep Medicine, as well as a professor of neurology at the Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 6, 2022

Psoriasis: Let’s Talk Rash-tionally

Host: Darryl S. Chutka, M.D. @chutkaMD Guest: Jason C. Sluzevich, M.D. Psoriasis is a somewhat atypical dermatologic condition which can come and go over time. In many, there may be seasonal effects and in some, psoriasis can have an associated arthritis. It has a characteristic distribution and while it has no cure, there are a variety of established and new treatment options. In this podcast, we’ll review how to diagnose psoriasis, its characteristic appearance, its associated arthritis, and management strategies with Jason C. Sluzevich, M.D., a dermatologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 4, 2022

Genes & Your Health Edition: Breast Cancer & SNPs- What Are They & What Do We Know?

Guests: Sandhya Pruthi, M.D. (@DrSandhyaPruthi) Host: Denise M. Dupras, M.D., Ph.D. What is precision prevention? As providers, what can we do to best determine who is at high risk for breast cancer, and when to make appropriate decisions about interventions to reduce an individual’s risk for getting breast cancer? In this episode of our Genes & Your Health edition from the Center for Individualized Medicine, we will learn more about breast cancer, breast cancer genes and the role of single nucleotide polymorphisms (SNPs) in breast cancer risk assessment. Our guest is Sandhya Pruthi, M.D., a Mayo Clinic physician in breast disease and a consultant and Professor of Medicine in the Department of General Internal Medicine in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 29, 2022

Helping Your Patients Live Younger Longer

Host: Darryl S. Chutka, M.D. @ChutkaMD Guest: Stephen Kopecky, M.D. Most of us want to live longer, but we want to live a healthy life and avoid the many health problems associated with growing older. Many of the health issues associated with aging have significant morbidity and have the potential to significantly affect our quality of life. Do we know how to avoid these health problems and stay healthy into our older ages? What should we be advising our patients to help them live younger longer? We’ll discuss these questions with our guest today, Stephen Kopecky, M.D., a preventive cardiologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 27, 2022

Genes & Your Health Edition: Polycystic Kidney Disease & Genetic Testing – Aiming for Accurate Diagnosis

Guest: Fouad T. Chebib, M.D. Host: Denise M. Dupras, M.D., Ph.D. What is polycystic kidney disease? Is it all genetic? As providers, what should we be considering and what patients should we think about screening with genetic testing? Join this episode of our Genes & Your Health edition from the Center for Individualized Medicine to learn more about the role of genes in polycystic kidney disease. This episode features Fouad T. Chebib, M.D., a Mayo Clinic nephrologist from Jacksonville, Florida, whose specialty is in polycystic kidney disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 22, 2022

Genes & Your Health Edition: Exposomics – The Next Frontier

Guest: Konstantinos N. Lazaridis, M.D. Host: Denise M. Dupras, M.D., Ph.D. What does the exposome mean? In this episode, we will define the exposome and explore how assessing exposures in an organized fashion will help us better understand the gene environment interaction. The guest for this episode of our Genes & Your Health edition from the Center for Individualized Medicine is Konstantinos N. Lazaridis, M.D., a Mayo Clinic physician in the Division of Gastroenterology and Hematology, as well as the Bernard and Edith Waterman Director, Microbiome Program, Center for Individualized Medicine and Carlson and Nelson Endowed Director, Center for Individualized Medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 20, 2022

Monoclonal Gammopathy of Undetermined Significance (MGUS)

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Wilson I. Gonsalves, M.D. Monoclonal gammopathies represent abnormal proteins produced by plasma cells. The most common monoclonal gammopathy is monoclonal gammopathy of undetermined significance or MGUS. While MGUS itself is not a malignancy and doesn’t require treatment, patients with MGUS have an increased risk of developing a variety of hematologic malignancies and therefore do require surveillance. The topic for today’s podcast is monoclonal gammopathy of undetermined significance and our guest is Wilson I. Gonsalves, M.D., a hematologist and oncologist from the Division of Hematology at the Mayo Clinic. We’ll discuss how to diagnose MGUS, who is more likely to develop this condition and how patients with it should be followed. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 13, 2022

Mayo Clinic Q&A: Updated COVID-19 boosters target omicron variants

This episode is shared from Mayo Clinic Q&A and was recorded on August 31, 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The first significant change to COVID-19 vaccines since their rollout came this week as the Food and Drug Administration granted emergency use authorization for updated Moderna and Pfizer COVID-19 boosters aimed at the omicron variants. The Centers for Disease Control and Prevention (CDC) also signed off on the recommendation, clearing the way for the new COVID-19 booster to be administered. The new boosters are bivalent vaccines, meaning they target more than one strain of the virus. The new formulation targets the BA.4 and BA.5 omicron variants, in addition to the original coronavirus strain. BA.5 is responsible for nearly 90% of all new COVID-19 cases in the U.S., according to the CDC. The Pfizer bivalent booster is approved for people 12 and up if they have already received their primary COVID-19 vaccine series and it has been at least two months since their last vaccine dose. The Moderna bivalent booster is available on the same timeline to people 18 and up. "This booster recommendation is in anticipation that there will be yet another surge as college students, grade school and high school students are gathering back together," explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "We're also preparing for cooler weather, meaning more indoor activities, family gatherings and the holidays — often without masks, unfortunately. We still need to take COVID seriously." Another big concern for vaccine experts is the upcoming flu season. The Southern Hemisphere is often an indicator of what's to come for the U.S. Australia's flu season exceeded its five-year average, particularly affecting children under age 5, according to a recent report. Experts worry that the relaxing of masking and social distancing recommendations that were in place for COVID-19 purposes the past two winters will be a factor. These measures also protected people from the flu. "When cold weather moves us indoors, a high viral circulation occurs in schools and other indoor settings. I think we are very likely to see a bad flu year," says Dr. Poland. "Now I know we've been predicting that for two years, but for the most part, people wore masks and it didn't happen. I don't think that'll be the case this year. People are not wearing masks, and we are very likely to get hit hard by influenza." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news and touches on other news, including monkeypox, polio and the upcoming flu season.

September 6, 2022

Plantar Fasciitis: Best Step Forward

Host: Joshua D. Luciew, P.A.-C. Guest: Arthur J. De Luigi, D.O., M.H.A. (@DrDeLuigi, https://twitter.com/drdeluigi) Heel and foot pain can be a burdensome symptom for our patients, as discomfort can be experienced with each step they take, hindering locomotion. Many different patient populations are required to be on their feet for their job or for various wellness goals, which can exacerbate their painful heel and foot or deter them from exercise. In this episode, we will explore the most common cause of heel and foot pain: plantar fasciitis. Listeners will learn from a Mayo Clinic specialist in Physical Medicine and Rehabilitation how plantar fasciitis develops, how it is properly diagnosed, and learn the best approaches for treatments of this condition to help patients resume their previous physical activities, pain-free. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 6, 2022

Peripheral Neuropathies: On Pins and Needles

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Julie A. Khoury, M.D. Peripheral neuropathy is a relatively common neurologic condition we frequently see in primary care. Some patients may describe the symptoms as paresthesias and they represent a minor nuisance, however others may have very painful dysesthesias. Since some peripheral neuropathies are reversible, we need to know when to suspect a peripheral neuropathy, how to evaluate patients who have them and the possible treatment options. We’ll discuss peripheral neuropathies in this podcast with Julie A. Khoury, M.D., a neurologist at the Mayo Clinic in Phoenix, Arizona. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 30, 2022

Kidney Stones: This Too Shall Pass

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Ivan E. Porter, II M.D. Kidney stones are quite common and represent one of the most common disorders of the urinary system. When symptomatic, stones are relatively easy to diagnose as they tend to cause a very characteristic clinical presentation. While most stones will pass through the urinary system, others will require a variety of treatment options. The topic for today’s podcast is kidney stones and we’ll discuss the diagnosis, management, and prevention of stones with Ivan E. Porter, II M.D., a nephrologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 23, 2022

Managing Hypertension in the Elderly

Guest: Sandra J. Taler, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that over 70% of those 65 and older have hypertension and there’s good evidence to show that less than half of these elderly individuals are adequately controlled. While there are many similarities between hypertension in the elderly and the general population, there are also some important differences. The elderly are more likely to have systolic hypertension, take multiple medications and they’re more likely to experience more frequent and serious adverse drug reactions. In this podcast, we’ll learn more about hypertension in the elderly from Sandra J. Taler, M.D., a nephrologist and hypertension specialist at the Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 16, 2022

Treating Sacroiliac (SI Joint) vs. Chronic Lower Back Pain

Host: Sanjeev (Sanj) Kakar, M.D. (sanjkakar) Guest: William W. Cross, III, M.D. (@WilliamCross3MD) Did you know the lifetime prevalence of generalized low back pain is estimated at 60% to 70% in industrialized countries? Often overlooked, the sacroiliac or SI joint can cause approximately one third of these cases. How do you determine the difference between the two? In this week’s podcast, we discuss the diagnosis of SI joint dysfunction and the different modalities for treatment, including non-operative and surgical management with William W. Cross, M.D., an Associate Professor in the Department of Orthopedic Surgery at Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Resource: Sacroiliac Joint Clinic in Minnesota - Overview - Mayo Clinic

August 9, 2022

Headache Edition: Status Migrainosus and Headache in the ER

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Mark A. Whealy, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Headache disorders are extremely common, and patients frequently seek our help in the outpatient setting regarding management of their headaches. On occasion, they may present to the emergency department for more severe or prolonged headaches. With this podcast, we will continue our series on headaches as we discuss intractable migraine, also known as status migrainosus. We’ll also discuss other headaches commonly seen in the emergency department. How serious is status migrainosus? How should patients with these headaches be evaluated and what are the most effective management strategies? We’ll discuss these questions with Mark A. Whealy, M.D., a neurologist and headache specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 4, 2022

Endometriosis: An Issue with Tissue

Guest: Tatnai L. Burnett, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Endometriosis affects approximately one in ten women during their reproductive age and can result in chronic abdominal symptoms, including pelvic pain and at times infertility. It can produce a variety of vague symptoms which commonly causes a delay in establishing a diagnosis. Since women commonly present to their primary care providers, we need to consider endometriosis as a cause of their symptoms. While there is no cure, this chronic condition can be effectively managed. The topic for this podcast is endometriosis and our guest is Tatnai L. Burnett, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 2, 2022

Headache Edition: Pediatric Headaches

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Juliana H. VanderPluym, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Headaches in children are relatively common and although there are many similarities to headaches in adults, there are some differences as well. Symptoms can be slightly different, and these differences can make it more difficult to establish a specific diagnosis in a child. This podcast will continue our series on headaches and the topic will be “Headaches in Children”. We’ll cover such topics as: Do infants get headaches? How often are headaches in children serious? And is the management of headaches in children any different than in adults? Our guest for this topic is Juliana H. VanderPluym, M.D., a neurologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 28, 2022

Elevated Triglycerides: Implications for Cardiovascular Health

Host: Joshua D. Luciew, MPAS, P.A.-C. Guest: Abigail K. Stockland, APRN, C.N.P., M.S.N. Guest: Michaeleen M. Burroughs, M.S., RDN, LD A fasting lipid panel is part of a patient’s routine health maintenance visit. This common laboratory test has many values on it including total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides. This test helps clinicians calculate a patient’s 10-year atherosclerotic cardiovascular disease risk (ASCVD risk) to help guide treatments. If a patient's risk is determined to be high, statin medications can be considered. However, despite using statin therapy and addressing modifiable risk factors, some patients still have elevated triglycerides. What role do triglycerides play in a patient's health? Does hypertriglyceridemia contribute to cardiovascular disease? Tune in to this episode to find out more from our panel discussion. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 26, 2022

Headache Edition: Serious Secondary Headaches

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Chia-Chun Chiang, M.D. (@chiachunchiang) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Headaches have a variety of causes and for most they are a minor nuisance. Fortunately, most have a benign cause. However, there are some headaches which are associated with a serious health problem. Since many of these patients will present to their primary care providers with their headaches, we need to recognize clues they may describe that allow us to suspect their headache may not be benign. In this podcast, we’ll continue our series on headaches and discuss serious, secondary headaches with Chia-Chun Chiang, M.D., a neurologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 21, 2022

The Outs and Ins of Vitamins

Guest: Donald D. Hensrud, M.D., M.S. Host: Edward (Edward R.) R. Laskowski, M.D. (@DrEdSportsMed) A recent Harris poll found that 86% of people take some sort of vitamin or supplement, and a recent research study found that approximately 60% of people report using dietary supplements in the past 30 days. Multiple claims are made regarding the benefits of vitamins. How do we know which are true? How do we sift through all the hype? When should we consider taking vitamins or recommending them for our patients? This episode features Donald D. Hensrud, M.D., M.S., an Associate Professor of Nutrition and Preventive Medicine at Mayo Clinic Rochester, Director of the Mayo Clinic Healthy Living Program, and editor of multiple books on healthy eating and living a healthy lifestyle, including The Mayo Clinic Diet and The New Mayo Clinic cookbook. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 19, 2022

Mayo Clinic Q&A: BA.5 omicron variant fueling latest COVID-19 surge

This episode is shared from Mayo Clinic Q&A and was recorded in July 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Danielle (DeeDee) J. Stiepan The BA.5 omicron variant is now the dominant strain in the U.S., and it is leading to a new wave of COVID-19 infections. BA.5 was responsible for nearly 54% of COVID-19 cases in the U.S., and BA.4, a similar variant, accounted for another 17%, according to the latest data from the Centers for Disease Control and Prevention. Experts are concerned because this particular variant appears to be good at evading the immune system. "This BA.5 variant is hypercontagious, and right behind it, new variants are coming," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "We will continue to generate these variants until people are masked and immunized." Dr. Poland explains that the transmissibility of BA.5 represents the evolution of the virus to become more contagious and able to evade immune protection from previous infection or vaccination. "Whether you've been vaccinated, whether you've been previously infected, whether you've been previously infected and vaccinated, you have very little protection against BA.5 in terms of getting infected or having mild to moderate infection," says Dr. Poland. "Thankfully, you still do have good protection against dying, being hospitalized or ending up on a ventilator if you are up to date on your vaccinations." Due to the consequences of reinfection, including the possibility of long COVID-19, Dr. Poland urges people to continue to take precautions to protect themselves. "The reality is, it's important to be up to date on the COVID-19 vaccinations that are recommended for your age group, health condition, etc.," says Dr. Poland. "Sometime this fall, we may well have a variant-focused vaccine, so get it when it becomes available. And wear a proper mask properly when you are indoors around people who are not your family or in a crowded outdoor venue." On the Mayo Clinic Q&A podcast, Dr. Poland shares the latest COVID-19 news and answers listener questions.

July 18, 2022

Headache Edition: Unusual Headaches

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Narayan R. Kissoon, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Headaches are quite common and essentially everyone has experienced them; some have more than others. While most headaches are merely an annoyance, others can be quite debilitating and result in missed work and lost productivity. While tension headaches are the most common overall, migraines are the type most often seen by healthcare providers. While tension and migraines represent the majority of headaches, it’s important for healthcare providers to recognize when a headache falls into the unusual category. This podcast will continue our series on headaches with our guest, Narayan R. Kissoon, M.D., a neurologist and headache specialist at the Mayo Clinic as we discuss unusual headaches. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 14, 2022

Selection Criteria for Kidney Transplantation

Guest: Carrie A. Schinstock, M.D. (@caschinstock) Host: Darryl S. Chutka (@ChutkaMD) Kidney transplants were initially performed in the early 1950’s; however, most of these early transplants failed due to immune system rejection. Successful transplants were generally limited to those performed in identical twins. With the discovery of immunosuppressant therapy, organ rejection became less of an issue and successful kidney transplants have become more common. Currently, in the U.S. over 20,000 kidney transplants are performed annually. Who is a candidate for a kidney transplant? What is the current success rate and what is the optimal timing for a transplant in patients with end stage renal disease? We’ll discuss these questions in this podcast on kidney transplantation with our guest, Carrie A. Schinstock, M.D., a nephrologist from the Division of Nephrology and Hypertension at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 12, 2022

Headache Edition: Chronic Daily Headaches

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Rashmi B. Halker Singh, M.D. (@rashmihalker) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Essentially everyone has an occasional headache and it is usually nothing more than a minor nuisance. However, there are individuals who have very frequent headaches, and they can have a significant influence on that person’s lifestyle and quality of life. The topic for this podcast is chronic daily headache, which represents a description of a variety of both primary and secondary headaches that occur frequently. Our guest is Rashmi Halker Singh, M.D., a neurologist, and specialist in headache medicine at the Mayo Clinic in Scottsdale, Arizona. We’ll discuss what types of headaches patients with chronic daily headache tend to have, how this syndrome develops, and how you should evaluate and manage these patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 7, 2022

Cervical Cancer Screening

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Kathy L. MacLaughlin, M.D. Worldwide, cervical cancer is a very common malignancy for women, although the number of new cases in the U.S. has been declining. The overwhelming majority of cases are caused by infection with the human papilloma virus and due to a combination of HPV immunization and early detection with cervical cancer screening, advanced cervical cancer should be preventable. If it does occur, cervical cancer is one of the more treatable malignancies when detected early. If you perform cervical cancer screening for your patients, you know the guidelines have become a bit more complicated than in the past. To help us sort out who is a candidate for cervical cancer screening, when screening should start, how often it should be performed and when it can stop, we have as our guest for this podcast, Kathy L. MacLaughlin, M.D., a family physician in the Department of Family Medicine at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

July 5, 2022

Headache Edition: Migraine Advocacy & Special Considerations in Women

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Amaal J. Starling, M.D. (@AmaalStarlingMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Migraine is four-times more common in women than men and because of migraine predominance in females, it is a significant women’s health issue. Migraine commonly results in loss of productivity and this has a significant economic burden. According to a recent report from the Society for Women’s Health Research, it’s estimated that migraine costs the United States is an estimated $78 billion per year, with women accounting for approximately 80% of the direct medical and lost labor costs. This podcast will continue our series on headaches and will concentrate on migraine in women. Our guest for this topic is Amaal J. Starling, M.D., a neurologist at the Mayo Clinic in Scottsdale, Arizona. We’ll discuss why migraine is more common in females, how the prevalence changes throughout a woman’s lifetime and specific treatment recommendations for women with migraine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 30, 2022

Cannabidiol (CBD): Discussing Benefits and Risks with Patients

Guest: Thomas P. Pittelkow, D.O., M.P.H. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Cannabidiol (CBD) is a popular natural remedy used for a variety of common ailments and is one of more than 100 chemical compounds called cannabinoids derived from the cannabis plant. Tetrahydrocannabinol (THC) is the main psychoactive cannabinoid found in cannabis. However, unlike THC, CBD does not have psychoactive properties. There are claims this compound treats not only pain, but a variety of mental health issues, symptoms of malignancy and may even have some cardiovascular benefits. Are all these claims true? What’s been proven? What do we know about the safety of this product? We’ll get the answers to these questions as we discuss Cannabidiol (CBD) with Thomas P. Pittelkow, D.O., M.P.H., an anesthesiologist and pain medicine specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 28, 2022

Headache Edition: Interdisciplinary Pain Rehabilitation Treatment for Chronic Headache

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Christopher D. Sletten, Ph.D., L.P. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Chronic headache is one of the more challenging medical conditions primary care providers commonly face. Whereas the traditional medical model views pain as a problem to be treated and relieved, this model often fails when dealing with patients experiencing chronic headaches. On the other hand, the bio-psychosocial model fits patients with chronic headache much better and when this model is used in the management, patients often have a much better outcome. This podcast is another in our series of headaches and will address the use of a cognitive-behavioral approach with an interdisciplinary team in the evaluation and management of patients with chronic headaches. Our guest Christopher D. Sletten, Ph.D., L.P., a psychologist at the Mayo Clinic in Jacksonville, Florida. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 23, 2022

COVID-19 Update

This episode is shared from Mayo Clinic Q&A and was recorded in June 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) As immunity wanes for many vaccinated adults and omicron and its subvariants continue to circulate, it seems that just about everyone knows someone with a case of COVID-19. The steady increase in COVID-19 infections is due to changing, highly contagious variants, explains Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. Dr. Poland says it’s still important to take the precaution of mask-wearing in public areas, even if you have been vaccinated and have received your boosters. "I can’t say it enough. This is so hypercontagious that, regardless of having had three or four doses of vaccine or of having previous COVID-19, you still run an appreciable chance of getting COVID," explains Dr. Poland. "The risk in that case is not of death or hospitalization, but of the complications and long-haul symptoms of COVID-19. And that’s what we’re trying to prevent in people." For parents, there is positive news this week, as the Food and Drug Administration (FDA) advisory panel voted unanimously to authorize emergency use of the Pfizer and Moderna COVID-19 vaccines for children under 5. For this age group, the Pfizer vaccine will be given in three doses while the Moderna vaccine will be given in two doses. The FDA panel's recommendation now goes to the Advisory Committee on Immunization Practices (ACIP) at the Centers for Disease Control and Prevention for approval before shots can be administered, possibly beginning as early as next week. On the Mayo Clinic Q&A podcast, Dr. Poland shares the latest COVID-19 news, answers listener questions, and discusses another infectious disease outbreak: monkeypox.

June 22, 2022

Assessing and Supporting Patients with Alcohol Use Disorder

Guest: Terry D. Schneekloth, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Unhealthy use of alcohol has the potential to affect not only the individual who consumes the alcohol, but a variety of others as well. Alcohol is the most used addictive substance, with an estimated prevalence of 7% of the United States population. Excessive alcohol use has the potential to cause damage to essentially every organ system and is thought to reduce one’s life expectance by approximately 10 years. Whereas treatment is available and has the potential to be very successful, it often requires an ongoing, lifetime of therapy. Our guest for this podcast is Terry D. Schneekloth, M.D., a psychiatrist and addiction medicine specialist at the Mayo Clinic in Scottsdale, Arizona. This podcast discusses when you should suspect alcoholism in your patients, how to make a diagnosis and which management techniques have been shown to be effective. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 21, 2022

Headache Edition: Migraine Treatment

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Fred (Michael) M. Cutrer, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) It is estimated that nearly 40 million individuals in the United States have migraines and they’re responsible for a significant amount of lost productivity and healthcare costs. The estimates of the economic impact of migraines in the United States alone approaches $36 billion per year. Many of our patients struggle with adequate management of their migraines; healthcare providers are often confused about the many treatment options now available. This podcast will review and clarify the various treatments for migraines, both for abortive therapy as well as prevention. Our guest is Fred (Michael) M. Cutrer, M.D., a neurologist and headache specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 16, 2022

Managing Patients with Lynch Syndrome

Guest: Eric J. Dozois, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) In the mid-1960’s Dr. Henry Lynch first described a condition characterized as the “cancer family syndrome” in which members of families demonstrated an increased risk of a variety of malignancies. This eventually became known as “Lynch Syndrome”. Lynch Syndrome is a genetic disorder and can be the underlying cause of premature colon cancer as well as other malignancies. There are some clues to its presence and specific recommendations for managing patients with the condition. The topic for this podcast is Lynch Syndrome and we’ll learn more about the disorder from our guest, Eric J. Dozois, M.D., a colorectal surgeon at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 14, 2022

Headache Edition: Migraine

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Carrie (Beth) E. Robertson, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Migraine represents a major public health problem and is relatively common affecting an estimated 36 million individuals per year. It is much more likely to affect females and typically accounts for up to four million visits to the Emergency Department and over four million outpatient office visits per year. Migraines are most common in women of childbearing age and are associated with a significant loss of productivity, resulting in a major economic impact. In this podcast, we’ll continue our series on headache and will focus on migraine. We’ll review the diagnosis, what’s happening in the brain during a migraine attack and the benefits of lifestyle changes in the management of migraine. Our guest for this episode is Carrie (Beth) E. Robertson, M.D., a neurologist at the Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 9, 2022

Headache Edition: Approach to the Evaluation of Headache

To claim credit for this episode, visit Mayo Clinic Talks Podcast: Headache Edition - Online CME Course. Guest: Jerry W. Swanson, M.D., M.H.P.E. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Everyone has experienced a headache and for most of us, they are just a minor inconvenience. Unfortunately for some, headaches represent a major health problem. The pain can be intense and may result in major lifestyle changes including sudden change in plans, loss of productivity, and strained relationships. As primary care providers, patients with chronic, recurrent headaches can represent some of the most challenging patients we see. Fortunately, only rarely do headaches represent a serious threat to one’s life, but one still needs to be alert to potential clues indicating the possibility of the headaches representing a serious medical condition. There have also been numerous new treatments available for the management of migraines. This will be the first in a series of podcasts dedicated to the topic of headache. We’re also going to honor one of the Mayo Clinic’s most prestigious physicians in the field of headache. Jerry W. Swanson, M.D., M.H.P.E. has been a neurologist at Mayo for 39 years and has been a specialist in the evaluation and management of patients with headaches. He brings experience and a wealth of knowledge to this topic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 7, 2022

Pediatric Topics: Evaluation of a Suspected Inborn Error of Metabolism

Guest: Brendan C. Lanpher, M.D. Host: David J. Sas, D.O. (@davidsas1) Inborn errors of metabolism can present in a variety of ways depending on the specific type of disease. The most critical presentation to identify occurs in the neonatal period when more severe diseases can cause acute decompensation. These patients require appropriate evaluation and timely, expert management for good outcomes. Diagnostic testing, including newborn screening, is advancing rapidly as are innovative treatment methods, making this an exciting field for clinicians. The guest for this episode is Brendan C. Lanpher, M.D., a board-certified geneticist at the Mayo Clinic Children’s Center in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 2, 2022

Women and Depression

Host: Joshua D. Luciew, MPAS, P.A.-C. Guest: Neeta Jain, M.D. Depression is a common condition that we see in our practices. It is a multifactorial disease that can affect patients of all ages. In this episode, we discuss women and depression, as women are twice as likely as men to receive this diagnosis. We will explore how this condition is diagnosed, depression subtypes, what effect hormones have on a woman’s mental health, and how we can help treat this condition for our patients through various parts of their life. The guest for today’s episode is Neeta Jain, M.D., Mayo Clinic Board Certified Psychiatrist at Mayo Clinic in Arizona. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 31, 2022

Pediatric Topics: Undescended Testicles – Evaluation and Management

Guest: Candace F. Granberg, M.D. (@candacegranberg) Host: David J. Sas, D.O. (@davidsas1) Detection and management of undescended testicles (cryptorchidism) is a common issue for newborn and infant boys. This episode discusses proper diagnostic techniques for cryptorchidism, including how to distinguish between a retractile testicle and a truly undescended testicle, as well as when to refer infants to a pediatric urologist for further evaluation and management. Further, we identify the indications for surgical correction and what parents and pediatricians should expect from this surgery. The guest for this episode is Candace F. Granberg, M.D., a board-certified pediatric urologist at the Mayo Clinic Children’s Center in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 26, 2022

Adrenal Insufficiency: Investigation and Management

Guest: Irina Bancos, M.D. (@IrinaBancos) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Fatigue, weakness, and loss of appetite are very vague and non-specific symptoms, and unfortunately relatively common complaints our patients describe to us. However, they may also be the presenting symptoms of adrenal insufficiency. If untreated, serious complications can develop, the most serious being an adrenal crisis. Adrenal insufficiency is relatively uncommon and unless we think about it, we’re likely to either make a delayed diagnosis or possibly miss the disorder altogether. The topic for this podcast is adrenal insufficiency. We’ll review its symptoms, the recommended evaluation and management with Irina Bancos, M.D., an endocrinologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 24, 2022

Mayo Clinic Q&A: COVID-19 news update

This episode is shared from Mayo Clinic Q&A and was recorded in May 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The widespread availability of at-home COVID-19 tests have made it easier for people to know if they have the virus, and to take measures to protect themselves and others. But there is a downside. Because the majority of tests are now done at home and often not reported, the official counts on COVID-19 infection rates are not as accurate as they have been in past waves of the virus. "Because the majority of testing is being done at home, we can no longer tell you accurately about the positivity rate for a given community for a given state like we used to be able to," explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "And this is problematic. It means that we lose our ability to understand what's called genetic epidemiology — the ability to trace how these variants are moving, how fast they're moving, and whether they're changing and evolving into yet different subvariants or new variants. We've lost that ability now." The most recent omicron subvariant, BA 2.12.1, has cases on the rise again and the U.S. passed a tragic milestone last week, reaching 1 million COVID-19 deaths in the country. In an effort to capture a more accurate picture, the latest tool being used by public health officials to track COVID-19 infection rates is wastewater surveillance. By looking for the presence of the COVID-19 virus shed by people, wastewater surveillance can give a more accurate picture of how much virus is in the community. This detects virus not only from those who test at home, but also from people who are asymptomatic and, therefore, didn't get tested. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the current state of COVID-19 in the U.S., including what we know about the latest subvariants.

May 19, 2022

Evaluating Adrenal Incidentalomas

Guest: Irina Bancos, M.D. (@IrinaBancos) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The widespread use of CT and MRI scans has resulted in frequent serendipitous findings, including adrenal nodules. When these nodules are found, two questions need to be answered. Is the nodule malignant and is this nodule metabolically active? This podcast will address these incidentally found adrenal nodules, also known as adrenal incidentalomas. We’ll review when these nodules should be investigated, the likelihood they represent a malignancy and how to assess if they’re metabolically active. Our guest for this podcast is Irina Bancos, M.D., an endocrinologist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 17, 2022

Eating Disorders Edition: Adult Eating Disorders

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest(s): Scott Crow, M.D.; Carol B. Peterson, Ph.D., L.P. Host: Jocelyn R. Lebow, Ph.D., L.P. While eating disorders are often thought of as disorders of adolescence, they impact adult patients across their lifespan. While many of the characteristics of these disorders are similar for pediatric vs. adult patients, there are important differences in how a primary care provider should assess and treat these illnesses in adults. As with younger patients, most adults report presenting initially to their primary care provider with their eating concerns, and many never seek additional care. This episode focuses on best practices for primary care providers in assessing and treating adult patients with eating disorders. Our guests are Scott Crow, M.D., Adjunct Professor of Psychiatry at the University of Minnesota and Vice President of Psychiatry at Accanto Health, and Carol B. Peterson, Ph.D., L.P., Clinical Psychologist and Professor in the Department of Psychiatry and Behavioral Sciences at the University of Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 12, 2022

The Role of Monoclonal Antibodies in the Treatment of COVID-19

Guest: Raymund R. Razonable, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Monoclonal antibodies are laboratory-synthesized and mimic our immune system in fighting harmful pathogens. In addition to convalescent plasma and anti-viral medication, monoclonal antibodies have played an important role in the treatment of infections due to COVID-19. The use of monoclonal antibodies has been shown to shorten the duration of symptoms as well as reduce the risk of hospitalization and mortality due to COVID-19. This podcast will focus on monoclonal antibodies and our guest is Raymund R. Razonable, M.D., from the Division of Infectious Disease at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Resource: O’Horo J, Challener DW, Anderson RJ, Arndt RF, Ausman SE, Hall ST, Heyliger A, Kennedy BD, Sweeten PW, Ganesh R, Razonable RR, Rates of Severe Outcomes After Bamlanivimab-Etesevimab and Casirivimab-Imdevimab Treatment of High-Risk Patients With Mild to Moderate Coronavirus Disease-2019, Mayo Clinic Proceedings (2022), doi: https://doi.org/10.1016/j.mayocp.2022.02.009.

May 10, 2022

Mayo Clinic Q&A: COVID-19 news update

This episode is shared from Mayo Clinic Q&A and was recorded in April 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) An estimated 3 out of 4 U.S. children and more than half of all adults have been infected with COVID-19, according to a report released on Tuesday, April 26 by the Centers for Disease Control and Prevention. But a Mayo Clinic expert says more information is needed to get the complete picture. "This was a convenient sample. In other words, people who were having blood drawn for other reasons were tested,"explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "That does not reflect the full population or differences by race or geographic location. And the detection of antibodies does not necessarily mean that you are protected from infection. So, there's a lot of nuance around understanding that headline." The research study looked at more than 200,000 blood samples and found that signs of past infection rose dramatically during the omicron surge between December 2021 and February. Other COVID-19 news this week includes a push to make treatments more available, the rising incidence of new omicron subvariants, and changes in mask recommendations. Dr. Poland cautions that COVID-19 is still present and encourages wearing a mask in crowded spaces, even when there isn't a requirement to do so. "If only one of us is wearing a mask and the other one isn't and is infected, you still have pretty high protection — but not the same level of protection as if both of us wearing one," says Dr. Poland. "So, it's it is not futile to be the only one wearing a mask. In fact, I think it sends a message." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news and answers listener questions.

May 6, 2022

Eating Disorders Edition: Case Discussions

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests: Angela C. Mattke, M.D. (@DrAngelaMattke); Paige I. Partain, M.D. Host: Jocelyn R. Lebow, Ph.D., L.P. Though the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) is clear in classifying eating disorders, clinicians understand it is rare to be presented with a straightforward case. Patients present with comorbidities and family circumstances that muddy the clinical picture and the treatment plan. This case-based episode focuses on how primary care providers can treat children with eating disorders. This episode will examine complicated eating disorder cases, featuring guests Angela C. Mattke, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 5, 2022

Fragility Fractures

Guest: Ann E. Kearns, M.D., Ph.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) It is estimated that worldwide, one in three women, and one in five men over the age of 50 will experience osteoporosis fractures during their lifetimes. In this podcast, we discuss risk factors and management of fragility fractures and bone health with Ann E. Kearns, M.D., Ph.D., a Consultant Endocrinologist and Associate Professor within the Department of Medicine at Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 3, 2022

Eating Disorders Edition: Basic Principles of Treatment for the Primary Care Provider

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests: Angela C. Mattke, M.D. (@DrAngelaMattke); Paige I. Partain, M.D. Host: Jocelyn R. Lebow, Ph.D., L.P. We understand eating disorders are serious and evidence-based Family Based Treatment (FBT) is scarce but effective. This episode will discuss strategies informed by evidence based FBT principles that can be used by providers in primary care settings to address eating disorder symptoms. Though typically the responsibilities of primary care providers in eating disorder treatment are limited to case identification, referral, and medical management, these providers have vast experience empowering caregivers to help their children change behavior. Equipping primary care providers to deliver evidence-based treatment for restrictive eating disorders has the potential to expand access to early intervention and improve outcomes. Our guests for this episode are Angela C. Mattke, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 28, 2022

The Use of Race in Clinical Algorithms

Guest: Ramla N. Kasozi, M.B., Ch.B., M.P.H. Host: Darryl S. Chutka, M.D. (@ChutkaMD) There is currently a debate regarding the use of race and ethnic categories in clinical decision-making. There are numerous studies which claim data from race is a factor and should be considered when designing practice guidelines and clinical algorithms. Some feel that any benefit is small compared to the potential harm that could occur regarding the past abuse of race used in medicine. Unfortunately, many questions remain unanswered. Is race a reliable proxy for genetic differences? Are there genetic differences which explain the basis behind race-based algorithms? And what are the potential dangers of using race-adjusted algorithms? This podcast reviews these topics with Ramla N. Kasozi, M.B., Ch.B., M.P.H., a family physician at the Mayo Clinic in Jacksonville, Florida. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 26, 2022

Eating Disorders Edition: Treatment for Eating Disorders

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest(s): Jocelyn R. Lebow, Ph.D., L.P. Host: Angela C. Mattke, M.D. (@DrAngelaMattke) Eating disorders impact an estimated 3-15% of adolescents and, if left untreated, or only partially treated, can become chronic conditions. Relapse is also common in eating disorders with over 40% of patients reporting at least one relapse in some studies. Despite these sobering statistics, when adolescent patients complete a course of good, evidence-based treatment, they can expect to make and maintain a full recovery from their symptoms. Primary care providers play a critical role in helping patients and their families find care and determine whether the care they’re getting is having the right effect. This episode will concentrate on different types of eating disorder treatment: what’s out there and what the evidence says works best. Our guest is Jocelyn R. Lebow, Ph.D., L.P., a Mayo Clinic child and adolescent psychologist and collaborator in the Mayo Clinic primary care child and adolescent eating disorder clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 21, 2022

Secondary Hypertension: Identifying Clues in Patients

Guest: Sandra J. Taler, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Nearly half of all adults in the United States have some degree of hypertension and it’s one of the most common reasons patients are seen in an outpatient practice. The vast majority have essential or primary hypertension and they usually respond to a combination of lifestyle changes and often pharmacologic therapy. A small percentage of these cases have secondary hypertension and often do not respond to treatment unless the underlying cause is found and corrected. At times, it can be difficult to identify the cause of secondary hypertension as the clues may be quite subtle or even non-existent. Our guest for today’s podcast is Sandra J. Taler, M.D. from the Division of Nephrology and a hypertension specialist from the Mayo Clinic. We’ll discuss when you should suspect secondary hypertension, the clues the patient may give us regarding its cause and its management. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 19, 2022

Eating Disorders Edition: Medical Management of Eating Disorders in Primary Care

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests: Marcie L. Billings, M.D.; Paige I. Partain, M.D. Host: Angela C. Mattke, M.D. (@DrAngelaMattke) The medical evaluation for eating disorders is very important. It is the primary care provider’s role to rule out other causes of weight loss, especially when eating disorder signs might not be as apparent at the beginning or the patient isn’t entirely forthcoming. Additionally, the patient and their family have an inherent trust in a primary care provider as their long-term medical provider. This episode will focus on the medical evaluation and management of eating disorders – what vital signs are significant, what labs are necessary including how often they should be performed, how frequently patients need to be seen in collaboration with their therapist, and how to determine if a patient is medically unstable and needing immediate admission for monitoring and treatment. The guests for this episode are Marcie L. Billings, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 14, 2022

Treating Hypertension: Doing What’s Best for Your Patient

Guest: Ivan E. Porter, II M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Nearly half of all adults in the United States have hypertension and it’s one of the most common reasons for an outpatient visit. Despite this, it’s estimated that only about a fourth of those diagnosed with hypertension are adequately controlled and about 20% of adults with hypertension are unaware that they even have it. Since uncontrolled hypertension can increase the risk of cerebral, cardiac and renal events, it’s important to make an accurate diagnosis and appropriately manage patients with the condition. The topic for this podcast is hypertension and we’ll discuss the changes in blood pressure with aging, the definition of hypertension, the proper technique of checking blood pressure and helpful management techniques with today’s guest, Ivan E. Porter, II M.D., a nephrologist and hypertension specialist at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 12, 2022

Eating Disorders Edition: Identification and Assessment of Eating Disorders for the Primary Care Provider

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest: Paige I. Partain, M.D. Host: Jocelyn R. Lebow, Ph.D., L.P. Child and adolescent eating disorders are serious diseases, characterized by a range of physical and psychological consequences. They are often associated with a chronic course and numerous relapses. This episode focuses on how primary care providers can assess for and identify eating disorders in child and adolescent patients. We will discuss high yield assessment questions and tools that you can use in your primary care practice when you suspect a young patient may meet the criteria for an eating disorder. Our guest is Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatrician and collaborator in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 7, 2022

Eating Disorders Edition: Eating Disorders 101: Background and Debunking Myths

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest: Jocelyn R. Lebow, Ph.D., L.P. Host: Angela C. Mattke, M.D. (@DrAngelaMattke) Eating disorders are a huge problem in our country. Whether realizing it or not, primary care providers who treat teenagers are likely caring for patients with eating disorders. Though estimates vary, approximately 3-15% of adolescents will experience an eating disorder. Along with the numerous physical and psychological consequences of these illnesses, eating disorders also have the second-highest mortality rate of any mental illness: one in five patients will die from complications related to their eating disorder. This episode is the first episode in our Eating Disorders edition, which focuses on how primary care providers may treat children with eating disorders. This episode will concentrate on the basics: what are eating disorders, what do they do to our patients, and what myths and misunderstandings exist that hinder effective identification and treatment. Our guest is Jocelyn R. Lebow, Ph.D., L.P., a Mayo Clinic child and adolescent psychologist, and collaborator in the Mayo Clinic primary care child and adolescent eating disorder clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 5, 2022

Mayo Clinic Q&A: COVID-19 metrics improve, expert still urges caution

This episode is shared from Mayo Clinic Q&A and was recorded in March 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Hospitalizations and deaths due to COVID-19 continue to decline, leading to some optimism about the way forward from pandemic to endemic. But experts still urge caution as the omicron subvariant, named BA.2, has quickly become the dominant strain in the U.S. "When you look around the nation, all of the metrics, with the exception of BA.2, have fallen precipitously," explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "But we need to be very cautious about pretending that the pandemic is over." Dr. Poland explains that each time there has been a waning number of COVID-19 infections, people have let down their guard and relaxed precautions, which has led to another surge. Dr. Poland still recommends masking in crowded indoor settings and urges people to be fully vaccinated and boosted against COVID-19 to reduce the chance of infection. "We're just coming down into a quiet period," says Dr. Poland. "But every time we've seen this set of markers in the past, we've had a new variant that's caused a surge. The question is, will it be BA.2, one of the newer variants that have been identified, or something completely unexpected? We just don't know." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news including potential changes to booster recommendations, data on vaccine protection for pregnant women, and the latest information on COVID-19 vaccines for children under 5.

March 31, 2022

Colorectal Cancer – Screening Guidelines Updates

Guest: John B. Kisiel, M.D. (@DrJohnKisiel) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Colorectal cancer is the third most commonly occurring cancer for both men and women and ranks second to lung cancer as a cause of cancer mortality. Yet it’s estimated that up to one quarter of eligible adults in the United States have never been screened for colorectal cancer and nearly one third are not up to date with their screening. We now have a variety of accepted screening tests for colorectal cancer and each carries its own risks and benefits. This podcast will review colorectal cancer screening, including when we should start screening, the various available screening tests, as well as their advantages and limitations. Our guest for this episode is gastroenterologist, Dr. John Kisiel from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 29, 2022

Post COVID Syndrome

Guest: Greg Vanichkachorn, M.D., M.P.H. (@DoctorGregVan) Host: Darryl S. Chutka, M.D. (@ChutkaMD) While most patients who have COVID-19 completely recover within a few weeks, there are some patients who continue to experience symptoms that can last for months. These patients may require our care for an extended period of time. Although much has been learned about COVID-19 over the past couple of years, there is still a great deal that’s not known. The topic for this podcast is post-COVID syndrome and our guest is Greg Vanichkachorn, M.D., M.P.H., a preventive medicine physician and specialist in Public Health. We’ll discuss the typical symptoms, duration of symptoms, and who is most likely to develop post-COVID syndrome. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 22, 2022

Mayo Clinic Q&A: COVID-19 Update

This episode is shared from Mayo Clinic Q&A and was recorded in March 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Last week marked two years since the World Health Organization declared COVID-19 to be a pandemic. While infection rates and hospitalizations in the U.S. continue to decline, there are some areas of concern globally. "China, Hong Kong, Ireland, the U.K. and Denmark are seeing surges back up again," explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "These countries, many of us experts believe, prematurely dropped mask-wearing and nonpharmaceutical interventions, and really have stopped pushing and encouraging people to get vaccinated. I think that's a mistake." Dr. Poland explains that public health measures — and vaccination and boosters — are still the best way to protect yourself from COVID-19. "What can I say but what we have said all along," implores Dr. Poland. "Hands, face, space and vaccines. It works." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news, including a study on the true death toll of COVID-19, an update on the BA.2 variant and the latest on vaccines for children under 5.

March 17, 2022

Skin Cancer and Skin Lesions: What to Look For

Guest: Dawn Marie R. Davis, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Did you know that skin cancer is the number one cancer in the United States, with an estimated 3.5 million cases a year? In fact, your lifetime incidence is 1 in 5, or 20%. In this week’s podcast, Dawn Marie R. Davis, M.D., a Pediatric and Adult Dermatologist at Mayo Clinic in Rochester, Minnesota, discusses all things skin cancer. She provides tips and tricks in the management of common forms of skin cancer that providers need to be aware of when patients present with skin lesions. Dr. Davis also discusses the role of skin-protecting creams and their applicability to persons of all skin colors. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 15, 2022

Mild Cognitive Impairment, Dementia, and Alzheimer’s Disease

Guest: Ronald C. Petersen, M.D., Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Nearly six million people in the United States age 65 and older have Alzheimer’s Disease; of these about 80% are 75 years old and older. It is a devastating disease, not only for the patient, but also for the family of the patient involved. Unfortunately, currently available treatment for Alzheimer’s has been disappointing. Cure or even stability of the cognitive loss is not possible. The topics for today’s podcast include mild cognitive impairment and dementia, focusing on Alzheimer’s Disease, and our guest is Ronald C. Petersen, M.D., a Mayo Clinic neurologist and specialist in Alzheimer’s Disease and other dementias. We’ll discuss the evaluation, the current available treatment as well as what might be on the horizon in the management of this disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 8, 2022

Heart Disease in Women

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Cardiovascular disease remains the leading cause of death for individuals in the United States. Many assume this is primarily a disease of men, but it also continues to be the leading cause of mortality in women, accounting for one of every three female deaths. There’s also evidence that symptoms of cardiovascular disease may be somewhat different than in males. As a result, women are often given a different evaluation and may receive different treatment than males. To help us sort this out, our guest for this podcast is Sharonne N. Hayes, M.D., a cardiologist and specialist in women’s heart disease from the Mayo Clinic. We’ll discuss the misconceptions of cardiovascular disease in women, the variety of symptoms they may develop and treatment considerations that may be different than men typically receive. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 1, 2022

Amyloidosis: Recognition, Diagnosis and Treatment

Guest: Eli Muchtar, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Amyloidosis is an uncommon disease, possibly even considered rare. It has a variety of presentations and some varieties tend to occur in association with other diseases. The presenting symptoms depend on the organ system involved. Unless we think of the condition, we may miss the opportunity to diagnose it early. As a result, many patients are diagnosed with amyloidosis at a rather advanced stage. The topic for this podcast is amyloidosis and our guest is Eli Muchtar, M.D., from the Division of Hematology at the Mayo Clinic. We’ll discuss the common organ systems affected by amyloidosis, how it’s diagnosed, the available treatment and the research currently taking place in amyloidosis. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 22, 2022

Mayo Clinic Q&A: COVID-19 News Update

This episode is shared from Mayo Clinic Q&A and was recorded in February 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) As the U.S. moves beyond the omicron surge of the COVID-19 pandemic, key indicators are dropping. "Both the acute indicators — number of cases — and the lagging indicators — hospitalizations and then deaths — are all dropping slowly, but they're surely dropping," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. Experts warn that caution is still needed to protect yourself in certain situations, including masking in crowded indoor settings and making sure you are up to date with your COVID-19 vaccinations and boosters. While the latest surge wanes, COVID-19 research continues. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news, including a new study on the long-term effects of COVID-19 on the heart and why Pfizer is delaying the request for emergency use authorization of its COVID-19 vaccine for children under 5.

February 17, 2022

Infertility in Males

Guest: Sevann Helo, M.D. (@Helo_MD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Approximately one in seven couples is considered infertile. In a significant number of these couples, male infertility plays a role. Many of these couples will initially present to their primary care provider for help. Depending on our practice, we may not see all that many patients with this concern and, as a result, we might not be comfortable with the evaluation of the infertile couple. Today’s podcast will review infertility in males and hopefully give us a better understanding of the causes of infertility and how to evaluate the infertile male. Our guest for today’s podcast is Sevann Helo, M.D., a urologist at the Mayo Clinic. We’ll discuss what it takes for fertilization to take place, risk factors for infertility in males, the evaluation of the male for infertility, potential treatment options and effectiveness of treatment. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 15, 2022

Dental Infections in the Primary Care Setting

Guest: Olivia (Liv) M. Muller, D.D.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dental caries and periodontal disease are commonly seen by primary care providers in the outpatient setting. In fact, dental caries is the most common disease in the United States, both in children and adults. Up to 50% of children have dental caries, and most adults have at least one tooth with decay or have a filling. Gingivitis is also quite common in adults; it is present in up to half of all individuals between the ages of 35 and 45. Yet, unless we go into dentistry, healthcare providers don’t get much training in the evaluation of dental conditions. The topic of discussion for this podcast is dental care and dental infections. Our guest is Olivia (Liv) M. Muller, D.D.S., an Assistant Professor of Dentistry at the Mayo Clinic. We’ll discuss which dental problems we’re likely to encounter in our patients, recommendations we can give them to prevent dental infections and some of the more common complications of dental infections. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 8, 2022

Mayo Clinic Q&A: Omicron wave wanes, new variant arises

This episode is shared from Mayo Clinic Q&A and was recorded in January 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The number of new COVID-19 cases in the U.S. is dropping as the omicron wave wanes in many places, but some parts of the country lag behind. "As a nation, it looks like we've kind of gotten to the peak and are now starting on the decline, but it's very uneven," explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "That's what's happening in the big Northeast cities, and maybe in L.A., for example. But if you look at the rest of the nation, it's not clear that they have peaked yet." And on the heels of the latest surge, a new omicron subvariant — BA.2 — is emerging. Early indications are that the new subvariant may be more transmissible, but it does not appear to cause more severe disease than the original omicron strain. Mayo experts, including Dr. Poland, continue to urge COVID-19 vaccinations and boosters as the best defense against the latest variants. "By getting two doses of vaccine and a booster, or a dose of Johnson & Johnson and a booster, you move yourself into a category of maximal protection such that if you have a normal immune system, you are probably going to have trivial or even asymptomatic disease if you get infected with COVID-19," explains Dr. Poland. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest information on COVID-19 and answers listener questions.

February 3, 2022

Shining a Light on Seasonal Affective Disorder

Guest: Craig N. Sawchuk, Ph.D., L.P. Host: Darryl S. Chutka, M.D. (@ChutkaMD) It is quite common for individuals to go through periods where they feel somewhat sad and discouraged and often these mood changes tend to occur with the changes in seasons, especially during the winter months. In some cases, these mood changes become more serious and can result in depression. When people experience depressive episodes in the late fall and winter, this may represent Seasonal Affective Disorder. Our guest today is Craig N. Sawchuk, Ph.D., L.P., a psychologist in the Department of Psychiatry & Psychology at the Mayo Clinic. Our topic for this podcast is Seasonal Affective Disorder. We’ll discuss its frequency, how we can recognize it in our patients, and the available treatment options. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 1, 2022

Mayo Clinic Q&A: COVID-19 testing scenarios — what test and when?

This episode is shared from Mayo Clinic Q&A and was recorded in January 2022 Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Testing for COVID-19 is a part of the strategy to end the pandemic. But understanding testing — different types of tests and how and when to use them — can be confusing. Lab-run polymerase chain reaction, or PCR, tests and at-home antigen tests each have a role. "PCR tests are really sensitive, meaning we can detect really low levels of the virus in a sample," explains Dr. Matthew Binnicker, director of Clinical Virology at Mayo Clinic. "They're very specific, meaning we shouldn't get many false positive results with PCR tests." At-home antigen tests use a nasal swab and can produce results in 15 minutes, but they also have an increased chance of false-negative results, depending on when you test. "At-home rapid antigen tests look for a viral protein in the patient sample," says Dr. Binnicker. "So they're quick and easy, but they also have some important limitations." So if you're worried you might have COVID-19, what test should you take and when? On the Q&A podcast, Dr. Binnicker walks through various scenarios and makes testing recommendations for what to do if: You think you’ve been exposed but I don’t have symptoms. You have symptoms of COVID-19. You had COVID-19 and want to know if you're “in the clear” to return to work, school or activities.

January 27, 2022

Chiropractic Care for Back Pain

Guest: Benjamin (Ben) D. Holmes, D.C., Ph.D. Host: Edward R. Laskowski, M.D. (@DrEdSportsMed) Low back pain is one of the most common conditions that physicians see in their practices. Studies indicate that, by the age of 50 years old, approximately 80% of people will experience low back pain in their lives. Joining us today is Benjamin D. Holmes, D.C., Ph.D. a practicing chiropractor and one of the spine specialists in the Mayo Clinic Spine Center. Dr. Holmes will discuss various treatment interventions for back pain, as well as misconceptions and assumptions regarding chiropractic treatment. Additional Resources: Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., ... & Woolf, A. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368-2383. Bialosky, J. E., George, S. Z., Horn, M. E., Price, D. D., Staud, R., & Robinson, M. E. (2014). Spinal manipulative therapy–specific changes in pain sensitivity in individuals with low back pain (NCT01168999). The Journal of Pain, 15(2), 136-148. Cook, C., Learman, K., Showalter, C., Kabbaz, V., & O'Halloran, B. (2013). Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Manual Therapy, 18(3), 191-198. Chou, R., Fu, R., Carrino, J. A., & Deyo, R. A. (2009). Imaging strategies for low-back pain: systematic review and meta-analysis. The Lancet, 373(9662), 463-472. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 25, 2022

Mayo Clinic Q&A: Why getting infected with COVID-19 is still a bad idea

This episode is shared from Mayo Clinic Q&A and was recorded in January 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) With the highly transmissible omicron variant spread across the U.S., it may seem inevitable that most people will get infected with COVID-19. But Mayo Clinic experts explain why it is important to continue to be vigilant and take measures to avoid COVID-19 infection. "One of the many negatives about saying, 'Well, I'll just go ahead and get infected and get it over with' is you can spread the virus to highly vulnerable people," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "Parents, grandparents, people too young to be immunized, and people whose immune systems might not be working well are all at risk of more severe disease. While your case may be mild, theirs may not." Dr. Poland cautions that the sheer number of infections is stressing the health care system, and treatments for omicron are more limited than they were for the delta variant. "The role of testing and of getting boosted is critical to our response to this, and remember, even though you might have mild disease, every time this virus infects somebody, it is the opportunity for further mutation." says Dr. Poland. Vaccination, boosting and masking are all necessary to prevent the spread of omicron. "Your best chance of protecting yourself is to be fully vaccinated, wear a proper mask properly when in public, and to avoid crowded indoor settings," says Dr. Poland. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the omicron surge and answers listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 20, 2022

Improving Medication Adherence

Guest: Kristina M. Thurber, Pharm.D., R.Ph. Host: Darryl S. Chutka, M.D. (@ChutkaMD) There are a variety of outstanding pharmaceutical products we use to treat the multiple health problems our patients develop and every year, clinical research has provided us with new and improved therapeutic options. When we prescribe a medication to a patient, we generally assume they’ll take it exactly as prescribed. Unfortunately, that’s not necessarily true. Non-adherence to chronic medications is surprisingly common and can account for up to half of all treatment failures. Our guest for this podcast is Kristina M. Thurber, Pharm.D., R.Ph., a medication therapy pharmacist at the Mayo Clinic. We’ll discuss the prevalence of medication adherence, its causes, how we can recognize it in our patients and management strategies to improve adherence. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 18, 2022

All Age-Related Changes May Not Be Inevitable: Senescent Cells and Anti-Aging

Guest: Nathan K. LeBrasseur, Ph.D., M.S. (@NKLeBRASSEUR) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The effects of aging occur in all our organs. In muscles, there is a reduction in strength and stamina; the brain shows a decrease in cognitive function and the ability to learn new information. Aging causes a reduced ability of the liver to metabolize drugs and the kidney’s ability to eliminate various waste products. Our guest for this podcast is aging researcher Nathan K. LeBrasseur, Ph.D., M.S., the senior author of a study recently published in the journal “Aging Cell.” The authors described significant benefits from exercise on a cellular level which correlated with an improvement in physical changes related to aging. We’ll discuss cellular changes which occur with aging, the significance of senescent cells and how exercise can reduce the impact of aging on both a cellular level as well as clinically. Specific topics: The effects of aging on a cellular level Variability in the rate of aging in individuals Function of senescent cells Effects of exercise on senescent cells Clinical correlations resulting from the elimination of senescent cells Recommendations clinicians can give their patients to reduce the effects of aging

January 11, 2022

Mayo Clinic Q&A: January Bringing an Omicron Surge

This episode is shared from Mayo Clinic Q&A and was recorded in January 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The rapid spread of COVID-19 due to the omicron variant continues, and experts expect a January surge across the U.S. "This is spreading unlike anything we've seen in the U.S.," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "Over the last seven days, we're now averaging about 400,000 or so new cases a day." While people who are fully vaccinated can get breakthrough infections and spread the virus to others, COVID-19 vaccines effectively prevent severe illness. Mayo Clinic experts urge people to protect themselves by getting vaccinated and wearing a mask. Being fully vaccinated, including getting a booster when eligible, offers the highest protection possible against COVID-19. "The good news is, for those who are immunized and boosted, we are winning the battle," says Dr. Poland. "Getting immunized is basically a weapon against this virus." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the omicron surge and the importance of vaccines and boosters for COVID-19. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 6, 2022

Temporal Arteritis

Guest: Andy Abril, M.D. (@andyabrilMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Temporal arteritis is a vasculitis involving medium-sized vessels and typically occurs in those over the age of 50. If diagnosed and treated early, there is an excellent likelihood of recovery. However, temporal arteritis often mimics other health problems and this commonly results in a delay in the diagnosis. If untreated, serious complications can occur, including permanent blindness or stroke. The topic for this podcast is temporal arteritis and our guest is Andy Abril, M.D., Chair of the Division of Rheumatology at the Mayo Clinic in Jacksonville, Florida. We’ll discuss the risk factors, presenting symptoms and complications of temporal arteritis, as well as the recommendations for establishing a diagnosis and initiating appropriate treatment. Specific topics discussed: Risk factors for temporal arteritis Presenting symptoms Complications of untreated temporal arteritis Extra-cranial artery involvement of patients with temporal arteritis Relationship of temporal arteritis and polymyalgia rheumatica Laboratory abnormalities in temporal arteritis Importance of an early temporal artery biopsy in establishing a diagnosis Treatment recommendations Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 4, 2022

Nutritional Supplement Edition: Research and Regulation

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest: Andrew R. Jagim, PhD Host: Darryl S. Chutka, M.D. (@ChutkaMD) How can we tell if the claims made by nutritional supplement companies are factual? In this episode we'll discuss the research currently being done in this field and whether the research findings are valid. Finally, we’ll talk about regulation of nutritional supplements. Our guest for this podcast is Andrew R. Jagim, Ph.D., the director of Sports Medicine research at the Mayo Clinic. Specific topics: Importance of a foundation of good nutrition and exercise related to the benefits of nutritional supplements Amount and quality of research being done on nutritional supplements Regulation of nutritional supplements How healthcare providers and consumers can judge the many claims made by manufactures of nutritional supplements

December 30, 2021

Lung Cancer Screening

Guest: Sebastian Fernandez-Bussy, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Lung cancer is the second most common malignancy in both men and women. Survival rates depend on how early the cancer is discovered, with a survival rate much higher in localized disease than for patients with distant metastases. Therefore, an early diagnosis becomes extremely important. One of the problems with early diagnosis is that until recently, we’ve not had an effective screening test for lung cancer. In this podcast, we’ll be speaking with Sebastian Fernandez-Bussy, M.D., an Interventional Pulmonologist from the Division of Pulmonary and Critical Care at the Mayo Clinic in Jacksonville, Florida, and we’ll discuss proven techniques for lung cancer screening. Specific topics: Benefits in survival in finding lung cancer at an early stage Candidates for screening patients at an increased risk for lung cancer Evidence showing the benefits of lung cancer screening Differences in radiation for chest CT scans used for screening vs. a typical diagnostic chest CT scan Frequency of indeterminate pulmonary nodules found on chest CT Insurance and Medicare coverage for lung cancer screening Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 28, 2021

Nutritional Supplements Edition: Family Medicine Case Studies

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guests: Andrew R. Jagim, Ph.D. Jakob R. Erickson, D.O. Host: Darryl S. Chutka, M.D. (@ChutkaMD) The care of athletes often requires special knowledge that many healthcare providers are less familiar with. Athletes may have somewhat unique health problems related to their endurance or strength training. They may also be taking a variety of nutritional supplements which could cause health issues. This case-based podcast covers a couple different examples of health issues experienced by athletes. Featured guests include Andrew R. Jagim, Ph.D. and Jacob R. Erickson, D.O. from Sports Medicine at Mayo Clinic. We’ll discuss some of the medical issues often faced by athletes. Specific topics: Iron-deficiency anemia Relative Energy Deficiency in Sport Vitamin D deficiency and hypervitaminosis D Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 23, 2021

Infertility in Females

Guest: Elizabeth A. Stewart, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Infertility can be related to health issues in the male, female or both. Whatever the reason, infertility can put a major strain on a couple’s relationship. To add to the stress, infertility often results in multiple exams, tests, injections and procedures for one or both of the couple. Fortunately, the cause of infertility can often be found and in some cases, treatment is effective, resulting in a successful pregnancy and birth. The topic of discussion for this podcast is infertility, specifically infertility in females. Our guest is Dr. Elizabeth (Ebbie) A. Stewart, a physician in the Department of Obstetrics and Gynecology and Division of Endocrinology and Infertility. We’ll review the prevalence of infertility in females, males and both, risk factors for infertility, the most common causes of infertility and the evaluation a primary care provider can perform. Specific topics discussed: Definition of infertility Prevalence of infertility Risk factors for infertility Recommended evaluation by primary care providers Specialized evaluation performed by an infertility expert Common causes of infertility in females Success of infertility treatment Invitro fertilization as a treatment alternative to infertility including cost, success rate and risk of multiple births Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 21, 2021

Mayo Clinic Q&A: Experts urge COVID-19 boosters to fight omicron surge

This episode is shared from Mayo Clinic Q&A and was recorded in December 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) More Americans are now eligible for COVID-19 booster doses as the Centers for Disease Control and Prevention approved the Pfizer vaccine booster for 16- and 17-year-olds late last week. Previously, only those 18 and older were eligible. Early research suggests that a booster dose of the Pfizer COVID-19 vaccine improves protection against severe disease caused by the omicron variant, according to Pfizer. Mayo Clinic experts say, regardless of the variant, prevention of infection works. Getting a booster offers the highest protection possible against COVID-19. "Omicron infection rates are picking up rapidly," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "If we do not take the proper precaution over the holiday, we are going to see a January omicron surge." Dr. Poland explains that there are two threats — delta and omicron COVID-19 variants — but there is a solution. "Masking and boosting — those are key to protecting yourself and your family." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest on COVID-19 variants and shares advice on how to stay safe this holiday season. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 17, 2021

Nutritional Supplement Edition: Weight Loss and Thermogenic Agents

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest: Andrew R. Jagim, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Are there supplements available that really assist with weight loss? How can you help your patients navigate the market? What is safe and what do they need to look out for? Andrew R. Jagim, Ph.D., the director for Sports Medicine research at the Mayo Clinic, answers these questions in this episode. We discuss the importance of diet and exercise in weight loss and the benefits nutritional supplements may add. We also discuss some of the more common supplements promoted to enhance thermogenesis and weight loss as well as their proposed mechanism of action. Specific topics: Popular nutritional supplements for enhancing weight loss Accuracy of claims for nutritional supplements Importance of diet and exercise in producing significant weight loss Potential benefits of a nutritional supplement in addition to exercise and diet in producing significant weight loss Common supplements promoted to enhance weight loss

December 16, 2021

Influenza Vaccine 2021

Guest: Robert M. Jacobson, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Preventing influenza is important for a variety of reasons. Influenza is not a benign illness. In recent years, it’s accounted for up to 700,000 hospitalizations and over 50,000 deaths annually. The vaccine not only saves lives but also helps prevent hospitalizations as well as the need for the ICU. The occupancy rates of both have been severely stressed due to COVID. Despite the fact that the vaccine has been shown to be effective in all age groups, a significant percent of the population do not receive it. This podcast will discuss the influenza vaccine, it’s overall effectiveness in preventing the illness, the optimal time of year to receive the vaccine and tips on how to increase the likelihood that our patients will agree to receive it. Our guest is Dr. Robert M. Jacobson, a pediatrician and immunization expert at the Mayo Clinic. Specific topics: Possible impact on the susceptibility or severity of influenza for the 2021/2022 season given there was such a reduction in influenza cases last year The time of year the vaccine for the current influenza season is released The optimal time of year to receive the influenza vaccine The effectiveness of the influenza vaccine in preventing the illness The likelihood we’ll see testing for both COVID and influenza increase this winter Tips on increasing the number of patients who agree to receive the influenza vaccine Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 14, 2021

Mayo Clinic Q&A: Post COVID-19 syndrome can be a long haul

This episode is shared from Mayo Clinic Q&A and was recorded in December 2021 Guest: Greg Vanichkachorn, M.D., M.P.H. (@DoctorGregVan) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Most people who have COVID-19 recover completely within a few weeks. But some people — even those who had mild versions of the disease — continue to experience symptoms after their initial recovery. Sometimes called “long haulers” or “long COVID," these patients can have fatigue, shortness of breath, brain fog and other symptoms long after the time of their infection. Post-COVID-19 syndrome conditions are generally considered to be effects of COVID-19 that persist for more than four weeks after you've been diagnosed with COVID-19 infection. A recent Mayo Clinic study on post-COVID-19 symptoms found that more women than men suffer long-term effects. Women predominantly showed symptoms of fatigue, followed by muscle pain and low blood pressure, while men primarily experienced shortness of breath. Research is also underway to better understand what may be causing post-COVID-19 syndrome. "We do have some research now that shows that some of the cells that are used to create immunity after an infection, they may be malfunctioning in this condition in patients with long-haul COVID," says Dr. Greg Vanichkachorn, director of Mayo Clinic’s COVID Activity Rehabilitation Program. "We also now have some research that shows that patients with this condition can have antibodies against themselves, otherwise known as an auto-antibody. And this may be associated with the long-haul COVID state, so immune dysfunction and auto immunity, they may be at play here." The COVID Activity Rehabilitation Program at Mayo Clinic helps people experiencing post-COVID-19 syndrome by working with patients to decrease symptoms and improve overall functioning and quality of life. On the Mayo Clinic Q&A podcast, Dr. Vanichkachorn discusses how treatment can help patients who suffer from post-COVID-19 syndrome. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 10, 2021

Nutritional Supplements Edition: Strength, Power, and Performance

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest: Andrew R. Jagim, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Nutritional supplements are being promoted to enhance a variety of areas of physical fitness. This episode focuses on the impact on strength, power and overall performance. Our guest for this podcast is Andrew R. Jagim, Ph.D., the director of Sports Medicine research at Mayo Clinic. Specific topics: Activities that benefit from increased strength and performance Lifestyle strategies used to enhance strength and performance Common nutritional supplements used to increase strength and performance Safety concerns regarding the use of nutritional supplements Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 9, 2021

Recommendation for Your Arthritic Patients – Keep Them Moving

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Arthritis is one of the most common health conditions our patients have for eliminating exercise from their daily routine, yet the American College of Rheumatology feels that exercise should be one of the mainstays of treatment for those with arthritis. How do we convince our patients of the importance of continued exercise despite their arthritis? Are some types of exercise better than others? Can exercise make their arthritis worse? We’ll discuss these questions with Dr. Edward R. Laskowski, a Sports Medicine physician from the Department of Physical Medicine and Rehabilitation at Mayo Clinic. Specific topics: Benefits of exercise in patients who have arthritis Exercises that patients with arthritis should avoid What patients should do if they have increased joint pain after exercising Joint-friendly exercises that can be done by most patients Importance of performing resistance as well as aerobic exercise Recommended frequency and duration of exercise Exercises for the was with inflammatory arthritis Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 7, 2021

Nutritional Supplement Edition: Exercise Endurance and Recovery

Guest: Andrew R. Jagim, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Can nutritional supplements help to increase exercise endurance? What types of supplements can help with short term – immediate improvements and which can assist with longer term recovery? Andrew R. Jagim, Ph.D., director of Sports Medicine research at Mayo Clinic joins us to discuss some of the claims that we can hear about nutritional supplements promoted to prove one's endurance, increase exercise economy, and improve tolerance of high-intensity exercise. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 2, 2021

Mayo Clinic Q&A: Boosters reduce vulnerability to COVID-19 variants

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Omicron, a new COVID-19 variant of concern, has been detected in all regions of the world, including North America. While research and clinical observations on the new strain are underway, it is not yet known what impact, if any, omicron will have on the immune response, transmissibility, or specific COVID-19 treatments. The emergence of omicron is a reminder to take important steps to protect yourself against COVID-19. "The answer is masking and boosters," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. Dr. Poland is encouraged by vaccine booster rates in the U.S. "In a relatively short period of time, about 36% of adults who are eligible have indeed gotten a booster," says Dr. Poland. "There's plenty of vaccine available. So in the strongest possible terms, I would recommend getting that booster." Adults who are six months past completing their initial Moderna or Pfizer COVID-19 vaccination series are eligible to receive a booster dose, as are adults who are two months past completing their initial dose of the Johnson & Johnson vaccine. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the omicron variant and COVID-19 boosters, and he answers some listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 1, 2021

Nutritional Supplement Edition: A Critical Overview

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest: Andrew R. Jagim, PhD Host: Darryl S. Chutka, M.D. (@ChutkaMD) Imagine taking a supplement that increases muscle mass, improves strength and endurance, promotes weight loss, helps prevent injury from exercise and promotes healing. Do these supplements exist and are they safe? This episode discusses nutritional supplements. We will discuss proven benefits as well as risks. Our guest for this podcast is Andrew R. Jagim, Ph.D., the director of Sports Medicine research at Mayo Clinic. Specific topics: Definition of nutritional supplements Common reasons to take these products Accuracy of claims that nutritional supplements improve fitness and enhance performance Research conducted on nutritional supplements Regulation of the nutritional supplement industry Potential safety issues in taking nutritional supplements Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 30, 2021

Racism in Pain Medicine

Guest: Natalie H. Strand, M.D. (@DrNatStrand) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Racial biases can influence diagnosis and treatment decisions. It is important to normalize implicit biases and be aware of our own biases to reduce disparities and improve health care for patients. Joining us today is Natalie Strand, M.D., a consultant in the Department of Anesthesiology and Perioperative Medicine at the Mayo Clinic Hospital in Phoenix, AZ. She will discuss the unique, relevant and timely topic of racism in pain medicine, including the occurrence of racism in medicine at all levels – from patient care, diagnoses and outcomes to professional development of physicians. She describes our responsibility and how, if we want to engage in anti-racism, we must do it at all levels in medicine. Additional Resources: Strand, N. H., Mariano, E. R., Goree, J. H., Narouze, S., Doshi, T. L., Freeman, J.A., Pearson, A. C. S. (2021). Racism in Pain Medicine: We Can and Should Do More. Mayo Clinic Proceedings, 96(6), 1394-1400. https://doi.org/10.1016/j.mayocp.2021.02.030 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 23, 2021

Mayo Clinic Q&A: Travel trends and colder temperatures could mean a COVID-19 holiday surge

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Cold weather, increased travel, waning immunity and the potential for new variants may serve up the perfect recipe for a holiday COVID-19 surge, according to Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "I have consistently said what's very likely to happen as we get to the cooler weather and see the trends in travel is that we will have another surge," says Dr. Poland. "We're in this unusual situation where the pandemic is actually getting worse because humans don't want to believe that the pandemic is just as important now as it was a year ago." In this Mayo Clinic Q&A podcast, Dr. Poland answers several listener questions and talks more about being vigilant against COVID-19 as the U.S. heads into a second winter with this coronavirus. He also addresses the recent news that wild deer have shown evidence of COVID-19 infection and what that might mean in the battle to eliminate the disease. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 22, 2021

Genes and Your Health Series: Hot Topics in Phage Therapy

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Gina A. Suh, M.D. Host: Denise M. Dupras, M.D., Ph.D. What is Phage Therapy? When was it discovered? Where is it used? We know about antibiotics, antifungals, and antivirals, but this is a whole new world! Have no fear, this episode is here from the Genes & Your Health miniseries to help demystify all there is to know about Phages. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 18, 2021

Hyperlipidemia

Guest: Monique A. Freund, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hyperlipidemia is one of the major risk factors for cardiovascular disease. It’s known that a combination of lifestyle changes and pharmacologic therapy has proven effective in reducing the complications of cardiovascular disease. Despite this, it’s estimated that less than 35% of those patients with hyperlipidemia are adequately managed. Why aren’t we doing a better job at managing this major public health problem? In this podcast, we’ll be speaking with Monique A. Freund, M.D., a cardiologist at Mayo Clinic. We’ll discuss how to optimize management of hyperlipidemia, which lifestyle changes are beneficial, when to use pharmacologic therapy and how to manage patients with statin intolerance. Specific topics: Relative importance of elevated LDLc, low HDLc and elevated triglycerides Effective non-pharmacologic therapy for treating elevated LDLc, low HDLc and elevated triglycerides When to consider starting a patient on a statin Benefits of fish oil Mechanism of action of statins Statin intolerance When to use ezetimibe When to use one of the PCSK9-inhibitors Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 16, 2021

Genes and Your Health Series: Predicting the Future: What Role is Artificial Intelligence Playing Today and What Can We Expect in the Future?

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Christopher (Chris) A. Aakre (@ChrisAakreMD), M.D.; Bradley J. Erickson, M.D., Ph.D. Host: Denise M. Dupras, M.D., Ph.D. Artificial Intelligence has begun being utilized in Radiology. In fact, it was boldly predicted that Radiology would become an obsolete profession as a result! How has it altered this practice? How will it alter our practices moving forward? Join this episode of our Genes & Your Health miniseries from the Center of Individualized Medicine to learn these answers and more! Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 11, 2021

The Eyes Have It: Common External Eye Conditions

Guest: Amir R. Khan, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) External eye disorders are commonly seen in a primary care provider’s office, yet very few of us have ever had any formal training in ophthalmology. Fortunately, most of the external eye problems are relatively benign, though not all. It’s important to be able to recognize these conditions since some may be associated with a variety of systemic diseases. In this podcast, Amir Khan, M.D., an ophthalmologist at Mayo Clinic, joins Dr. Chutka to discuss how to recognize commonly seen external eye conditions. Links to specific topics below include additional information and images for most of the covered conditions. Specific topics: Viral versus bacterial conjunctivitis: https://www.mayoclinic.org/diseases-conditions/pink-eye/symptoms-causes/syc-20376355 Scleritis and episcleritis Blepharitis: https://www.mayoclinic.org/diseases-conditions/blepharitis/symptoms-causes/syc-20370141 Sty (Hordeolum): https://www.mayoclinic.org/diseases-conditions/sty/symptoms-causes/syc-20378017 Ectropion versus entropion: https://www.mayoclinic.org/diseases-conditions/ectropion/symptoms-causes/syc-20351164; https://www.mayoclinic.org/diseases-conditions/entropion/symptoms-causes/syc-20351125 Subconjunctival hemorrhage: https://www.mayoclinic.org/diseases-conditions/subconjunctival-hemorrhage/symptoms-causes/syc-20353826 Herpes zoster ophthalmicus Corneal abrasions: https://www.mayoclinic.org/first-aid/first-aid-corneal-abrasion/basics/art-20056659 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 9, 2021

Mayo Clinic Q&A: Building a wall of immunity against COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in November 3, 2021 Guest: Elie F. Berbari, M.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) In anticipation of more COVID-19 vaccine approvals this week, Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic, says it's good news that younger children will now have more protection against COVID-19. "It's important that we reach a very high level of vaccination rates to achieve kind of a wall of immunity that could prevent transmission and prevent us from these repeated peaks that we've been dealing with over the last year and a half during this pandemic," says Dr. Berbari. In this Mayo Clinic Q&A podcast, Dr. Berbari also talks about the rare cases of myocarditis and how the Food and Drug Administration is monitoring those cases. Dr. Berbari also addresses additional COVID-19 vaccine doses for immunocompromised people, the importance of masking, even if vaccinated, and he answers a number of listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 5, 2021

Genes & Your Health Edition – Preparing Your Practice for the Increased Use of Genomics

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Megan A. Allyse, Ph.D. (@MAllyse); Jennifer (Jenny) L. Anderson, M.S., CGC; Radhika Dhamija, M.B.B.S. (@NeurogenesDr) Host: Denise M. Dupras, M.D., Ph.D. Genetic testing is increasingly becoming mainstream. Not only is it first-line testing for many different indications, but we have begun seeing an increase in predictive genomics for healthy patients as well. How can your practice prepare for what is here and what is to come? Tune in to this episode of the Genes & Your Health miniseries from the Center for Individualized Medicine to find out. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 4, 2021

Developing Equitable Care Models for Diabetic Patients

Guest: Rozalina G. McCoy, M.D., M.S. (@RozalinaMD) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Diabetic research starts with understanding contemporary treatment practices (overtreatment and undertreatment, misuse or underuse of glucose-lowering medications, comparative effectiveness of different diabetes medications), the resulting impact on patient health and the disparities in both treatment practices and outcomes. In this episode Rozalina McCoy, M.D., M.S., associate professor of medicine and consultant in the Division of Community Internal Medicine at Mayo Clinic’s Rochester campus, joins us to discuss developing care delivery models that support high-quality, evidence-based, patient-centered, and equitable diabetes care. Additional resources: McCoy RG, Galindo RJ, Swarna KS, et al. Sociodemographic, clinical, and treatment-related factors associated with hyperglycemic crises among adults with type 1 or type 2 diabetes in the US from 2014 to 2020. JAMA Netw Open. 2021;4(9):e2123471. doi:1001/jamanetworkopen.2021.23471 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 2, 2021

Genes & Your Health Edition – Genomics for Cardiovascular Health in Primary Care

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guest: Iftikhar J. Kullo, M.D. (@iftikhar_kullo) Host: Denise M. Dupras, M.D., Ph.D. What is familial hypercholesterolemia? Who should be tested for it? Are there genetic variants that are associated with cardiovascular diseases? How young do we start screening? This installment of the Genes & Your Health miniseries from the Center for Individualized Medicine is here to help answer these questions and more! Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 28, 2021

Preserving Sight with Macular Degeneration

Guest: Sophie J. Bakri, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Macular degeneration is the most common cause of vision loss in individuals over the age of 50. The loss of central vision from macular degeneration can result in significant lifestyle changes in patients. They may no longer be able to read, write or drive. In this podcast, we’ll discuss macular degeneration with Sophie Bakri, M.D., an ophthalmologist at Mayo Clinic. She’ll review the two types and pathology of macular degeneration, its presentation, risk factors and preventive strategies, and new treatments on the horizon. Specific topics: Pathologic changes in macular degeneration Vision loss associated with macular degeneration Possible causes of macular degeneration Risk factors Typical course of macular degeneration The difference between wet and dry macular degeneration Treatment strategies Preventive strategies Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 26, 2021

Mayo Clinic Q&A: Changing COVID-19 recommendations means the science is working

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) As continuing research guides medical recommendations, it seems that there are COVID-19 updates released daily. These recommendations cover a range of topics, including whether COVID-19 booster vaccinations are necessary to whether COVID-19 vaccines can be mixed and matched. "The fact that recommendations are changing is not evidence people don't know what they're doing," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "It's evidence that they do know what they're doing and are paying close attention to new data that's coming along. Then they're adjusting recommendations based on the latest data." Dr. Poland continues to urge people to get the latest COVID-19 news from credible sources. In this Mayo Clinic Q&A podcast, Dr. Poland walks through the recent recommendations, corrects misperceptions and answers a number of listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 22, 2021

Genes & Your Health Edition – Cell-Free DNA: Implications in Practice

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Minetta C. Liu, M.D.; Myra J. Wick, M.D., Ph.D. (@MyraWickMD) Host: Denise M. Dupras, M.D., Ph.D. What is cell-free DNA? How does this type of DNA interact with our body? How is it useful in the clinical setting? Advances in technologies has expanded our understanding of cell-free DNA and its implications. Where are we now and what can we look for in the future? Find out these answers and more in the seventh episode of the Genes & Your Health miniseries from the Center for Individualized Medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 21, 2021

A Neurologist’s Take on Syncope

Guest: Paola Sandroni, M.D., Ph.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Syncope is defined as the sudden and transient loss of consciousness and postural tone due to global reduction of blood flow to the reticular activating system. Syncopal episodes are followed by a rapid and spontaneous recovery. Joining us today is Paola Sandroni, M.D., Ph.D., a neurologist at Mayo Clinic’s Rochester Campus. She will help us sort through the complicated subject of syncope, including its main etiologies and how to distinguish which is affecting your patient. She also outlines the nuances of evidence-based evaluation of syncope, which is largely guided by the patient’s presentation. Additional resources: Thiruganasambandamoorthy V, Kwong K, Wells GA, Sivilotti MLA, Mukarram M, Rowe BH, Lang E, Perry JJ, Sheldon R, Stiell IG, Taljaard M. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ. 2016 Sep 6;188(12):E289-E298. doi: 1503/cmaj.151469. Epub 2016 Jul 4. PMID: 27378464; PMCID: PMC5008955 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 19, 2021

Genes & Your Health Edition – Why Does It Matter? Genes, Hormones, and Women’s Health

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Stephanie S. Faubion, M.D., M.B.A. (@StephFaubionMD); Kejal Kantarci, M.D. (@KejalKantarciMD); Juliana (Jewel) M. Kling, M.D., M.P.H. (@DrJewelKling)Host: Denise M. Dupras, M.D., Ph.D. Is hormone therapy good or bad for women? What are the myths surrounding it? Is the varying experience of menopause genetic? Join the sixth episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health Edition to dive into women’s health and hormones and what you need to know for your practice. Additional resources:• USPSTF Recommendations Statement for Breast Cancer: Medication Use to Reduce Risk https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction • Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 14, 2021

Using Artificial Intelligence to Combat COVID-19

Guest: Thomas Caulfield, Ph.D. Host: Amit K Ghosh, M.D., MBA (@AmitGhosh006) In this podcast, Dr. Thomas Caulfield from Mayo Clinic Florida describes a novel approach for SARS-CoV2 multi-drug targeting using artificial intelligence. Dr. Caulfield is leading a national team of investigators from Harvard, University of California, In Vivo Biosystems and Mayo Clinic to perform large-scale in silico and in vivo experiments on de novo drugs to better understand COVID-19 and halt its progression. University of California hosts a live virus BSL3 facility for rapidly screening novel compounds that Dr. Caulfield's lab designs in silico and refines with feedback using machine learning techniques and data layering. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 12, 2021

Genes & Your Health Edition – How Does Your Microbiome Impact Your Health?

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your HealthGuest: Purna C. Kashyap, M.B.B.S. (@KashyapPurna); Marina R. Walther-Antonio, Ph.D.Host: Denise M. Dupras, M.D., Ph.D. What is the microbiome? How does the microbiome interact with our body? How much of us is nurture, how much is nature? The whole concept of microbiome may be a new idea but have no fear this fifth episode of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine is here to help answer those questions and more! Additional resources: Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 7, 2021

Mayo Clinic Q&A: Breaking Down COVID-19 Vaccine Booster Approvals

This episode is shared from Mayo Clinic Q&A and was recorded in September 29, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The path to approvals for a booster dose of the Pfizer COVID-19 vaccine has seemed complicated. "This is a confusing set of recommendations," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "So let's look at the four groups approved for only the Pfizer booster, thus far. If you got a primary series of the Pfizer vaccine, you're 65 and older, and it's been six months or more, you are eligible for a booster. If you're 50–64 and you have medical conditions that place you at high risk, you are eligible for the booster. If you're 18–49, you may be able to get a booster based on a medical condition and if you talk with your health care provider to weigh risks and benefits. And, finally, for people 18–64 years old, who are health care providers in congregate living situations or who have occupations that place them at high risk for transmission, such as school teachers, they also may be eligible. That should happen very soon." In this Mayo Clinic Q&A podcast, Dr. Poland talks more about the approval process for COVID-19 vaccine boosters, including for the Moderna and Johnson & Johnson COVID-19 vaccines. He also discusses the possibility that emergency use approval for children, down to age 5, could come before the end of October. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 6, 2021

Breast Imaging for Patients with Dense Breast Tissue

Guest: Christina A. Dilaveri, M.D. (@CDilaveri) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Breast cancer is very treatable when detected early. Therefore, early detection becomes very important as it significantly reduces a patient’s risk of developing metastases and death. Breast imaging plays an extremely important role in the detection of early breast cancer, and we now have several modalities of breast imaging available, each with its advantages and disadvantages. Our guest for this podcast is Christina Dilaveri, M.D. a breast disease specialist, from Mayo Clinic’s Rochester Campus. We’ll discuss mammography, ultrasound, MRI, and molecular breast imaging, when they’re indicated, and the advantages of each. You’ll hear which patients should have more than a mammogram and how often it should be performed. Specific topics discussed: The various types of mammography available Indications for breast ultrasound Benefits of breast MRI When breast MRI should be performed Benefits of molecular breast imaging When molecular breast imaging should be performed Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 5, 2021

Genes & Your Health Edition – Genomics and Cancer: Primary Care Impact and Research Advances

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guest: Niloy Jewel J. Samadder, M.D. (@J_Samadder) Host: Denise M. Dupras, M.D., Ph.D. Can we find the cause of a patient’s cancer? Is it possible to provide targeted treatment to prevent future cancers by understanding what genetic predispositions a patient or their family members have? In a recently published study, nearly one in six to one in eight cancer patients, depending on which type of cancer they had, carried a genetic predisposition to the development of their cancer. How can we translate these findings into our practice for the benefit of our patients and their families? Tune in to episode four of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: Samadder NJ, Riegert-Johnson D, Boardman L, et al. Comparison of universal genetic testing vs guideline-directed targeted testing for patients with hereditary cancer syndrome. JAMA Oncol. 2021;7(2):230–237. doi: 10.1001/jamaoncol.2020.6252 Uson, PLS. Riegert-Johnson, D. Boardman, L. Kisiel, J. et al. Germline cancer susceptibility gene testing in unselected patients with colorectal adenocarcinoma: a multicenter prospective study. Clin Gastroenterol Hepatol. 2021 April 20; doi: 10.1016/j.cgh.2021.04.013 Mayo Clinic’s Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 30, 2021

The Evolution of COVID-19 Testing

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) In this podcast Matthew J. Binnicker, Ph.D. discusses the development of different types of testing available to diagnose SARS-CoV2 infection. Binnicker discusses the test characteristics of the rapid antigen tests and RT-PCR test and its variability based on the time when the test was performed. He also discusses the optimal timing of diagnostic testing (rapid testing, RT-PCR) and the role and limitations of antibody testing in COVID-19. Additional resources: Shah AS, Tande AJ, Challener DW, O’Horo JC, Binnicker MJ, Berbari EF. Diagnostic stewardship: An essential element in a rapidly evolving COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):S17-S19. DOI: https://doi.org/10.1016/j.mayocp.2020.05.039 Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 28, 2021

Genes & Your Health Edition – Pharmacogenomics and its Value for Primary Care

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guest: Jessica A. Wright, Pharm.D., R.Ph. Host: Denise M. Dupras, M.D., Ph.D. Pharmacogenomics helps to identify how your patients’ DNA may affect their response to medications. But there's a lot of different genes! How do we get started? What resources are out there? Do we have to worry about every drug a patient is on? Find out these answers and more in episode three of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: PharmGKB: pharmgkb.org Clinical Pharmacogenetics Implementation Consortium (CPIC®): cpicpgx.org Basic Pharmacogenomics Nomenclature: https://www.pharmgkb.org/page/glossary NIH’s National Human Genome Research Institute: Healthcare Provider Resources: https://www.genome.gov/For-Health-Professionals/Provider-Genomics-Education-Resources Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 23, 2021

Regenerative Techniques for the Larynx

Guest: David G. Lott, M.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) About 60,000 Americans have had their vocal cords removed due to disease or trauma necessitating a laryngectomy. Post-laryngectomy, patients are unable to speak, are at risk for aspiration, and many suffer from significant anguish resulting in depression. Fortunately, there are several treatment options available, the first being laryngeal transplant. While laryngeal transplantation allows patients to smell, taste, swallow, and communicate, it has drawbacks. Currently only a small number of larynx transplants are done in the U.S., and only a select few patients with laryngectomy qualify for larynx transplant. In this episode, Dr. David Lott, division chair of laryngology at Mayo Clinic’s Arizona campus, discusses the role of regenerative medicine, which has shown promise in using 3D printing and a patient’s stem cells in creating a larynx. Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 21, 2021

Genes & Your Health Edition – How Does Viral Genetics Influence Transmission, Diagnosis, and Severity of COVID-19?

To claim credit for this series, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guests: Andrew D. Badley, M.D. (@BadleyAndrew); Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Denise M. Dupras, M.D., Ph.D. COVID-19. Variants. The future. Does one test fit all? Will the vaccine continue to provide protection against future variants? What makes the Delta variant more transmissible? Join the second episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine to learn how viral genetics influence transmission, diagnosis, and severity of COVID-19. Additional resources: Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 16, 2021

Genes & Your Health Edition – Genomics and Healthcare, Why Does it Matter?

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guests: Matthew J. Ferber, Ph.D. (@Matt_Ferber); Teresa M. Kruisselbrink, M.S., CGC (@T_Kruisselbrink); William C. Palmer, M.D. (@williampalmermd) Host: Denise M. Dupras, M.D., Ph.D. For so long we've heard Genetic Testing is coming. Well guess what, it’s here! We have over 25 million people who have chosen to participate in direct-to-consumer testing alone. What does this mean for primary care, and does it matter? Find out in the first episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: TAPESTRY Study: https://www.mayo.edu/research/clinical-trials/cls-20477323?_ga=2.268706548.460922620.1627479724-1519128218.1623079535 Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 14, 2021

Variants, Virulence, and Vaccines, Oh My!

Guest: Elitza S. Theel, Ph.D. (@ElliTheelPhD) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Dr. Elitza Theel, Professor of Laboratory Medicine and Pathology and Director of Infectious Diseases Serology Laboratory at Mayo Clinic’s Rochester Campus, discusses our immune response to vaccination and natural infection and outlines the different types of antibody assays currently available. Dr. Theel also discusses the concept of herd immunity in the context of different circulating SARS-CoV-2 variants and the increased need to get higher rates of vaccination in the community as the infectivity and transmissibility of circulating SARS-CoV-2 variants changes. We also discuss the status of correlates of protective immunity against SARS-CoV-2 and the need for booster vaccine doses for immunocompromised individuals. Additional resources: Interim Guidelines for COVID-19 Antibody Testing in Clinical and Public Health Settings https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 7, 2021

Evaluating Hematuria

Guest: Aaron M. Potretzke, M.D. (@potretzke) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Microscopic hematuria, and less commonly gross hematuria, are conditions commonly seen by the primary care provider. Malignancy is the most ominous cause of hematuria. Fortunately, other causes are much more likely. Since this is a relatively common health condition, when should we investigate hematuria and what should the evaluation consist of? How do we evaluate a patient’s risk for urinary tract malignancy? Dr. Aaron Potretzke, a urologist at Mayo Clinic joins us to discuss these questions. Specific topics: Definition of hematuria Benign causes of hematuria Risk of malignancy in low, medium, and high-risk patients Stratifying malignancy risk in patients for genitourinary malignancy Recommended evaluation for patients with hematuria How to manage patients with persistent hematuria despite a negative evaluation Role of urine cytology in the evaluation of hematuria Additional resources: American Urological Association hematuria guideline and algorithm: https://www.auanet.org/guidelines/guidelines/microhematuria Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 31, 2021

Exercise is First-Line Treatment for Your Parkinson’s Patients

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Daily exercise has so many health and emotional benefits – it can help decrease your blood pressure, promote cardiovascular wellbeing, alleviate stress, and assist with weight loss and blood sugar control. Parkinson’s disease is a condition that affects the central nervous system, and in particular the brain, that can lead to shakiness, poor balance, and frequent falls. Joining us in this episode is Edward Laskowski, M.D., a professor of physical medicine and rehabilitation and sports medicine specialist at Mayo Clinic’s Rochester Campus, to discuss why exercise is first-line treatment for your Parkinson’s patients. Additional resources: Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-20376055 The Michael J. Fox Foundation for Parkinson’s Research: https://www.michaeljfox.org/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 24, 2021

Parkinson’s Disease – It’s More Than Just a Tremor

Guest: Jeremy K. Cutsforth-Gregory, M.D. (@JCGneuro) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Parkinson’s Disease is one of the more common neurodegenerative diseases, in fact, patients with Parkinson’s outnumber those with multiple sclerosis, ALS, and muscular dystrophy combined. It tends to affect older patients, although on rare occasions it can be seen in those under the age of 50. It can have a devastating effect on an individual’s lifestyle as the physical symptoms of the disease tend to gradually progress over years. This podcast will feature Dr. Jeremy Cutsforth-Gregory, a neurologist at the Mayo Clinic, as we discuss the evaluation and management of Parkinson’s Disease. Specific topics: Pathophysiology of Parkinson’s Disease Common presenting symptoms of Parkinson’s Assessing patients with tremor Complications of advanced Parkinson’s Pharmacologic management of Parkinson’s Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 17, 2021

Working from the Ground Up to Impact Gender Disparities in COVID-19

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd) Host: Anjali Bhagra, M.D. (@anjalibhagramd) Anjali Bhagra, M.D., and Carol L. Kuhle, D.O., M.P.H., discuss the narrative they recently published in Mayo Clinic Proceedings, which outlines and highlights the further widening of preexisting gender disparities in response to the COVID-19 pandemic. What can we do to identify and mitigate these issues? Additional resources: Nordhues, HC. Bhagra, A. Stroud, NN. Vencill, JA. Kuhle, CL. COVID-19 gender disparities and mitigation recommendations: a narrative review. Mayo Clin Proc. 2021 April 20; 96(7): 1907-1920. doi: https://doi.org/10.1016/j.mayocp.2021.04.009 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 10, 2021

Mayo Clinic Q&A: The COVID-19 Delta Variant has Changed Everything

This episode is shared from Mayo Clinic Q&A and was recorded August, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) A fourth COVID-19 surge is blanketing the U.S., and the delta variant is the culprit. "Where did this delta variant come from? It came from unvaccinated people getting infected in large numbers allowing the virus to continue mutating," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. In the past, a person with COVID-19 might infect two to four people. But with the delta variant, one person can infect nine people, according to Dr. Poland. He says if you want to protect yourself and your family, wear a mask, especially indoors, and get vaccinated with an appropriate series of one of the COVID-19 vaccines. "These are the most studied vaccines in the history of the world," Dr. Poland emphasizes. "There have never been this many people who have received this many doses of vaccines during this amount of time with as much scrutiny as these COVID-19 vaccines have had." In this Mayo Clinic Q&A podcast, Dr. Poland answers questions about a person's waning immunity and the likelihood of COVID-19 booster shots. He also explains the two phases of immunity and goes into detail about the extensive Federal Drug Administration license approval process for COVID-19 vaccines. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 6, 2021

Will We Be Replaced by Computers? Artificial Intelligence and Medicine

Guest: Steve G. Peters, M.D. Host: Sanjeev Kakar, M.D. (@sanjkakar) No doubt you’ve heard the term “artificial intelligence,” by now; but what is it exactly? How can medicine use AI to improve patient care and outcomes? Will it one day replace doctors’ years of training? Steve Peters, M.D. a pulmonary and critical care medicine consultant, with a special interest in AI, at Mayo Clinic’s Rochester campus. Dr. Peters will help us take a look into the not-so-distant future as we explore AI and its role in medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 3, 2021

Mayo Clinic Q&A: Stopping the Spiral of the COVID-19 Delta Variant

This episode is shared from Mayo Clinic Q&A and was recorded July, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Transmission of the COVID-19 delta variant is increasing. "We're in this constant spiral, right now,” says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. “The delta variant is so highly contagious,” he says. “The number of delta viral particles in the upper respiratory system is reportedly 1,000 times higher than with the original COVID-19 virus. If we can't find ways to get people vaccinated, we are going to be in a world of hurt. And I don't say that to be alarmist. I say it to be a realist, based on what’s happening right in front of us.” But Dr. Poland says the spiral can be stopped by getting higher rates of immunization. "Getting a COVID-19 vaccine will prevent the development of worse and worse variants. It will prevent severe cases of hospitalization and death, even in the face of a variant,” he says. "The alternative is to lose another 600,000-plus Americans. Only this time it will, unfortunately, involve younger people." Dr. Poland explains further, "Every time somebody gets infected with the delta variant, there's the opportunity for that virus to mutate and transmit to other people," says Dr. Poland. "This means that immunization rates to control herd immunity will probably have to be in the 85% to 95% range." In this Mayo Clinic Q&A podcast, Dr. Poland continues to talk about the delta variant, breakthrough infections, booster shots and much more. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 30, 2021

What’s That Sound? Maybe It’s Stridor

Guest: Shelagh A. Cofer, M.D. (@ShelaghCoferMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Stridor is a musical sound due to disrupted airflow in an individual’s airway. In many instances it’s due to a benign cause but it can also represent a serious problem, possibly even life-threatening. In today’s podcast, we’ll learn about the various causes of stridor and when we need to be concerned that it represents a serious health issue. Our guest for this podcast is Dr. Shelagh Cofer, a pediatric otolaryngology specialist at the Mayo Clinic. We’ll discuss how stridor differs from wheezing, the most common causes of stridor in both children and adults and what symptoms we should be watching for that might suggest a serious cause for stridor. We’ll also cover the evaluation of patients with stridor, which imaging studies may be helpful and when an ENT consultation is warranted. Specific topics: Definition of stridor Difference between stridor, stertor, and wheezing Most common causes of stridor in both children and adults Croup as a form of stridor Important questions we should be asking our patients about stridor to identify those at risk for airway obstruction – including the SPECS-R mnemonic Tests and imaging studies which may be helpful in the evaluation of a patient with stridor Treatments for the more common causes of stridor Additional resources: Zoumalan, R; Maddalozzo, J; Holinger, LD. Etiology of stridor in infants. Ann Otol Rhinol Laryngol. 2007; 116(5):329-334. doi: 10.1.1896.429 https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.896.429&rep=rep1&type=pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 27, 2021

Mayo Clinic Q&A: On the Verge of Predicted COVID-19 Surge with Delta Variant

This episode is shared from Mayo Clinic Q&A and was recorded July, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The delta variant is being blamed for hot spots in the U.S. where cases of COVID-19 are on the rise. These hot spots account for most cases in the U.S. They are also the geographical areas that tend to have the lowest vaccination rates. "It's no surprise that the two go together," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "This (delta variant) is the bad actor that we predicted it would be," adds Dr. Poland. "Our seven-day average is getting up to 19,000 cases a day in the U.S. We were down to 3,000. So we're starting to see, just as we predicted, a surge as people took masks off and as restrictions were lifted before we had achieved high rates of immunization." In this Mayo Clinic Q&A podcast, Dr. Poland expands on how the highly transmissible delta variant continues to spread. He also talks about the possibility of COVID-19 vaccine boosters, explains how the Vaccine Adverse Event Reporting System works, and much more as he answers listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 22, 2021

Multidisciplinary Approach to Pelvic Pain

Guest: Isabel C. Green, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Pelvic pain can be challenging. It can have a variety of presenting symptoms since it can originate from a variety of organ systems. When pelvic pain becomes chronic, it becomes even more challenging. It’s associated with significant direct medical costs as well as indirect costs as it frequently results in work absenteeism. Patients with chronic pelvic pain are often initially evaluated by primary care providers, but referral to specialists is quite common. Due to the variety of symptoms associated with chronic pelvic pain, multiple specialties often are asked to evaluate these patients. This frequently results in patients being passed back and forth between various medical specialties. It therefore becomes important for primary care providers to become comfortable evaluating and managing patients with pelvic pain. Our guest for this podcast is Dr. Isabel Green, a physician from the Department of Obstetrics and Gynecology at the Mayo Clinic. We’ll discuss how to effectively evaluate patients with pelvic pain, “red flag symptoms” to watch for, useful laboratory tests to order, and common imaging studies which can be helpful in establishing a cause for the pain. We’ll also discuss the benefits of a multi-disciplinary approach to pelvic pain. Specific topics: Categorization of pelvic pain Appropriate evaluation of pelvic pain including the clinical history, physical exam, laboratory tests and imaging studies Relationship of chronic pelvic pain with other symptoms such as anxiety, depression, insomnia, and work/relationship issues Chronic pelvic pain representing a form of centralized pain Advantages of a multi-disciplinary approach to evaluating and managing chronic pelvic pain Additional resources: Chronic pelvic pain: ACOG practice bulletin, number 218. Obstet Gynecol. 2020 Mar; 135(3):e98-e109. doi: 1097/AOG.0000000000003716. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 20, 2021

Identifying and Treating Urinary Urge Incontinence

Guest: Brian J. Linder, M.D. (@brianjlinder) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Patients rarely mention urinary incontinence to us as a problem as many assume it’s a normal change of aging. However, it’s a major quality-of-life issue. Many with incontinence are reluctant to go out in public and those who do, usually know the location of all the nearby restrooms. Yet, with proper evaluation and treatment, essentially all patients can be helped, and in many cases, they can be cured. In this podcast, we’ll discuss urgency urinary incontinence, one of the most common forms of incontinence. We’ll cover the questions you should ask your patients to make a diagnosis, what evaluation you should do, and what treatment options are available. Our guest for this topic is Dr. Brian Linder, a urologist at the Mayo Clinic. Specific topics: The various types of urinary incontinence Important questions to ask patients to make a diagnosis Effective use of a voiding diary Physical exam recommendations Helpful laboratory tests When urodynamic studies are indicated Non-pharmacologic treatment options Medications useful in treating urgency incontinence Treatment options for the refractory patient Additional resource: https://www.auanet.org/guidelines/overactive-bladder-(oab)-guideline Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 13, 2021

Mayo Clinic Q&A: Summer Travel and People Not in Your Bubble During COVID-19 Pandemic

This episode is shared from Mayo Clinic Q&A and was recorded June, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) "The reason we have the COVID-19 delta variant, the reason we have the delta plus variant is because of unimmunized people who get infected," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. He adds that 99.2% of the recorded COVID-19 deaths in the U.S. are in people not vaccinated against the virus. This is why he cautions folks who may be traveling this Fourth of July holiday and throughout the summer. "You don't know what variants people are carrying, how symptomatic they are, the health of their immune system, or if they've been vaccinated," says Dr. Poland. "When you are around groups of people indoors that are not in your bubble, so to speak, I think you should still wear a proper mask." In this Mayo Clinic Q&A podcast, Dr. Poland explains why, even if you are fully vaccinated for COVID-19, you should still consider being masked in some situations. He also discusses breakthrough infections in certain subpopulations, and what that may mean for needing booster shots. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 7, 2021

Postural Orthostatic Tachycardia Syndrome (POTS) in Adult Patients

Guest: Jeremy K. Cutsforth-Gregory, M.D. (@JCGneuro) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Postural Orthostatic Tachycardia Syndrome, or POTS, is a medical condition manifested by tachycardia that occurs after standing or prolonged sitting and is often associated with symptoms such as dizziness, fatigue, and occasionally syncope. POTS can be difficult to diagnose as patients often present with a variety of vague, and what seem like unrelated, symptoms. Management of patients with POTS can be equally difficult as there’s no one treatment which is effective in all patients. However, patients with POTS often have typical symptoms and objective findings on physical exam. Once a diagnosis is made, effective treatment is available and many patients with POTS can be helped with non-pharmacologic therapy. To help us understand POTS and its management, we’ll speak with Dr. Jeremy Cutsforth-Gregory, a neurologist at the Mayo Clinic. We’ll discuss the proposed theories regarding the cause of POTS, the different types of POTS, pathologic findings in patients with POTS, and the management of patient with POTS. Specific Topics: Typical symptoms of POTS Risk factors for POTS Theories regarding the cause of POTS Description of the varieties of POTS How to diagnose POTS Pathologic and pharmacologic abnormalities related to POTS Management of patients with POTS Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 6, 2021

Regenerative Medicine Edition Ep.10: FDA Regulatory Process and Clinical Trials

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Drew M. Witter, CCRP Host: Darryl S. Chutka, M.D. (@ChutkaMD) “Stem Cell Clinics” throughout the U.S. promote stem cell therapy for a variety of health conditions including osteoarthritis, autism, macular degeneration, Parkinson’s Disease, Alzheimer’s Disease and most recently COVID-19 infections. How can our patients be assured that the regenerative medicine therapy effectively treats their health condition and the products they receive are safe? In this podcast, we discuss regulations regarding regenerative medicine, the process of obtaining FDA-approval and which regenerative medicine therapies are FDA-approved. Our guest will be Drew Witter, a Program Manager from the Office of Research and Regulatory Support at the Mayo Clinic. Specific topics discussed: Process of taking regenerative medicine from the research lab to the clinical practice How regulators ensure the safety and effectiveness of regenerative therapies The process of acquiring FDA-approval Regenerative medicine therapies that are FDA-approved How patients and clinicians learn of FDA-regulated regenerative medicine clinical trials Additional resources: Clinical Trials available at Mayo Clinic through the Center for Regenerative Medicine: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/clinical-trials U.S. National Library of Medicine: https://www.clinicaltrials.gov/ Center Watch: https://www.centerwatch.com/ Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 1, 2021

Primary Care Management of the Post-Prostate Cancer Patient

Guest: Matthew K. Tollefson, M.D. (@MattTollefsonMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Other than skin cancer, prostate cancer is the most common cancer in men in the United States and will affect 1 in every 6 men 65 years and older. Fortunately, when detected early, it is very treatable. Long-term follow-up of patients with treated prostate cancer is usually performed by primary care providers. How often should these patients be seen? How much of an exam is recommended? Which tests should be ordered? When are imaging tests indicated and which studies are the most helpful? This podcast will address these questions and more as we discuss the primary care management of the post-prostate cancer patient with Dr. Matthew Tollefson, a urologist from the Mayo Clinic. Specific topics discussed: Current treatment options for prostate cancer Determinants for choosing one of the treatment options for prostate cancer When and how often patients should receive follow-up for prostate cancer Laboratory tests recommended for the follow-up of prostate cancer patients When a detectable PSA is concerning following prostate cancer treatment Imaging studies recommended for following prostate cancer patients and when they are indicated Treatment options for recurrent prostate cancer Future treatment options for prostate cancer which have potential Additional resources: https://www.auanet.org/guidelines/advanced-prostate-cancer https://www.mayoclinic.org/diseases-conditions/prostate-cancer/symptoms-causes/syc-20353087 https://www.mayoclinic.org/medical-professionals/urology Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 29, 2021

Mayo Clinic Q&A: COVID-19 Vaccination Rates Stalling, Infections From the Delta Variant Rising

This episode is shared from Mayo Clinic Q&A and was recorded June 21, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Summer and fall are going to be a dangerous time for people in the U.S. who have not been vaccinated for COVID-19, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "I really think this exponential rise in the number of sequences that are delta must be taken seriously," says Dr. Poland. "We are seeing a surge again, in hospitalizations in the UK, because of the delta variant in people who have not been vaccinated or who only got one dose of vaccine. This is a really critical message for the public to hear because in the U.S. we are stalled in vaccination rates." In this Mayo Clinic Q&A podcast, Dr. Poland talks more about a possible COVID-19 surge and being emotionally ready for the pandemic to be over. He also answers listener questions about COVID-19 reinfection, the latest on antiviral development for COVID-19, and the latest news about COVID-19 vaccines affecting menstrual cycles and sperm quality. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 25, 2021

Regenerative Medicine Edition Ep.9: Cardiac Regenerative Therapies

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Atta Behfar, M.D., Ph.D. (@AttaBehfar) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Traditional treatment of cardiac disease, especially advanced congestive heart failure has been limited. Transplantation has potential for benefit; however, organ shortage remains a barrier. It’s anticipated that regenerative medicine will help solve this unmet need with new treatment options to repair damaged heart tissue. This podcast will discuss regenerative medicine for cardiovascular disease with Dr. Atta Behfar, a Mayo Clinic cardiologist with expertise in advanced heart failure and transplantation. We’ll review the progress made in regenerative medicine in management of cardiovascular disease, what treatment options are currently available and the potential treatment options which will become available in the future. Specific topics discussed: Regenerative potential of the cardiovascular system Current challenges in management of patients with cardiovascular disease Progress in regenerative medicine for the cardiovascular system Limitations in regenerative cardiac therapy using regenerative medicine Future potential for regenerative medicine treatment of cardiovascular disease Patients who are candidates for cardiac regenerative therapies Additional resources: Clinical Trials available at Mayo Clinic through the Center for Regenerative Medicine: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/clinical-trials U.S. National Library of Medicine: https://www.clinicaltrials.gov/ Center Watch: https://www.centerwatch.com/ Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 24, 2021

Mayo Clinic Q&A: Examining Reports of Heart Inflammation in Young People After Second COVID-19 Vaccine

This episode is shared from Mayo Clinic Q&A and was recorded June 14, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices is holding an emergency COVID-19 meeting this week to discuss COVID-19 vaccine safety as it relates to news that young people may develop myocarditis after receiving a second dose of a messenger RNA COVID-19 vaccine. Myocarditis, which is an inflammation of the heart muscle, is usually caused by a viral infection. But it can result from a reaction to a drug or be part of a more general inflammatory condition. Signs and symptoms include chest pain, fatigue, shortness of breath and arrhythmias. "There have been about 789 cases reported," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "And that can happen for a whole variety of reasons." In this Mayo Clinic Q&A podcast, Dr. Poland details the concerns about the myocarditis reports. He also discusses the latest news on the COVID-19 delta variant, and he explains what scientists are calling the "two-track pandemic." AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 23, 2021

The Sobering Statistics of Alcohol Use Disorder

Guest: Terry D. Schneekloth, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) According to the 2019 National Survey on Drug Use and Health, nearly 26% of individuals 18 and older reported that they engaged in binge drinking and slightly over 6% engaged in heavy alcohol use within the past month. Binge drinkers were 70 to 90 times more likely to have an alcohol-related emergency department visit. Based on their data from this study, they estimated that nearly 15 million people ages 12 and older had alcohol use disorder. It’s also known that those with alcohol use disorder commonly seek care from primary care providers for alcohol-related medical problems. Our guest for this podcast is Terry Schneekloth, M.D., a psychiatrist and addiction specialist at Mayo Clinic. Specific topics discussed: Definition of alcohol use disorder Risk factors for alcohol use disorder Role of genetics Questions primary care providers should ask to explore the possibility of an alcohol use disorder in patients Physical exam or lab findings which could suggest an alcohol use disorder Available treatment options and their alcohol use disorder effectiveness Additional Resources: World Health Organization (WHO). Alcohol Use Disorders Identification Test (AUDIT). 2001 November 18; https://www.who.int/publications/i/item/audit-the-alcohol-use-disorders-identification-test-guidelines-for-use-in-primary-health-care National Institute on Alcohol Abuse and Alcoholism (NIAAA). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) study: https://www.niaaa.nih.gov/research/nesarc-iii Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 22, 2021

Regenerative Medicine Edition Ep.8: Neuroregenerative Therapies

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Nathan Staff, M.D. (@NathanStaffMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The cells in our nervous system are extremely specialized, especially those in the brain. Unfortunately, nervous tissue does not have a great potential to regain function once it is lost. Exciting research is being done in the field of neuro-regenerative medicine which will give hope for improvement to those with chronic neurodegenerative disease or nerve damage from injury. Dr. Nathan Staff, a Mayo Clinic neurologist, joins us regarding the challenges with the current management of chronic neurodegenerative diseases and the future potential for treating such conditions as Parkinson’s Disease, Alzheimer’s Disease, ALS and other neurodegenerative disease with regenerative medicine therapies. Specific topics discussed: Current research in regenerative medicine treatment for chronic neurodegenerative disease Currently used regenerative medicine in neurologic conditions New treatment options on the horizon for chronic neurodegenerative disease using regenerative medicine therapy Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 17, 2021

The Agony of Da Feet – Assessing Foot and Ankle Pain and Injury

Guest: Daniel B. Ryssman, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Generally, we take our feet for granted. It’s not unusual for a person to take 8- to 10-thousand steps per day. That translates to over 115,000 miles in a lifetime. By the time we reach 70 years old, the average person will have walked the equivalent of 4 times around the globe. Yet, we stop taking our feet for granted when they hurt, and it’s estimated that 75% of Americans will experience foot problems of varying degrees of severity during their lifetime. In this podcast, we’ll discuss foot and ankle pain with Daniel Ryssman, M.D., an orthopedist and sports medicine physician from Mayo Clinic. We’ll review some of the common injuries to the ankle such as sprains and fractures as well as common chronic conditions of the foot such as plantar fasciitis and bunions. Dr. Ryssman delves into the best ways to prevent, diagnose, and treat these conditions as well as what, if any, imaging to order. Specific topics discussed: Ankle sprains Ankle fractures Achilles’ tendon rupture Plantar fasciitis Bunions Metatarsalgia Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 15, 2021

COVID-19 Miniseries Episode 75: Mayo Clinic Q&A – A Dangerous Phase of the COVID-19 Pandemic for Those who are Unvaccinated

This episode is shared from Mayo Clinic Q&A and was recorded June, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) If you've been vaccinated for COVID-19, you're able to go shopping, eat in restaurants and travel on airplanes without the same worry of becoming infected with COVID-19 that existed just months ago. But for those who are unvaccinated, getting infected with COVID-19 — even with just minor symptoms — should be a concern, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "For those who have been vaccinated, life is resuming back to a sense of normalcy," says Dr. Poland. "But for the unvaccinated, they now live in a dangerous phase of the pandemic, where we're seeing circulating variants that are much more transmissible and may cause worse cases of the disease than what happened last year at this time. I think the people who are unvaccinated may not realize that." In this Mayo Clinic Q&A podcast, Dr. Poland also offers information on more COVID-19 studies underway and he talks about COVID-19 vaccine research protocols that will be able to help scientists with other vaccine research, such as HIV vaccine research. Also, he answers listener questions, such as, "Does someone who has already been infected with COVID-19, really need to be fully vaccinated for COVID-19 or would just a booster be needed?" AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 11, 2021

Regenerative Medicine Edition Ep.7: Preventing Osteoarthritis of the Knee

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Daniel Saris, M.D., Ph.D. (@sarisnl) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Osteoarthritis of the knee is extremely common, and it’s estimated that 1 in 2 people are likely to develop symptomatic knee osteoarthritis in their lifetime. Its known that damaged cartilage is the precursor to osteoarthritis. Many individuals have had partial or complete meniscectomies for meniscal tears in the past and those individuals were then likely to eventually develop knee osteoarthritis. What if damaged cartilage was repaired instead of surgically removed? Could that be an effective treatment recommendation we could give to our patients to help prevent or treat osteoarthritis? Our podcast guest today is Dr. Daniel Saris and he has some fascinating information related to cartilage damage and repair using regenerative medicine techniques. Specific topics discussed: How meniscal damage relates to osteoarthritis Ability of cartilage to repair itself when damaged Repairing a damaged meniscus instead of a partial or complete meniscectomy Specific techniques of repairing cartilage Success in treating patients with cartilage repair Future treatment options for osteoarthritis using regenerative medicine Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 10, 2021

COVID-19 Miniseries Episode 74: The World is Flat – Addressing Anosmia in Post-COVID Patients

Guest: Erin K. O'Brien, M.D. (@ErinOBrienMD) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Erin O’Brien, M.D., division chair of Rhinology in Rochester, MN, joins us again to provide an evidence-based update on anosmia and its prevalence in post-COVID patients. She reviews the postulated mechanism by which anosmia occurs in this group of patients, and how this effects patients’ safety, mental health, and overall wellbeing. Dr. O’Brien also gives an overview of treatment options, such as various methods of olfactory training, and what physicians need to know when counseling their patients with post-COVID anosmia. Additional resources: Video on olfactory training: https://www.youtube.com/watch?v=Qrr0so6pFOs Abscent – resources for patients with anosmia: https://abscent.org/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 8, 2021

Regenerative Medicine Edition Ep.6: New Options for Treating Musculoskeletal Pain

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Shane A. Shapiro, M.D. (@ShaneShapiroMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Musculoskeletal pain is extremely common and when severe, patients often gain significant benefit from joint replacements. However, until our patients reach the point where surgery is an option, our efforts to help patients with the chronic joint pain often leave much to be desired. A relatively new treatment approach has appeared in the past decade, musculoskeletal regenerative medicine. But does the research back up the numerous claims of benefit? This podcast will review the current treatment options available and future potential of regenerative medicine for musculoskeletal problems with Dr. Shane Shapiro, a sports medicine physician in the Department of Orthopedics at the Mayo Clinic. We’ll discuss the current regenerative products and therapies available to optimize patient outcomes, potential adverse effects of the therapies and the numerous claims by many clinicians regarding the benefit potential for regenerative medicine in musculoskeletal disease. Specific topics discussed: Challenges of currently available traditional treatment for musculoskeletal conditions Benefits of stem cell injections for osteoarthritis Potential adverse effects of stem cell injections Currently available regenerative medicine therapies that have shown benefit to patients Validity of the many claims made by clinicians regarding the benefits of stem cell injections Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 3, 2021

Watching Out for Loperamide Abuse

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Opioid abuse remains a significant problem, and as law enforcement and regulatory agencies tighten access to prescription analgesics, individuals are seeking alternatives. It’s been discovered that when taken at very high doses, loperamide can produce similar effects to the opioid analgesics and the drug is inexpensive when compared to the price of both illicit and prescription opioids. As a result, loperamide abuse has become a significant problem. In this episode we discuss loperamide abuse with Tyler Oesterle, M.D., M.P.H., a psychiatrist at Mayo Clinic’s Rochester campus. We’ll review the typical central nervous system effects of high dose loperamide and the associated safety issues. Specific topics: Current status of the opioid crisis in the U.S. Effects of loperamide in both therapeutic and excessive doses Reasons behind taking high dose loperamide in excessive doses Safety issues associated with high dose loperamide Potential of high dose loperamide leading to drug dependence Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 1, 2021

COVID-19 Miniseries Episode 73: Mayo Clinic Q&A – Dissecting COVID-19 Research and Putting Data in Perspective

This episode is shared from Mayo Clinic Q&A and was recorded May 24, 2021. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The number of COVID-19 cases, hospitalizations and deaths in the U.S. continues to decline. However, cases of COVID-19 are increasing in younger populations. "It's becoming a childhood disease," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Children have composed over 16,000 hospitalizations for COVID-19 and about 300 have died." Meanwhile, each day brings fresh research news, including updates on possible side effects of the COVID-19 vaccines. "We're collecting information as we go and have data on about 4.5 million people now," says Dr. Poland. "That's larger than we would have for any other vaccine." In this Mayo Clinic Q&A podcast, Dr. Poland expands on these latest news items and puts the data in perspective. He also discusses vaccination rates, the possibility of mixing and matching vaccines for COVID-19 boosters, vaccination rates, and much more. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 28, 2021

Regenerative Medicine Edition Ep.5: The Mission for Fluency and Safeguarding Patients from Stem Cell Tourism

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Saranya Wyles, M.D. (@SWylesMDPhD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Much of regenerative medicine is relatively new and some of the future treatment capabilities have the potential to significantly change the way we practice medicine. How do you educate established clinicians as well as clinicians in training regarding this new practice? How do you educate the general public which has been misled by a variety of false claims regarding which medical conditions regenerative medicine can currently effectively treat? This podcast discusses how a relatively new medical field puts together an education program to inform others of its potential. Our guest is Saranya Wyles, M.D., a resident in the Department of Dermatology who has considerable experience in regenerative medicine education. Specific topics discussed: Specific groups who need educating regarding the capabilities of regenerative medicine The importance in training the medical workforce regarding regenerative medicine What regenerative medicine means for the next generation of healthcare providers How to incorporate regenerative medicine concepts into an established medical school curriculum How to educate more advanced learn years such as residents and healthcare providers Obtaining an advanced degree in the field a regenerative medicine Additional resources: International Society for Stem Cell Research (ISSCR): https://www.isscr.org/ The ISSCR Patient Handbook on Stem Cell Therapies: https://www.closerlookatstemcells.org/patient-resources/ Regenerative medicine curriculum for next-generation physicians: https://www.nature.com/articles/s41536-019-0065-8 Digital regenerative medicine and surgery pedagogy for virtual learning in the time of COVID-19: https://www.futuremedicine.com/doi/full/10.2217/rme-2020-0106 Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 27, 2021

COVID-19 Miniseries Episode 72: Mayo Clinic Q&A – Guidelines and Nuances of Wearing a Face Mask

This episode is shared from Mayo Clinic Q&A and was recorded in May, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Recent COVID-19 masking guidelines announced by the Centers for Disease Control and Prevention, continue to generate a public conversation. "The decision about masking needs to be nuanced," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Wearing a mask should be based on the risk of infection, the percentage of the population vaccinated, a person's own immune system, and then the role of vaccine variants with the durability of our immune response." In this Mayo Clinic Q&A podcast, Dr. Poland discusses masking guidelines in further detail. Also, he offers an update on COVID-19 vaccine research for children, and he shares positive news about the decreasing numbers of COVID-19 cases and deaths. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 26, 2021

The M.I.A.M.I. Approach to Deciphering Lymphadenopathy

Guest: Carrie A. Thompson, M.D. (@CaThompsonMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s common for a patient to see their primary care provider after they’ve discovered an enlarged lymph node and they’re usually concerned that it represents a serious illness. Fortunately, in most cases it’s due to a benign cause and most patients can be reassured once we perform a careful history and physical examination. However, on occasion lymphadenopathy can represent serious disease. Carrie Thompson, M.D. a hematologist, at Mayo Clinic’s Rochester campus joins us to discuss how to tell when lymphadenopathy is due to a benign or serious cause. We’ll review the characteristics of both benign and malignant lymph nodes and the evaluation which should be done both for an enlarged solitary lymph node as well as generalized lymphadenopathy. Specific topics discussed: Prevalence of malignancy in patients who seek a medical evaluation for lymphadenopathy Categories of disease which can have associated lymphadenopathy Characteristics of benign and malignant lymph nodes Diagnostic approach for a solitary enlarged lymph node Diagnostic approach or multiple or generalized lymphadenopathy Fine needle aspirate vs. excisional biopsy for evaluation of lymphadenopathy Additional resources: Gaddey, HL. Riegel, AM. Unexplained lymphadenopathy: evaluation and differential diagnosis. Am Fam Physician.2016 December 1; 94(11): 896-903. https://www.aafp.org/afp/2016/1201/p896.html Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 25, 2021

Regenerative Medicine Edition Ep.4: The Curative Potential of Immunotherapy

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Saad J. Kenderian, M.B., Ch.B. (@kenderian_ss) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Regenerative immunotherapy is a treatment that uses the power of our own immune system to fight malignancy. It can include targeted antibodies, cancer vaccines, or tumor infecting viruses to name a few. Some immunotherapy treatments use genetic engineering to enhance our immune cell’s cancer fighting properties and can be used in combination with more traditional treatments including surgery, chemotherapy, or radiation. It’s FDA-approved as a first line treatment of multiple cancers and may also be effective in the management of malignancies that have been resistant to more traditional therapy. This podcast will address regenerative immunotherapy with Dr. Saad Kenderian, a hematologist at the Mayo Clinic. We’ll review the relationship between cancer and our immune system, how we can use our immune system to treat malignancy and which malignancies which have shown the best responses to regenerative immunotherapy. Specific topics discussed: Relationship between cancer and our immune system How we can use our body’s immune system to fight malignancy Malignancies which can be currently be effectively treated with regenerative immunotherapy Malignancies which have had the best responses to regenerative immunotherapy Limitations in regenerative immunotherapy Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 20, 2021

Identifying Breast Cancer in Men

Guest: Kathryn J. Ruddy, M.D. (@KathrynRuddyMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Breast cancer in men is very uncommon, about 1/100th as common as in women. It’s expected that this year, just under 3000 men are likely to be diagnosed with it, and just over 500 men will die from breast cancer. Because it’s so uncommon, there are very few good studies which have been completed to educate us about this disease. Kathryn Ruddy, M.D., an oncologist at Mayo Clinic’s Rochester campus joins us to discuss breast cancer in men and what we should do as primary care clinicians to care for our male patients who may be at increased risk to develop it. We’ll cover how breast cancer in males differs from that in females, its risk factors, how it’s diagnosed, and the survival rates of men with a diagnosis of breast cancer. Specific topics: Prevalence of breast cancer How most breast cancers in men are found The recommended evaluation of a male patient with suspected breast cancer Risk factors for breast cancer in men Treatment for male breast cancer Survival rates for breast cancer in men Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 18, 2021

Regenerative Medicine Edition Ep.3: Perspectives in Reconstructive Surgery

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Richard E. Hayden, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Currently reconstructive surgery involves taking the patient’s tissue from one area of their body and using it elsewhere to rebuild diseased or damaged tissue. Regenerative reconstructive surgery will allow the patient to grow their own replacement tissue from stem cells. This has incredible potential for allowing significantly better reconstructive surgical results. Currently regenerative reconstructive surgery is in its infancy, however in the next several years this should develop into a new standard of care for patients who need reconstructive surgery. This podcast features Dr. Richard Hayden, a reconstructive surgeon/otolaryngologist. We discuss the future of reconstructive surgery using regenerative medicine techniques, the difficulties in enabling patient access to regenerative therapies, the education that’s needed for not only providers but also for patients, and the future of regenerative reconstructive surgery. Specific topics discussed: Role regenerative medicine plays and reconstructive surgery Importance in adopting and delivering regenerative care Challenges in current standard of care approaches in reconstructive surgery Difficulties enabling patient access to regenerative therapies Educational needs in regenerative reconstructive surgery The future of regenerative reconstructive surgery Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 13, 2021

What You Need to Know About Eustachian Tubes and Tonsils

Guest: Laura J. Orvidas, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Tonsils and eustachian tubes often get taken for granted until they cause problems. Eustachian tube dysfunction is quite common and usually resolves on its own, however some patients will develop recurrent eustachian tube dysfunction and it can result in recurrent episodes of otitis media, especially in children. Although recurrent tonsillitis used to be the most common indication for tonsillectomy, more children are having this procedure for disordered breathing conditions, such as obstructive sleep apnea. In this episode, we’ll discuss disorders of the eustachian tube and tonsils with Laura J. Orvidas, M.D., an otolaryngologist at the Mayo Clinic. Specific topics discussed: Purpose of the eustachian tube Definition of eustachian tube dysfunction Physical exam findings of eustachian tube dysfunction Recurrent eustachian tube dysfunction in children and potential for recurrent episodes of otitis media When pressure equalization tubes are indicated Relationship between pharyngitis and tonsillitis Viral versus bacterial causes of tonsillitis How to suspect a peritonsillar abscess Indications for tonsillectomy Management of tonsil stones Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 11, 2021

COVID-19 Miniseries Episode 71: Mayo Clinic Q&A – Ramping up COVID-19 Vaccination Rate in Race Against Virus

This episode is shared from Mayo Clinic Q&A and was recorded in May 2021. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: DeeDee Stiepan (@deedeestiepan) COVID-19 cases are falling in the U.S. because 245 million doses of one of the available COVID-19 vaccines have been administered, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "But at the same time, there are still people who need more information about the safety and the value of getting a COVID-19 vaccine," says Dr. Poland. While still hopeful, Dr. Poland says he's concerned herd immunity won't be reached in the U.S. through vaccination. And that will mean more tragic deaths due to COVID-19 infection. "My guess is, because we're such an interconnected global community until everybody's safe, none of us are safe. And we're going to likely see continued circulation of the virus, and that virus will seek out whoever is not immune," says Dr. Poland. In this Mayo Clinic Q&A podcast, Dr. Poland also addresses when we will need COVID-19 vaccine boosters will be needed and the latest on masking guidelines from the Center for Disease Control and Prevention. Plus, he will provide an update on COVID-19 treatments and how to handle those who want to visit a newborn baby. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 7, 2021

Regenerative Medicine Edition Ep.2: Between Hype and Hope – What’s Really Possible?

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Dennis Wigle, M.D., Ph.D. (@DrWigle) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Regenerative Medicine has some amazing capabilities and in the near future, it’s likely to significantly change how we practice medicine. It faces some challenges in educating both the medical community as well as the general public regarding its current realistic capabilities. There are many unsubstantiated claims made by practitioners to the public regarding the benefits of regenerative medicine therapy. We’ll discuss how the true potential of regenerative medicine is conveyed to both clinicians and the public with Dr. Dennis Wigle, a thoracic surgeon and chair of the Division of General Thoracic Surgery at the Mayo Clinic. We’ll discuss some of the common misperceptions of regenerative medicine and how a consultation service can educate both the public and medical community regarding the benefits of regenerative medicine. Specific topics discussed: How to provide education to the public and the medical community When and why the regenerative consultation service was formed How the regenerative medicine consultation service works Common misperceptions community regarding the realistic benefits of regenerative medicine Additional resources: For more information about Mayo Clinic’s Regenerative Medicine Consult Service, visit: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/regenerative-medicine-consult-service Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 6, 2021

Regenerative Medicine Edition Ep.1: Transforming Care Towards Curative Solutions

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline Guest: Fredric B. Meyer, M.D.; Andre Terzic, M.D., Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Imagine a patient who has suffered a massive myocardial infarction leaving a significant amount of damaged and non-functioning ventricular myocardium. Treatment for this patient’s subsequent congestive failure does not involve diuretics and beta blockers but rather an injection of the patient’s modified stem cells into surrounding viable ventricular myocardium resulting in the regeneration of new, functioning myocardial cells restoring the cardiac output. This is not science fiction but represents ongoing work by investigators in Regenerative Medicine. This week’s podcast will explore this amazing field of medicine which has the potential to change how medicine is practiced. We’ll discuss the origins of regenerative medicine, what currently be done in regenerative medicine as well as the potential for the future. Our guests today are Andre Terzic, M.D., Ph.D., director of the Mayo Clinic Center for Regenerative Medicine and Fredric B. Meyer, M.D., a neurosurgeon and the Executive Dean for Education at the Mayo Clinic. Specific topics discussed: When the field of regenerative medicine began Which current medical conditions can currently be managed with regenerative medicine How to determine which patients have potential for regenerative medicine therapies Additional educational opportunities from Mayo Clinic: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/education https://college.mayo.edu/academics/biomedical-research-training/phd-program/tracks/regenerative-sciences/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 4, 2021

Mayo Clinic Q&A: COVID-19 Vaccine Confidence and the Importance of That Second Dose

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) While the number of people being vaccinated for COVID-19 is dropping, the Centers for Disease Control and Prevention and other medical experts continue to strongly encourage people to get vaccinated for COVID-19. And that means that those who are being vaccinated with the Moderna and Pfizer COVID-19 vaccine should get their first and second doses on schedule. “About 8% of people who got their first dose have not returned for the second dose and this is concerning when you're getting close to 1 in 10," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "When you measure in the short term, one dose in a healthy person offers about 80% protection. But that's not 95% protection, like you get after two doses." In this Mayo Clinic Q&A podcast, Dr. Poland expands on why people need that second COVID-19 vaccine dose and he talks about whether people should mix and match the different COVID-19 vaccines for their second dose. He also speaks about the status of COVID-19 vaccines for young people, and he addresses listener questions about traveling, being together after vaccination, and the latest rise of additional COVID-19 variants. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 29, 2021

Fact or Fiction: Erectile Dysfunction Treatments

Guest: Tobias S. Kohler, M.D., M.P.H. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Erectile dysfunction not only causes lifestyle changes, but it may also be the first symptom of peripheral vascular disease. Since many men are reluctant to mention erectile dysfunction to their healthcare provider, it’s important for us to ask our patients whether it is a problem and be knowledgeable in the appropriate evaluation of patients who have it. This reluctance may cause many to seek out readily available but ineffective treatments from questionable sources, even though there are a variety of proven, effective treatments that can be prescribed. Tobias S. Kohler, M.D., M.P.H., a Mayo Clinic Urologist, joins us to discuss the impact of erectile dysfunction, the currently available effective treatments, as well as the unproven, ineffective products currently being used. Specific topics discussed: The first historical appearance of treatments for erectile dysfunction Most common causes of dysfunction Appropriate evaluation of patients who present with erectile dysfunction Review of the currently available effective treatment options Reasons men are reluctant to mention the topic of erectile dysfunction to their provider Review of some ineffective treatments currently being promoted Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 27, 2021

COVID-19 Miniseries Episode 70: Mayo Clinic Q&A – Breakthrough COVID-19 Infections and Booster Vaccines

This episode is shared from Mayo Clinic Q&A and was recorded on April 19, 2021. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group says COVID-19mutations and the virus spread are happening because of people who don't wear masks, who don't get vaccinated and who don't adhere to safety recommendations. "I believe that we should be radically transparent and honest," says Dr. Poland. "The more time this virus passes through one person after another, the more likely it continues to mutate. As a result of those mutations, two things are happening. Some of the mutations are making vaccines and plasma monoclonal antibodies less effective. The other thing is that the virus will likely become something that we have to live with for the rest of our lives." Dr. Poland reminds people that vaccine protection is not 100%. Breakthrough infections can occur. "Remember that in the clinical trials, 95% means that compared to unvaccinated people, your risk is reduced by 95% — not 100%," he says. "You might have a mild case of COVID-19,but you can still spread it to others, including those who are immune compromised, such as cancer patients. That's why we continue to wear masks until we get very widespread immunization." In this Mayo Clinic Q&A podcast, Dr. Poland talks more about breakthrough infections and the Johnson & Johnson COVID-19 vaccine pause, and he answers listeners' questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 22, 2021

Mayo Clinic Q&A: On the Verge of Another COVID-19 Surge

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) As spring break travelers return home and the highly transmissible U.K. COVID-19 variant is discovered in all 50 U.S. states, the country is on the verge of a fourth COVID-19 pandemic surge. That's according to a number of health experts, including Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. However, Dr. Poland says there is some good news related to the transmission of COVID-19 on surfaces. "Wisdom resides in changing your mind and your recommendations as new data and science becomes available," says Dr. Poland. "What the Centers for Disease Control and Prevention is doing is modifying those guidelines, saying that the risk of touching a contaminated surface and then getting infected is very low." In this Mayo Clinic Q&A podcast Dr. Poland explains more about the CDC guidelines and he addresses other COVID-19 topics in the news, including recent data that says men are more vaccine-hesitant than women. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 21, 2021

Utilizing Artificial Intelligence to Evaluate Dizziness

Guest: Devin L. McCaslin, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Being dizzy means different things to different patients and most patients find dizziness difficult to describe. Providers find it difficult to evaluate patients with dizziness and also which specialties can be asked for help in managing the dizzy patient. Dr. Devin McCaslin is the Director of the Vestibular and Balance Laboratory at the Mayo Clinic and an expert in evaluating the dizzy patient. He will discuss such topics as the role of vestibular balance laboratory testing in assessing patients, the most common findings from these evaluations, the multi-disciplinary approach to evaluating patients with dizziness, and how artificial intelligence is being used in the evaluation of a patient complaining of dizziness. Specific Topics Discussed: The multi-disciplinary approach to evaluating patients complaining of dizziness. Most common findings in the evaluation of a patient with dizziness. The role of vestibular balance laboratory testing in assessing patients who are candidates for these tests. How artificial intelligence is being used in the evaluation of patients with dizziness. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 20, 2021

Mayo Clinic Q&A: Vacation Travel, Vaccines for Teens and More COVID-19 News

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) If you're fully vaccinated for COVID-19 you can travel domestically and where travel is allowed internationally, according to new interim travel guidelines from the Centers for Disease Control and Prevention (CDC). Even with those recommendations the CDC continues to recommend not traveling unless it is essential. Regardless, the CDC strongly recommends people continue to wear a face mask, practice social distancing and sanitize their hands. Meanwhile, COVID-19 vaccine research is continuing in teenagers. "The early data show equal safety in young people aged 12 to 16," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "I think this is going to imply that, somewhere between this fall and Christmas, we're going to be able to offer the (COVID-19) vaccine to every age group." In this Mayo Clinic Q&A podcast, Dr. Poland answers a number of listener questions, including how long the COVID-19 vaccines are predicted to last and if the current transmission research still supports wiping down household items. Dr. Poland also explains why someone who has had COVID-19 should still get a COVID-19 vaccine. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 19, 2021

This Podcast Will Make Your Head Spin

Guest: Scott D. Eggers, M.D. (@sdze) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The complaint of dizziness is a common symptom our patients experience. It has a variety of causes; fortunately, most of them are benign. Despite the fact we frequently see patients with this medical concern, we still struggle evaluating them. Part of the difficulty is that dizziness means different things to different people and the cause of dizziness can be caused by disorders in one of several organ systems. To help us evaluate dizziness, Dr. Scott Eggers, a neurologist at the Mayo Clinic, reviews why dizziness is so difficult to evaluate and how we should evaluate a patient who complains of dizziness. We also explore the most common causes of dizziness including benign positional vertigo and vestibular neuritis. Finally, Dr. Eggers reviews symptoms that are suspicious for an ominous cause of dizziness. Specific topics discussed: Why dizziness is difficult to evaluate How to evaluate the complaint of dizziness Most common causes of dizziness Dizziness symptoms which are ominous for serious disease Description of benign positional vertigo Description of vestibular neuritis Description of vestibular migraines Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 13, 2021

COVID-19 Miniseries Episode 69: Post-Acute COVID-19 and Central Sensitization

Central sensitization (CS) describes pathophysiologic changes in the central nervous system, including alterations in neurochemistry, CNS receptors, endogenous opioid system hyperactivity, cytokine and HPA axis dysregulation, and sympathetic hyperactivity. Collectively, these changes result in amplification of pain and sensory signals, leading to widespread pain, fatigue and other sensory sensitivities. Fibromyalgia and Chronic Fatigue Syndrome are established diagnoses/manifestations of central sensitization. In the era of the COVID-19 pandemic, we continue to learn about Post-Acute COVID-19 Syndrome, a manifestation of central sensitization similar to other post-infectious forms of CS, which underlies the persistent symptoms that many people experience after initial recovery from COVID-19. Elizabeth C. Wight, M.D. joins us to talk about Mayo Clinic’s treatment approach to central sensitization, which is rooted in empowering patients with education and a framework for a self-management program. This includes stress management, moderation, positive thinking, decreasing focus on symptoms, sleep hygiene, and Cognitive Behavioral Therapy among others. Additional resources: Post-COVID Recovery on Mayo Clinic Connect: https://connect.mayoclinic.org/page/post-covid-recovery/ Mayo Clinic’s “A Systematic Approach to Medically Unexplained Symptoms 2021” course can be found at https://ce.mayo.edu/internal-medicine/content/systematic-approach-medically-unexplained-symptoms-2021#group-tabs-node-course-default1 Clauw DJ. Fibromyalgia: A clinical review. JAMA. 2014;311(15):1547-1555. doi:1001/jama.2014.3266 Clauw DJ. Fibromyalgia and related conditions. Mayo Clin Proc. 2015 May;90(5):680-92. https://doi.org/10.1016/j.mayocp.2015.03.014 Harte, SE, Harris, RE, Clauw, DJ. The neurobiology of central sensitization. J Appl Behav Res. 2018; 23(2): e12137. https://doi.org/10.1111/jabr.12137 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 6, 2021

Your Patient Has a Thyroid Nodule – What Now?

Guest: Jan L. Kasperbauer, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Thyroid nodules are commonly found in patients by primary care providers, either by physical exam or incidentally by a variety of imaging studies. Fortunately, the vast majority of thyroid nodules are benign, however as primary care providers we need to be comfortable in evaluating them to rule out the possibility that they represent a thyroid cancer. Joining us is Dr. Jan Kasperbauer, an otolaryngologist at the Mayo Clinic. We discuss risk factors for thyroid cancer, how a primary care provider should evaluate and manage patients with thyroid nodules, various types of thyroid cancer, and treatment options as well as the recommended follow-up for patients with thyroid cancer. Specific topics discussed: Risk factors for thyroid cancer Detecting thyroid cancers How primary care provider should evaluate and manage patients with thyroid nodules Review of the various types of thyroid cancer Treatment options for thyroid cancer Recommendations for primary care providers in following patients with treated thyroid cancer Additional resources: Classification for risk stratification and follow up recommendations: Grant, EG, et al. Thyroid ultrasound reporting lexicon: white paper of the ACR thyroid imaging, reporting and data system (TIRADS) committee. J Am Coll Radiol. 2015 Dec; 12(12): 1272-1279. doi: https://doi.org/10.1016/j.jacr.2015.07.011 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 30, 2021

Mayo Clinic Q&A: Viruses Cannot Mutate If They Cannot Replicate

This episode is shared from Mayo Clinic Q&A and was recorded in March, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The COVID-19 virus mutates and replicates when people let down their guard and don't follow safety protocols, such as practicing social distancing and wearing a mask. "I think most of us expect a major surge because of spring break travel and the relaxation of restrictions," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "And the sort of COVID fatigue that all of us feel, in one way or another." In this Mayo Clinic Q&A podcast, Dr. Poland addresses the potential of a fourth COVID-19 surge, new information regarding the COVID-19 vaccines for pregnant women and he discusses research for next generation vaccines for COVID-19 variants. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 26, 2021

COVID-19 Miniseries Episode 68: Skin Integrity in Patients with COVID-19

Guest: Jennifer L. Elmer, APRN, CNS, D.N.P.; Brianna M. Skrukrud, APRN, C.N.P. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Pressure injuries in bedridden patients present significant challenges, which are compounded in the patient with a COVID-19 diagnosis. In this episode we discuss the problems encountered in preventing, diagnosing, and managing skin alterations in patients with COVID-19. Jennifer L. Elmer, APRN, CNS, D.N.P. and Brianna M. Skrukrud, APRN, C.N.P., two wound care experts at Mayo Clinic, discuss situations in which, despite best efforts, pressure injuries are unavoidable and why COVID-19 poses a great risk for skin alterations in hospitalized patients. They also discuss the 2020 position statement of National Pressure Injury Advisory Panel (NPIAP) on the management of skin alterations during the COVID-19 crisis. Additional resources: Unavoidable Pressure Injury during COVID-19 Pandemic: A Position Paper from the National Pressure Injury Advisory Panel https://cdn.ymaws.com/npiap.com/resource/resmgr/white_papers/Unavoidable_in_COVID_Pandemi.pdf Skin Manifestations with COVID-19: The Purple Skin and Toes that you are seeing may not be Deep Tissue Pressure Injury https://cdn.ymaws.com/npiap.com/resource/resmgr/white_papers/COVID_Skin_Manifestations_An.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 23, 2021

Mayo Clinic Q&A: Rapid Pace of COVID-19 Vaccinations

This episode is shared from Mayo Clinic Q&A and was recorded in March 2021. Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: DeeDee Stiepan (@deedeestiepan) Millions of people in the U.S. are being vaccinated for COVID-19. However, discussion is ongoing as to whether people who are immunocompromised, such as patients undergoing cancer treatment, or people who have autoimmune diseases, should be vaccinated for COVID-19. "Both of those categories (of people) should be vaccinated," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Those are not contraindications. Those are indications to get the vaccine." He adds that research is ongoing, but current information demonstrates the benefits far outweigh the theoretical risks. In this Mayo Clinic Q&A podcast, Dr. Poland talks about vaccine hesitancy, and patients who are immunocompromised or have autoimmune conditions. Also, he discusses next steps in the journey to vaccinate children for COVID-19. And he reviews recent guidance from the Centers for Disease Control and Prevention Control about in-person gatherings. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 19, 2021

Can We Prevent Suicide?

* WARNING: This episode discusses suicide and suicidal ideation. * Guest: J. Michael Bostwick, M.D.(@DrBostwick) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) In this episode, professor of psychiatry and international authority on suicide risk and challenges in suicide prevention, J. Michael Bostwick, M.D. from Mayo Clinic in Rochester joins us. He’ll discuss epidemiological-based research looking at the utilization patterns of medical care by individuals who have contemplated or committed suicide. Dr. Bostwick will describe the concept of suicide crisis including risk factors, current events/warning signs, and mental status/agitation. He’ll also explain self-agency, stigma of discussing mental illness, potential value-based societal approach to individuals in distress and despair, and potential solutions to the suicide prevention. Additional resources: Suicide Prevention in Primary Care Medicine; Huguet, Nathalie et al.; Mayo Clinic Proceedings, Volume 90, Issue 11, 1459 – 1461; https://doi.org/10.1016/j.mayocp.2015.09.011 Grappling With Suicide Risk; Sublette, M. Elizabeth; Mayo Clinic Proceedings, Volume 93, Issue 6, 682 – 683; https://doi.org/10.1016/j.mayocp.2018.04.006 Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew; Bostwick, J. Michael et al.; Amer Journal of Psychiatry; Volume 173, Issue 11, November 01, 2016, 1094-1100; https://doi.org/10.1176/appi.ajp.2016.15070854 If you're feeling overwhelmed by thoughts of not wanting to live or you're having urges to attempt suicide, get help now. Call 911 or your local emergency number immediately. Call a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-8255 any time of day — press "1" to reach the Veterans Crisis Line or use Lifeline Chat. For a list of suicide hotline numbers outside of the U.S., visit: https://www.opencounseling.com/suicide-hotlines Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 18, 2021

Mayo Clinic Q&A: “Brain Fog” is a Lingering Condition for Many COVID-19 Long-Haulers

This episode is shared from Mayo Clinic Q&A and was recorded in March, 2021. Guest: Billie A. Schultz, M.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Fatigue and what's being called "brain fog" are turning out to be some of the most common issues for long-hauler patients recovering from COVID-19. The National Institutes of Health calls these and other symptoms, which can last for several months, post-acute sequelae of SARS-CoV-2, or PASC. Those suffering from brain fog may experience short-term memory loss, confusion, difficulty concentrating, or just feeling different than they did before they had COVID-19, even if it was a mild case of the infection. And Dr. Billie Schultz, a Mayo Clinic physical medicine and rehabilitation expert, says, though older patients more often to have these symptoms more often, younger people are also showing up with brain fog. In this Mayo Clinic Q&A podcast, Dr. Schultz says brain fog seems to be more inflammatory than infection, but there are more questions than answers about this neurological concern. Meanwhile, efforts are underway to develop rehabilitation programs to help patients recover. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 17, 2021

COVID-19 Miniseries Episode 67: Finding a Solution for Every Long-Hauler

Guest: Ravindra Ganesh, M.B.B.S., M.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) It has been estimated that as many as 10-30% of patients who have recovered from COVID-19 have an array of symptoms, ranging from minor to disabling, that persist more than four weeks post-COVID infection. These symptoms have not only been identified in patients who had severe symptoms of COVID-19 requiring intensive care unit treatment, but also those who only experienced mild-to-moderate symptoms. The exact cause of this state, most popularly called post-COVID long hauler syndrome, is still under investigation. The symptoms range from mild to disabling fatigue, body aches, atypical chest pain, loss of sense of taste and smell, brain fog, among others and many of these patients need additional evaluation and management to deal with their disabling symptoms. In this podcast Dr. Ravindra Ganesh, the consultant in General Internal Medicine who leads the COVID Frontline Care Team (CFCT) efforts, as well as the Post-COVID Clinic, at Mayo Clinic Rochester, discusses the array of symptoms, management strategies, and research possibilities, as well as opening of an upcoming clinic in Mayo Clinic Rochester that would address the concern of the patient's and deal with the post COVID long hauler symptoms Additional Resources: Post-COVID Syndrome on Ask Mayo Expert: https://askmayoexpert.mayoclinic.org/ To refer a patient to or request an appointment at Mayo Clinic, visit: https://www.mayoclinic.org/appointments Post-COVID Recovery on Mayo Clinic Connect: https://connect.mayoclinic.org/page/post-covid-recovery/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 16, 2021

Clostridium Difficile Infection: You Want to Transplant What?!

Guest: Maria I. Vazquez Roque, M.D. (@MVazquezRoqueMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Clostridium difficile is a toxin-producing bacterium that can result in a severe form of antibiotic-associated diarrhea known as clostridium difficile infection or CDI. Cases can vary from mild diarrhea to severe colitis that at times can be fatal. There’s been a dramatic increase in the number as well as severity of CDIs in the U.S. over the past 20 years. Although CDI typically occurs following the use of antibiotics, it can also be spread from one individual to another, especially in hospitals and skilled nursing facilities. Antibiotics have been the traditional treatment for patients with CDI, however recurrent symptoms have been a problem. There’s now a new treatment for CDI, felt to be effective in over 90% of patients with the illness. Our guest to discuss this topic is Dr. Maria Vazquez Roque, a gastroenterologist at the Mayo Clinic. We’ll review the common presenting symptoms, laboratory tests needed to establish a diagnosis, and the current recommendations for treatment including the latest of fecal transplantation. Additional resources: Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA): https://doi.org/10.1093/cid/cix1085 Specific topics discussed: The typical presentation of C. difficile infection Patients who are at increased risk for a C. difficile infection Laboratory tests to order to confirm a case of C. difficile infection Treatment options for C. difficile infection including fecal transplantation Potential benefit of probiotics for preventing a C. difficile infection Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 9, 2021

Mayo Q & A: COVID-19 Variants and the Evolving Science

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) People may be curious, confused or critical of what seem to be changing messages related to the COVID-19 pandemic. Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, reminds folks that messages change because data changes and the science evolves. "As we learn new science, we use that science to modify our recommendations," says Dr. Poland. "It's not that scientists are flip-flopping. It is that new data allows us to begin expanding those recommendations." For instance, COVID-19 cases and deaths in the U.S. are currently declining. But, Dr. Poland says, there are new data predicting the possibility of another surge of COVID-19 infections in March because of U.K. variant transmission. In this Mayo Clinic Q&A podcast Dr. Poland talks about several issues, including the U.K. variant, vaccine development and the public’s COVID-19 fatigue. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 3, 2021

COVID-19 Miniseries Episode 66: Monoclonal Antibody Treatment for COVID-19

Guest: Ravindra Ganesh, M.B.B.S., M.D. and Raymund R. Razonable, M.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) In this episode, Ravindra Ganesh, M.B.B.S., M.D. and Raymund R. Razonable, M.D. join Amit K. Ghosh, M.D. to review the use of monoclonal antibody as a new antiviral agent in the treatment of COVID-19 infection. Who is most likely to benefit from monoclonal antibody infusions? Drs. Ganesh and Razonable, discuss recent studies on monoclonal antibody infusions in patients with mild to moderate COVID-19 infections. Also discussed are the logistical challenges faced and the innovative solutions that were implemented while administering this therapy, particularly navigating the acceptance of treatment, its real and perceived side effects, and lack of awareness due to inequity and poverty. Research on the development of subcutaneous or intramuscular administration for prophylaxis against COVID-19 in patients at high risk for complications or at high risk for being exposed to SARS-CoV-2 is also discussed in this episode. Additional resources: AskMayoExpert COVID-19 Navigator: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Weinreich DM, Sivapalasingam S, Norton T, et al. REGN-COV2, a neutralizing antibody cocktail, in outpatients with Covid-19. N Engl J Med 2021;384:238-251. Chen P, Nirula A, Heller B, et al. SARS-CoV-2 neutralizing antibody LY-CoV555 in outpatients with Covid-19. N Engl J Med 2021;384:229-237. Gottlieb RL, Nirula A, Chen P, et al. Effect of Bamlanivimab as Monotherapy or in Combination With Etesevimab on Viral Load in Patients With Mild to Moderate COVID-19: A Randomized Clinical Trial.JAMA. Published online January 21, 2021. doi:10.1001/jama.2021.0202 An EUA for Bamlanivimab—A Monoclonal Antibody for COVID-19. JAMA. Published online December 11, 2020. doi:10.1001/jama.2020.24415 Monoclonal Antibodies: Update on this COVID-19 Experimental Therapy https://discoverysedge.mayo.edu/2021/02/17/monoclonal-antibodies-update-on-this-covid-19-experimental-therapy/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 2, 2021

COVID-19 Miniseries Episode 65: Restoring Function for Long-Haulers

Guest: Greg Vanichkachorn, M.D., M.P.H. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) For some patients who have had COVID-19, symptoms of the disease may last long after the infection is over. Long-haulers syndrome due to COVID-19 could include profound fatigue, shortness of breath, and long-term neurological complaints, including headache, dizziness, or weakness. Mayo Clinic has launched the COVID Activity Rehabilitation Program, or CARP, to help these patients return to daily life and work. CARP is not just for folks who are trying to get back to work, but for anyone trying to get back to their baseline life. In this episode, Dr. Greg Vanichkachorn, a Mayo Clinic preventive, occupational and aerospace medicine specialist who leads the CARP program, gives an overview of COVID long haulers and how post-COVID symptoms affects patients. He also shares the goals and results of Mayo Clinic CARP program. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 16, 2021

Answers From the Lab: The Impact of COVID-19 Variants

This episode is shared from Answers from the Lab and was originally published February 2, 2021. Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: William G. Morice, II M.D., Ph.D. (@moricemdphd) Matthew Binnicker, Ph.D., vice chair of practice for Mayo Clinic's Department of Laboratory Medicine and Pathology, joins William Morice II, M.D., Ph.D., president of Mayo Clinic Laboratories, for this week's "Answers From the Lab" leadership update. In this episode, Dr. Binnicker and Dr. Morice discuss the impact that emerging COVID-19 variants could have on virus testing, vaccine and spread. For more, follow the Mayo Clinic Labs on Twitter @mayocliniclabs or visit https://news.mayocliniclabs.com/podcast/answers-from-the-lab/ to check out all of their episodes.

February 9, 2021

COVID-19 Miniseries Episode 64: Leveraging Community Care for Scalable Outpatient Management of COVID-19

Guest: Ravindra Ganesh, M.B.B.S., M.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) The Mayo Clinic COVID Frontline Healthcare Team (CFCT) is an integrated team comprised of doctors and support staff, including nurses, remote monitoring technicians, medical assistants, and desk staff. These teams are responsible for evidence-based management of all newly diagnosed COVID-19 patients. We’re joined by CFCT Codirector Ravindra Ganesh, M.B.B.S., M.D., to discuss the essential roles of CFCT’s during the pandemic. Topics include how they: Notify all patients who receive a COVID positive test result in Mayo/Mayo Clinic Health service in the Midwest region through phone call or portal messaging with attached questionnaire Conduct outpatient monitoring and follow-up as well as identify patient at high risk for decompensation Prevent COVID positive patients from coming to the Mayo Clinic facilities by remote monitoring and risk assessment Reinforce social isolation recommendations from public health to all COVID positive patients and assess safety to come off isolation Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 9, 2021

COVID-19 Miniseries Episode 63: Mayo Clinic Q&A – #AskTheMayoMom about Sports Participation During COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: David B. Soma, M.D. (@DrDaveSoma); Talha Niaz, M.B.B.S. Host: Angela C. Mattke, M.D. (@DrAngelaMattke) There are many benefits to sports participation for children and adolescents. However, during the COVID-19 pandemic, activities such as youth sports have been put on hold or modified to decrease the spread of COVID-19. Also, the scientific community is learning about when it is safe to return to sports participation following COVID-19 infection. On the Mayo Clinic Q&A podcast, "Ask the Mayo Mom" host and Mayo Clinic pediatrician, Dr. Angela Mattke is joined by Dr. David Soma, a pediatric sports medicine physician at Mayo Clinic Children's Center, to discuss sports participation during the COVID-19 pandemic and what you need to know about return to play after COVID-19 infection. Also joining Drs. Mattke and Soma is Dr. Talha Niaz, a pediatric cardiologist at Mayo Clinic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 8, 2021

COVID-19 Miniseries Episode 62: Mayo Clinic Q&A: COVID-19 Virus, Variants and Vaccines Update

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@DrGregPoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) When it comes to the COVID-19 pandemic, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, says there's some good news. "Case numbers are falling, masking and distancing do work, and we can control this if we do it right." However, the not so good news is that variants are showing up in over 30 countries and are reportedly more transmissible. There also seems to be a reduction in vaccine efficacy against the new variants. "This is a desperate race between vaccine and virus, between time and opportunity, and we dare not lose that opportunity," emphasizes Dr. Poland. In this Mayo Clinic Q&A podcast, Dr. Poland discusses how COVID-19 viruses mutate into new variants. He also discusses recent COVID-19 research conducted by the NFL, plus he touches on the future of individualized vaccines. "I can see the development of a coronavirus vaccine against multiple types of coronavirus, including the one that causes the common cold, and very likely combine that with the influenza vaccine." AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 4, 2021

COVID-19 Miniseries Episode 61: Mayo Clinic Q&A: Picking Up the Pace With Rollout of COVID-19 Vaccines

This episode is shared from Mayo Clinic Q&A and was recorded in January, 2021. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The distribution kinks for COVID-19 vaccines are getting ironed out, says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "It's a logistics nightmare, but now you're seeing a plan to administer 1 million doses a day and I think that's very achievable," says Dr. Poland. "And the production of the vaccine is just going to accelerate." Dr. Poland also repeats the reminders about preventing transmission of COVID-19: Wear a mask. Wash your hands. Keep your social distance. "The current estimates are that in the next four weeks, we'll probably have about another 100,000 deaths," adds Dr. Poland. "It's stunning when you think about 1 out of every 860 Americans has now died of this." In this Mayo Clinic Q&A podcast, Dr. Poland talks more about the rollout, transmission and herd immunity, as well as fertility issues related to COVID-19, survivor brain fog and more. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 4, 2021

Want to Know About Pediatric Enuresis? Well, Urine Luck

Guest: Patricio Gargollo, M.D. (@pgargollo) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Enuresis is relatively common in children, estimated to be present in as many as 5 to 10% of 7-year-olds. This represents up to 7 million children in the United States. As you can imagine, it carries significant social implications for the child. Our guest for this podcast is Dr. Patricio Gargollo, a pediatric urologist at Mayo Clinic in Rochester, Minnesota. Dr. Gargollo will address the natural history of enuresis, how to evaluate the child with enuresis, how often it represents a structural urologic problem and how often a treatable cause is found. Practical advice for parents of children with enuresis is also discussed. Specific topics: Potential for children with enuresis to have bladder control problems when they develop into adulthood. Social impact of enuresis on a child. Potential risk factors and causes of enuresis. The role of genetics and enuresis. The natural history of enuresis. How often a structural urologic problem is found to explain enuresis. Pharmacologic treatment options. The evaluation of a child with enuresis. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 2, 2021

Answers From the Lab: National COVID-19 Strategy

This episode is shared from Answers from the Lab and was originally published January 28, 2021. Guest: William G. Morice, II M.D., Ph.D. (@moricemdphd) Host: Bobbi S. Pritt, M.D. (@ParasiteGal) William Morice II, M.D., Ph.D., chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic and president of Mayo Clinic Laboratories, joins the "Answers From the Lab" podcast for his weekly leadership update. In this episode, Dr. Morice and Bobbi Pritt, M.D., discuss the new nationwide strategy that the Biden administration is rolling out to combat COVID-19. For more, follow the Mayo Clinic Labs on Twitter @mayocliniclabs or visit https://news.mayocliniclabs.com/podcast/answers-from-the-lab/ to check out all of their episodes.

January 28, 2021

COVID-19 Miniseries Episode 60: Restoring Joy to Healthcare

Guest: Eric J. Cleveland; Danielle M. Teal (@dteal) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Joy has been defined as a human emotion — a state created as we experience positive, poignant, reflective and connective moments. It is transient, never persisting but imparting ripples that impact us long after the moment. Now more than ever there is a need to develop mindful initiatives that brings joy in our personal lives and in the workplace. In this episode we speak with Eric Cleveland and Danielle Teal, two leaders of the Joy at Mayo Clinic (J@M) initiative. We will discuss the joy equation, the Institute of Health Improvement’s (IHI) Framework for Improving Joy in Work and discuss examples of pragmatic initiatives that can bring joy at both the individual and team levels. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 26, 2021

COVID-19 Miniseries Episode 59: Mayo Clinic Q&A – Expert Updates on COVID-19 Vaccines

This episode is shared from Mayo Clinic Q&A and was recorded on January 11, 2021. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The U.S. rollout of COVID-19 vaccines is reportedly ramping up with news that nearly all available doses will soon be released to the American public. "The new COVID-19 variants are traveling quickly, and this is a warning that we need to take precautions," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. Dr. Poland says these new variants are a consequence of an RNA virus being transmitted from human to human. "Even after we get our vaccines, we still need to wear masks out in public. We still need to maintain physical distancing. And we still need to wash our hands until about 80% of people get their COVID-19 vaccines," Dr. Poland emphasizes.In this Mayo Clinic Q&A podcast, Dr. Poland goes into detail about the COVID-19 vaccines, including "sterilizing immunity," testing for antibodies after receiving the vaccine, the possibility of booster doses in the future and much more. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 21, 2021

Adult Eating Disorders

Guest: Leslie A. Sim, Ph.D., L.P. (@DrLeslieSim) Host: Darryl S. Chutka, M.D. (@ChutkaMD) A variety of eating disorders can occur in adults and they are associated with multiple potential health complications, including an increased risk of death. Some studies report that up to 20% of those with Anorexia Nervosa will die as a result of the condition. Would you recognize an eating disorder in the patients you see? What clues should you look for? In this week’s Mayo Clinic Talks, we’ll speak with Dr. Leslie Sim, a psychologist at the Mayo Clinic. We’ll discuss who is most likely to develop an eating disorder, important “red flag” symptoms, questions you should ask patients to help confirm a diagnosis, and how we should approach a patient we suspect has an eating disorder. Topics discussed: Definition of an eating disorder Important “red flag” symptoms that may indicate an eating disorder Health complications that can occur as a result of an eating disorder Who is most likely to have an eating disorder The genetic component to eating disorders Clues from their childhood that suggest patients may have an eating disorder as an adult Events which can trigger an eating disorder When we should suspect an eating disorder How we should approach a patient we suspect has an eating disorder Management of eating disorders Effectiveness of treatment Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 19, 2021

COVID-19 Miniseries Episode 58: Mayo Clinic Q&A – #AskTheMayoMom about COVID-19 and School Children

This episode is shared from Mayo Clinic Q&A and was recorded in January, 2021. Guests: Emily R. Levy, M.D. (@EmilyLevy797); Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD) Host: Angela C. Mattke, M.D. (@DrAngelaMattke) Around the world, COVID-19 vaccinations are underway, but only in adults. Pfizer's vaccine has been authorized for ages 16 and up, while Moderna's vaccine is currently authorized for ages 18 and up. Vaccines are generally tested in adults first to ensure they are safe for pediatric trials. Both Pfizer and Moderna now have clinical trials underway to study the safety and effectiveness of COVID-19 vaccines in children. This edition of the Mayo Clinic Q&A podcast features an #AskMayoMom episode hosted by Dr. Angela Mattke, a pediatrician at Mayo Clinic Children's Center. Joining Dr. Mattke to discuss COVID-19, vaccines and children are Dr. Nipunie Rajapakse, a Mayo Clinic pediatric infectious diseases physician, and Dr. Emily Levy, a Mayo Clinic pediatric critical care and infectious diseases expert. Dr. Levy also discusses multisystem inflammatory syndrome in children, also known as MIS-C. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 14, 2021

Motion is Lotion: Staying Healthy While Working Remote

Guest: Corey M. Kunzer, P.T., D.P.T., SCS, (@KunzerCorey) and Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Over the past decade more individuals have begun working remotely; the numbers have increased dramatically this past year with the COVID-19 pandemic. While there are some advantages to working remotely, there are also some potential problems associated with it. Those working from home often develop a variety of musculoskeletal problems including low back and neck pain, as well as shoulder and extremity discomfort. Drs. Edward Laskowski, a physician and Corey Kunzer, a physical therapist, both in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic will discuss some of the musculoskeletal problems associated with working remotely. Specific topics discussed: Frequency of musculoskeletal problems associated with working from home Differences between working at home vs. the traditional office Issues to consider when selecting a desk and chair Recommended positions of the monitor, keyboard and mouse Benefits of a standing workstation or working while walking on a treadmill Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 12, 2021

Can Nutritional Supplements Turn You into an All-Star?

Guest: Andrew Jagim, Ph.D. (@AJagim) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Billions of dollars per year are spent in the U.S. on nutritional supplements to enhance performance. Multiple nutritional supplements are commercially available and are marketed for enhancing endurance, building muscle strength, improving exercise efficiency, and decreasing the potential for injury. Do these supplements actually deliver the benefits they claim? Are they safe? What age athletes are taking these supplements? We’ll discuss these topics and more with Dr. Andrew Jagim, the director of sports medicine research at the Mayo Clinic. Specific topics: Recommended approach to the athlete who wants to improve their performance Potential benefits of nutritional supplements for athlete's Age of athletes taking nutritional supplements Selecting a high-quality nutritional supplement Reliable web sites reviewing the available nutritional supplements including potential benefits and safety Review of commonly taken nutritional supplements Nutritional supplements which have potential harm Additional Resources: Mayo Clinic Proceedings Article: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30363-3/fulltext NIH – Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/ International Society of Sports Nutrition (ISSN): https://www.sportsnutritionsociety.org/ Third-Party Testing Information: https://examine.com/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 5, 2021

Mayo Clinic Q&A: Opioid Crisis Worsens During COVID-19 Pandemic

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020. Guest: Tyler Oesterle, M.D., M.P.H. (@OesterleMD) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Stress, isolation and limited access to resources are fueling rising rates of substance abuse and overdoses during the COVID-19 pandemic. While coronavirus has been the focus of so much attention this year, the opioid crisis has continued unabated and has even worsened. More than 40 states have reported increases in opioid related deaths, according to the American Medical Association. On the Mayo Clinic Q&A podcast, Dr. Tyler Oesterle, a psychiatrist and addiction expert at Mayo Clinic, discusses opioid use disorders and treatment options, including virtual medicine available during the pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 4, 2021

Mayo Clinic Q&A: COVID-19 Mortality Study Shows Effectiveness of Team-Based Care

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020. Guest: John (Jack) C. O'Horo, M.D., M.P.H. (@jcohoro) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) A recent Mayo Clinic study published in Mayo Clinic Proceedingsfound that patients with COVID-19 who received care at Mayo Clinic had lower mortality rates than the national average. Mayo Clinic patients were treated using an integrated, team-based approach for patient monitoring and treatment. On the Mayo Clinic Q&A podcast, Dr. John O'Horo, a Mayo Clinic infectious diseases physician and the study's first author, discusses the study results and explains how the Mayo Clinic Model of Care improves outcomes for patients. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 1, 2021

Addressing the Burdens of Family Caregivers

Guest: Alisha Morgan, D.O. (@AAMORGAN_DO) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that there may be over 30 million individuals in the U.S. who provide ongoing care to older adults, half of these to family members with some form of dementia. The majority of these caregivers are female and a significant percentage of these caregivers have their own major health problems. This has become a major social and economic issue in the care of our geriatric patients. Dr. Alisha Morgan, a family medicine and hospice physician at the Mayo Clinic joins us to address the challenges associated with being a caregiver, how healthcare providers should assess caregiver burden, potential financial resources available to assist caregivers, and interventions to reduce the impact of stress on caregivers. Specific topics: Morbidity and mortality of care givers The amount of time caregivers devote to assisting older adults Financial burden of providing chronic care to older adults How primary care providers should acknowledge caregivers How primary care providers should evaluate How caregiver stress should be provided Available financial resources for caregivers Caregiver Resources: https://www.aarp.org/content/dam/aarp/entertainment/books/2015-04/Caregivers_Excerpt.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 29, 2020

COVID-19 Miniseries Episode 57: Transcending the Valley of Death – COVID-19 mRNA Vaccine Update

This episode was recorded on December 18, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) It is projected that by March of 2021 1:700 Americans will have died of COVID-19. The historic pace of COVID-19 vaccine development was made possible by the countless sacrifices of many individuals across healthcare, research, health and human services, the Department of Defense, and other key sectors. This interprofessional collaboration required many to set life aside and work tirelessly to bring an effective vaccine to market, quickly. While mRNA vaccines have been in development since the 1990s, the COVID-19 vaccine efficacy rate of 95-100% across studied ages, race and ethnicities, and comorbidities is unprecedented. The questions left to answer are, how long will the efficacy last? In larger population studies, what is the safety/allergy/hypersensitivity profile? What impact does the vaccine have on asymptomatic carrier spread? Who shouldn’t get the vaccine? Dr. Greg Poland breaks down everything you need to know about the mRNA COVID-19 vaccines. Additional Resources: Mayo Clinic Vaccine Research Page https://www.mayo.edu/research/labs/vaccine-research-group/overview Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education https://www.sciencedirect.com/science/article/pii/S0264410X11011881 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 21, 2020

Sensorineural Hearing Loss

Guest: Matthew L. Carlson, M.D. (@MatthewLCarlso1) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Issues surrounding hearing loss are discussed with Dr. Matthew Carlson, an ENT physician from the Mayo Clinic. Specific topics discussed include the following: Types of hearing loss (conductive vs. sensorineural) Social impact of hearing loss Symptoms patients notice with gradually progressive hearing loss Tinnitus and it’s management Causes of sensorineural hearing loss High frequency tone loss and problems with speech discrimination associated with sensorineural hearing loss Hearing loss associated with loud noise exposure (acoustic injury and chronic noise exposure) Hearing loss associated with the use of firearms Common everyday activities which may result in hearing loss Management of sensorineural hearing loss (hearing aids, cochlear implants) Recent advances and improvements in hearing aids Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 15, 2020

Immunizations: Let’s Get to the Point

This episode was recorded on October 23, 2020. Guest: Robert M. Jacobson, M.D. (@RobertJMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that immunizations have saved more lives and prevented more disabilities than any other medical intervention. They’re also extremely cost effective and their benefits far outweigh the very small risks they carry. Yet there are individuals who choose to believe that immunizations are potentially harmful. Our guest for this podcast is Dr. Robert Jacobson, a Mayo Clinic pediatrician and expert in the field of immunizations. We cover topics including an update on the COVID-19 vaccine and when it will realistically be available on a large scale for the population. Other important issues discussed include which vaccines are important for children and adults and whether it’s safe to administer multiple vaccines at one time. Finally, many of the concern promoted by the anti-vaccine movement are discussed and dispelled. Specific topics discussed: Variety of vaccines in development for COVID-19 Novel techniques being use in the development of the COVID-19 vaccine Timing on the availability of the COVID-19 vaccine Important immunizations for children Important immunizations for adults Anti-vaccine concerns and myths surrounding vaccines Updates on the age recommendations for the HPV vaccine Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 8, 2020

COVID-19 Miniseries Episode 56: Mayo Clinic Q&A – How Messenger RNA Vaccines Work

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The first COVID-19 vaccines to reach the market are likely to be messenger RNA vaccines, or mRNA. According to the Centers for Disease Control and Prevention, mRNA vaccines work by teaching cells in the body how to make a protein that triggers an immune response. Unlike many vaccines that use a weakened or inactivated form of a virus, mRNA vaccines do not use the live virus that causes COVID-19. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how mRNA vaccines work, gives a status update on the pandemic and answers listener questions. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 3, 2020

COVID-19 Miniseries Episode 55: Mayo Clinic Q&A – Managing the COVID-19 Surge

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Elie F. Berbari, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) The current COVID-19 surge numbers could worsen in coming days as experts prepare for a post-Thanksgiving holiday increase in cases. Increased positivity rates lead to more people needing hospitalization, straining the health care system and medical staff. On the Mayo Clinic Q&A podcast, Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic, explains how Mayo Clinic is managing staff, supplies and space during the COVID-19 surge. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 3, 2020

Be Safe Not Sorry: Teaching Patients Proper Handwashing Technique

Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Many of us learned how to wash our hands at a very early age and have relearned the importance and proper technique periodically along the way. Research suggests that many people may not be doing it correctly. Dr. Greg Poland a Professor of Medicine in Infectious Disease at the Mayo Clinic joins us for National Hand Washing Awareness Week to discuss some tips and tricks to share with your patients to ensure they’re reaching the full potential of this life-saving technique. He’ll also answer questions like does it matter if the water is hot? Is handwashing with soap more effective than anti-bacterial gel or lotions? And, when should we be washing our hands? Additional resources mentioned (not an endorsement or affiliation): Glo Germ: Visual Tool for Handwashing https://www.glogerm.com/ Jimmy Kimmel and Guillermo Learn How to Wash Their Hands https://youtu.be/sJfsyhQ0oBs Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 1, 2020

COVID-19 Miniseries Episode 54: The Enigma of COVID-19 Long Haulers

This episode was recorded on November 17th, 2020. Guest: Raymund R. Razonable, M.D. (@RazonableMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What causes some patients to develop Long Haul COVID-19? Dr. Raymund Razonable discusses what the current data is showing and what we’re hoping to learn from future research. Deeper dive:As Their Numbers Grow, COVID-19 “Long Haulers” Stump Expertshttps://jamanetwork.com/journals/jama/fullarticle/2771111 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 25, 2020

Celiac Disease

Guest: Joseph A. Murray, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) The diagnosis and management of Celiac Disease is discussed with Dr. Joseph Murray, a gastroenterologist from the Mayo Clinic. Specific topics discussed include: Typical presentations of Celiac Disease in children and adults Difficulties encountered in establishing a diagnosis Small bowel pathology seen in Celiac Disease Mechanism for malabsorption in Celiac Disease Risk factors for Celiac Disease Celiac Disease and pregnancy How to confirm a diagnosis of Celiac DiseaseLaboratory tests Necessity of a small bowel biopsy Management of Celiac Disease Challenges in maintaining a gluten-free diet Potential long-term complications of Celiac Disease Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 24, 2020

Hepatits C

Guest: John J. Poterucha, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) The topic of Hepatitis C, including risk factors, evaluation and management was discussed with Dr. John Poterucha, a gastroenterologist from the Division of Gastroenterology and Hepatology. Specific topics discussed include: Serologic testing for hepatitis C Symptoms of hepatitis C Risk factors for hepatitis C Transmission of hepatitis C during pregnancy Risk of hepatitis C transmission following a needle-stick exposure Identifying which patients should be tested for hepatitis C Natural history of hepatitis C Potential complications of hepatitis C Available pharmacologic treatment Potential for reinfection with hepatitis C Hepatitis C and liver transplantation Potential for an effective hepatitis C vaccine Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 17, 2020

Mayo Clinic Q&A: Fighting COVID-19 with Mayo Clinic Laboratories

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2020. Guest: William G. Morice, II, M.D., Ph.D. (@moricemdph) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) When the COVID-19 pandemic began, one of the areas of science and research most affected was laboratory medicine. From developing tests that detect the virus, to testing for antibodies in patients who have recovered, Mayo Clinic Laboratories has been at the forefront of COVID-19 testing and research. On the Mayo Clinic Q&A podcast, Dr. William Morice II, president of Mayo Clinic Laboratories and chair of the department of Laboratory Medicine and Pathology at Mayo Clinic, explains how a reference lab works and how Mayo Clinic Laboratories quickly ramped up its testing capability to meet pandemic testing needs. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 12, 2020

Influenza Vaccine: Nurses Call the Shots

Guest: Robert M. Jacobson, M.D. (@RobertJMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It is extremely important that our patients receive the influenza vaccine this year. In previous years, less than half of the population has received it. Dr. Robert Jacobson, a pediatrician and vaccine specialist at the Mayo Clinic, joins us to discuss the reasons it’s so important for our patients to receive the influenza vaccine this season. He’ll share tips for discussing common concerns from vaccine-hesitant patients and how you can increase your patient vaccination rates. Specific topics discussed: Importance of the influenza vaccine for our patients in 2020/2021 How and when the influenza vaccine is developed for the next influenza season Why we need an influenza vaccine on an annual basis The best time of the year to receive the influenza vaccine Whether we lose some immunity to influenza if we receive the vaccine too early in the year Which vaccine should be given to those 65 years and older Common myths surrounding the influenza vaccine Predictions for the severity of influenza for 2020/2021 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 10, 2020

Caring for Patients with Dementia

Guest: Ericka E. Tung, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) The topic of Alzheimer’s Disease and other dementias was discussed along with the importance of providing care of the patient’s care-givers by Dr. Ericka Tung, a geriatrician in the Division of Community Internal Medicine at the Mayo Clinic. Specific topics discussed include: Common symptoms seen in early dementia. Mild cognitive impairment and its progression to dementia. Importance of stability of lifestyle in the life of patients with dementia. Discussing the diagnosis of dementia with the patient and family. Using a mental status exam in the evaluation of patients with suspected dementia. Establishing a diagnosis in patients with early dementia. The role of formal psychological testing in patients with suspected dementia. The needs of care-givers of dementia patients. Importance of respite care for the care-givers of dementia patients. Evaluating driving skills in patients with early dementia. Advanced care planning for dementia patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 3, 2020

COVID-19 Miniseries Episode 53: Mayo Clinic Q&A – CDC Updates Close Contact Guidelines

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The Centers for Disease Control and Prevention (CDC) has updated its guidelines for defining close contact with a person who is positive for COVID-19. Previously, close contact was defined as occurring when someone was within 6 feet of an infectious person for 15 consecutive minutes. Now close contact includes people who were within 6 feet for a total of 15 minutes over a 24-hour period, as the CDC now advises that repeated, brief encounters also carry a risk of transmission. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, discusses the updated information from the CDC and the latest information from the Food and Drug Administration on COVID-19 treatments and vaccines. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 28, 2020

Chronic Obstructive Pulmonary Disease (COPD)

Guest: Lewis J. Wesselius, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) The topic of COPD including risk factors, evaluation and management is discussed with Dr. Lewis Wesselius, a pulmonologist in the Division of Thoracic Disease at the Mayo Clinic. Specific topics discussed include the following: Review of the various types of COPD. Similarities and differences between emphysema and chronic bronchitis. Financial complications of COPD. Risk factors for COPD. Appropriate tests to order when evaluating patients suspected of having COPD. Determining the severity of COPD. Management of patients with COPD including the role of bronchodilators, inhaled corticosteroids, antibiotics and oxygen. COPD and the risk of lung cancer. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 27, 2020

Allergies and Anaphylaxis

Guest: James T C Li, M.D., Ph.D. (@jameslimd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The topic of anaphylaxis is reviewed including its causes, management and potential complications by James T C Li, M.D., Ph.D., an allergist from the Division of Allergic Disease from the Mayo Clinic. Specific topics discussed include the following: Truths vs. myths regarding anaphylaxis Common manifestations and presentations of anaphylaxis Triggers which more commonly produce an anaphylactic reaction Anaphylaxis in patients without a history of allergies When to use antihistamines in treating an allergic reaction When and how to prescribe epinephrine in treating patients with a history of allergic reactions Issues related to epinephrine auto-injectors Natural history of allergies over time Developments in peanut allergies Management of an anaphylactic reaction Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 20, 2020

Differentiating Common Causes of Shoulder Pain

Guest: Christopher Camp, M.D. (@ChrisCampMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The shoulder is unique in both structure and function. Injuries can occur acutely or overtime from wear and tear. If a patient presents with shoulder pain, when do you order imaging? What is role of steroid injections? When should a patient apply ice or apply heat? Dr. Christopher Camp, an orthopedist from Orthopedics and Sports Medicine at the Mayo Clinic joins us to discuss common injuries broken down by age demographic, treatment options, and when you may need to refer to a surgeon. The following topics are discussed: Anatomy of the shoulder joint and what makes it a unique joint. Injuries which commonly occur in both younger and older patients. Review of common pathologic conditions of the shoulder: Rotator cuff injuries Impingement syndrome Bursitis of the shoulder “Frozen shoulder” When a steroid injection of the shoulder is of benefit. When an X-ray or MRI of the shoulder is of benefit in the evaluation of shoulder pain. Benefits of physical therapy in patients with shoulder pain/injuries. The use of heat or cold in treating shoulder pain. When patients should be referred to an orthopedist for evaluation of shoulder pain. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 13, 2020

COVID-19 Miniseries Episode 52: Mayo Clinic Q&A – How Do Antiviral Drugs Work?

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Antiviral drugs are medicines that fight against viruses in the human body by impeding the infection process. Antivirals are commonly used to treat HIV/AIDS, influenza, herpes, and hepatitis B and C. The antiviral, Remdesivir, which was originally developed to fight Ebola, is now being used to treat COVID-19. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how antivirals work to shorten the course of the disease. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 7, 2020

The Evolution of Pharmacogenomics

Guest: Richard Weinshilboum, M.D. Host: Darryl S. Chutka, M.D. In a similar way to how anesthesia changed the practice of surgery, pharmacogenomics will produce a similar change in how we prescribe medications. Listen in to world-renowned expert Dr. Richard Weinshilboum discuss the evolution of the field and how advances are accelerating its application at the bedside. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 6, 2020

Mayo Clinic Q&A: Transplant Surgeries and COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Patrick G. Dean, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Transplants are identified as nonelective surgeries, and transplant patients have faced urgent medical needs during the COVID-19 pandemic. "Our practice, like many others across the country, did slow down in March and April of this year," says Dr. Patrick Dean, a Mayo Clinic transplant surgeon. "Patients and providers were concerned ― appropriately so ― about what would happen with this pandemic and whether it would be safe to have a transplant or for that matter any health care that wasn't absolutely emergent." In this Mayo Clinic Q&A podcast, Dr. Dean talks about taking care of transplant patients; overcoming surgery challenges during the pandemic; the increased risks transplant patients have of developing SARS-CoV-2, the virus that causes COVID-19, because of compromised immune systems; and the important need for COVID-19 testing. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 30, 2020

Updates in the Evaluation and Treatment of Multiple Sclerosis

Guest: Eoin Flanagan, M.B., B.Ch. (@EoinFlanagan14) Host: Darryl S. Chutka, M.D. (@ChutkaMD) This episode will review the following topics regarding Multiple Sclerosis (MS): Common presenting symptoms Risk factors, including the association of MS and vitamin D Typical pathologic changes found in patients The difference between the relapsing and progressive forms of MS Laboratory and imaging studies which are helpful in confirming a diagnosis Established and new treatment options available Available useful resources for patients with MS: Mayo Clinic website on Multiple Sclerosis National MS Society Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 29, 2020

Mayo Clinic Q&A: #AskTheMayoMom about COVID-19 and School Children

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. Guest: Angela C. Mattke, M.D. (@DrAngelaMattke) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) The COVID-19 pandemic continues to create challenges, including returning to school with hybrid learning modules for children. There are also anxieties and uncertainties to navigate, while trying to follow COVID-19 guidelines. In this "Mayo Clinic Q&A" podcast, Dr. Angela Mattke, a Mayo Clinic pediatrician and host of #AskTheMayoMom, talks about the concerns her patients have, and what important things parents and caregivers should take into consideration when helping children stay healthy. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 22, 2020

COVID-19 Miniseries Episode 51: Mayo Clinic Q&A – Bringing COVID-19 Vaccines to the Public

This episode is shared from Mayo Clinic Q&A and was recorded on September 14, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Danielle Stiepan Once a vaccine to prevent COVID-19 is approved, there will be logistics to consider. For example, who will receive the vaccine first, and how can the supply chain safely deliver the vaccine to 330 million Americans and potentially more than 7 billion people worldwide? In addition, multiple vaccines may be brought to market within weeks to months of each other, confusing consumers. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains the challenges of rolling out a COVID-19 vaccine. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 17, 2020

Updates for Diabetes Treatment and Monitoring

Guest: Bithika M. Thompson, M.D. Host: Darryl S. Chutka, M.D. Dr. Bithika Thompson discusses the recognition and treatment of pre-diabetes, individualizing glycemic control goals for patients based on a series of variables, and recent advances in technology for monitoring that help to decrease the burden of care. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 15, 2020

An Essential Update in Preventative Cardiology in the Time of COVID-19

To register for notification when the 94th Annual Clinical Reviews Course opens visit: https://mayocl.in/2GvecAd Guest: Stephen L. Kopecky, M.D. With underlying cardiovascular disease as the most lethal comorbidity to have in association with COVID-19, what have we learned about how SARS-CoV-2 affects the heart and what correlation is seen between patients with cardiometabolic disorders and preventative health measures? Dr. Stephen Kopecky shares lessons learned for all cardiologists, all caregivers, and all patients. “The cardiovascular risk profile that we use from the American College of Cardiology, from the American Heart Association, looks at hypertension, looks at smoking, looks at diabetes, and looks at lipids. That risk profile predicts cardiovascular complications. So it not only predicts disease but it predicts the complications of COVID infection.” AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 8, 2020

COVID-19 Miniseries Episode 50: Mayo Clinic Q&A – COVID-19 – Essential Updates with Dr. Poland

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, covers the latest news on the COVID-19 pandemic. Dr. Poland gives an update on progress towards a vaccine for COVID-19, discusses therapies for treating the virus and shares research on how effective face masks and physical distancing are in fighting the spread of the disease. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 4, 2020

Mayo Clinic Q&A – A Healthy Mindset to Start the School Year

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Craig N. Sawchuk, Ph.D., L.P. (@CraigSawchukPhD) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The start of a new school year is always a time that’s filled with excitement and anxiety. This year, COVID-19 is making back to school even more challenging for kids, teachers and parents. Whether in person, online or a hybrid approach, this school year will be different for students and staff. How can you and your child have a healthy mindset for this school year? On the Mayo Clinic Q&A podcast, Dr. Craig Sawchuk, chair of the Division of Integrated Behavioral Health at Mayo Clinic, shares helpful tips and strategies to be resilient and handle the challenges of a school year during the COVID-19 pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 2, 2020

COVID-19 Miniseries Episode 49: Mayo Clinic Q & A – COVID-19 Back-To-School Recommendations

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Whether in person, online or a hybrid model of education, families and school districts are planning for how to safely teach students during the COVID-19 pandemic. No matter which plan is chosen by communities, this school year will be challenging. On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious disease specialist at Mayo Clinic, discusses how students, teachers and staff can use public health measures already in place to minimize the risk of exposure to the virus and reduce community spread of COVID-19. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 31, 2020

Regenerative Medicine Takes on Hair Loss

Guest: Alison J. Bruce, M.B., Ch.B. & Shane A. Shapiro, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Androgenic alopecia can have a significant impact on women across a spectrum of age. The psychological and social impact of hair thinning and hair loss can significantly decrease quality of life. Dr. Alison Bruce breaks down different types of hair loss, who’s a candidate, and new therapies on the horizon. Dr. Shane Shapiro will discuss the application of regenerative medicine to this condition and how platelet rich plasma has demonstrated efficacy at regrowing hair. Deeper Dive: A Randomized, Controlled Pilot Trial Comparing Platelet-Rich Plasma to Topical Minoxidil Foam for Treatment of Androgenic Alopecia in Women doi: 10.1097/DSS.0000000000002168 Episode transcript: https://mcdn.podbean.com/mf/web/d545pv/Ep_185-Regenerative_Medicine_Takes_on_Hair_Loss.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 25, 2020

COVID-19 Miniseries Episode 48: Answers from the Lab – Neutralizing Antibody Assay, Explained

This episode is shared from Answers from the Lab and was originally published June 30, 2020. Guest: John R. Mills, Ph.D. Host: Bobbi S. Pritt, M.D. (@ParasiteGal) John Mills, Ph.D., is the co-director of the Neuroimmunology Laboratory at Mayo Clinic and the scientist who oversaw the development and validation of the new neutralizing antibody assay. Today he joins us to explain what the neutralizing antibody assay is, why it is different than other COVID-19 tests, and the science and innovation behind these efforts. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 21, 2020

Answers from the Lab: Future of COVID-19 Laboratory Testing

This episode is shared from Answers from the Lab and was originally published June 25, 2020. Guest: William G. Morice, II M.D., Ph.D. (@moricemdphd) Host: Bobbi S. Pritt, M.D. (@ParasiteGal) William Morice, II, M.D., Ph.D., Chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic and President of Mayo Clinic Laboratories, joins the Answers from the Lab podcast for his weekly leadership update. In this episode, Dr. Morice discusses the future of testing for COVID-19, predicting who would be at the highest risk for severe disease, and challenges with existing diagnostics. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

August 19, 2020

Sorting Out Knee Pain and Treatment Opportunities

Guest: Daniel B. Saris, M.D., Ph.D. (@sarisnl) Host: Darryl S. Chutka, M.D. (@ChutkaMD) With over 12 million outpatient visits annually in association with knee pain, it’s a common presentation in primary care. Dr. Daniel Saris discusses what questions we should be asking our patients, when to order imaging studies, and the common causes of pain broken down by age demographic. He’ll also discuss stem cell therapy, who is a good candidate, and who isn’t. Episode transcript: https://mcdn.podbean.com/mf/web/cjj292/Ep_183-Sorting_Out_Knee_Pain_and_Treatment_Opportunities.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 18, 2020

COVID-19 Miniseries Episode 47: Answers from the Lab – Serology Testing for COVID-19

This episode is shared from Answers from the Lab and was originally published June 16, 2020. Guest: Elitza Theel, Ph.D. (@ElliTheelPhD) Host: Bobbi S. Pritt, M.D. (@ParasiteGal) Elitza Theel, Ph.D., Laboratory Director of the Infectious Diseases Serology Laboratory at Mayo Clinic, led the efforts to evaluate and implement the serologic antibody test for COVID-19. She gives an overview of Mayo Clinic’s COVID-19 antibody test, as well as the role of antibody testing during the pandemic, and how sensitivity, specificity, and prevalence play a large role in the positive predictive value of a test. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

August 17, 2020

COVID-19 Miniseries Episode 46: Physician Leaders and the Science of Health Care Delivery

This episode was recorded August 6, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Lisa A. McGee, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What are population centered care and health? How do we best use rationed resources within our health care system to most effectively meet these needs? Dr. Lisa McGee discusses the Science of Health Care Delivery, the impact mass media messages have had on the current COVID-19 pandemic, and how we can use the information we have about population centered health to address key influential components of SARS-CoV-2’s continual spread. Suggested Readings: The effect of public health measures on the 1918 influenza pandemic in U.S. cities https://doi.org/10.1073/pnas.0611071104 Public health interventions and epidemic intensity during the 1918 influenza pandemic https://doi.org/10.1073/pnas.0610941104 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 11, 2020

COVID-19 Miniseries Episode 45: There Is No Win-Win

This episode was recorded on June 26, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Novel viruses causing outbreaks tend to do one of three things: disappear completely, become endemic in certain areas, or roll through populations with ongoing transmission until herd immunity is achieved or an effective vaccine is developed. Dr. Pritish Tosh states, “If natural infection doesn’t cause long-lasting protective immunity or the vaccines don’t do the same, this thing could be with us for a long time.” Take a walk through the past 100 years of pandemics as Dr. Tosh draws comparisons and lessons learned. The Economist - The Grim Calculus https://www.economist.com/leaders/2020/04/02/covid-19-presents-stark-choices-between-life-death-and-the-economy AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 4, 2020

COVID-19 Miniseries Episode 44: Supply Chain Vulnerability – Why Don’t We Have Enough PPE?

This episode was recorded on June 26, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) “Everybody has a plan until they get punched in the mouth.” - Mike Tyson Thin margins and economies of scale help lower costs but can create significant vulnerabilities. Often calculations of lives lost in the event of a shortage or costs to stockpile may not be factored in when sourcing supplies. Healthcare supply chain practices over decades have lead to significant weak points in our supply chains for some vital materials and we often have no view of this until it’s too late. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 28, 2020

COVID-19 Miniseries Episode 43: Healthcare Disparities and Systemic Racism

This episode was recorded June 25, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Kenneth G. Poole, Jr. M.D., M.B.A. (@KPooleMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Black, Latino, and Native American populations have been disproportionately affected by COVID-19. Underlying health inequities have been a major contributor. Dr. Kenneth Poole discusses social determinants of health and how these combined with systemic racism, predating COVID-19, laid the groundwork for the suffering we’re seeing unfold. What can we do to address it effectively? COVID-19 and African Americans - Clyde Yancy https://jamanetwork.com/journals/jama/fullarticle/2764789 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 21, 2020

COVID-19 Miniseries Episode 42: The Impact of Care Disruption for Patients with Non-Emergent Needs

This episode was recorded May 19, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Sidna M. Tulledge-Scheitel, M.D., M.P.H. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) The COVID-19 pandemic has caused waves of care disruption for people around the world. What patient populations have faced unique risks? What signs of impact from the temporary restriction of medical outpatients services are we seeing? Dr. Tulledge-Scheitel shares what’s being seen at Mayo Clinic, what she anticipates we’ll be seeing in the coming months, and what she’d do should this need arise again in the future. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 14, 2020

COVID-19 Miniseries Episode 41: Breaking Down the Impact of Smoking in COVID-19 Part 2

This episode was recorded June 17, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: J. Taylor Hays, M.D. (@jtaylorhays), Robert Vassallo, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Is the act of smoking a risk factor for transmission? Does nicotine protect against severe COVID-19? Dr. Hays and Dr. Vassallo discuss what is currently known about the risks of smoking in regard to COVID-19 and treatment of patients who smoke, during the pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 9, 2020

COVID-19 Miniseries Episode 40: Breaking Down the Impact of Smoking in COVID-19 Part 1

This episode was recorded June 17, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: J. Taylor Hays, M.D. (@jtaylorhays), Robert Vassallo, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Is smoking a risk factor for severe disease in COVID-19? How accurate is the documentation of smoking in COVID-19 cohorts currently published? What role should a smoking history play in the prognosis and management of COVID-19? Drs. Hays and Vassallo discuss the prevalence of smoking worldwide, the impact of documentation, and the role smoking may play in COVID-19. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 7, 2020

COVID-19 Miniseries Episode 39: The Pro-Inflammatory Consequences of SARS-CoV-2 Infection

This episode was recorded May 20, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Joseph T. Poterucha, D.O. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) As documented infection rates pass the half-million mark, we check in with Dr. Joseph Poterucha, a Critical Care specialist at Mayo Clinic, to get an overview of what they’re seeing in the ICU with patients infected with SARS-CoV-2. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 30, 2020

COVID-19 Miniseries Episode 38: The Enduring Power of Compassion

This episode was recorded on May 13, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: David J. Rosenman, M.D. (@davidrosenman) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) “At a time when most of the world in one way or another is suffering, it seems relevant to talk about ways to relieve some of that suffering and to help.” Studies have shown that patients value empathy over sympathy, and compassion over empathy. While measures to protect ourselves and understand the spread of COVID-19 and the clinical presentation of the disease are underway, the inconsistency of information across sources brings greater uncertainty for our patients and at times ourselves. Dr. Rosenman discusses what compassion is and the importance of compassion as a tool to help us and our patients, feel better mentally and physically. He recommends practicing self-compassion and will step through the practices of self-kindness, common humanity, and mindfulness. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 26, 2020

COVID-19 Miniseries Episode 37: Movement is Medicine

This episode was recorded on May 28, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) The world was already facing an epidemic of inactivity prior to the emergence and spread of SARS-CoV-2. Some have been able to focus more on self-care and fitness while under stay-at-home measures but with the necessity of social distancing and the widespread closure of fitness centers others have encountered significant challenges. What is the real cost of inactivity? Whether it’s the “Quarantine 15” or the psychological effects of being isolated in a world constantly changing, Dr. Laskowski shares one of the most effective treatments you can recommend to your patients. Deeper Dive: Physical Exercise as a Preventive or Disease-Modifying Treatment of Dementia and Brain Aginghttps://doi.org/10.4065/mcp.2011.0252 Strength training: How-to video collectionhttps://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/strength-training/art-20046031 Physical Activity Guidelines for Americanshttps://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 19, 2020

Mayo Clinic Q & A – Medical Education During the COVID-19 Pandemic

This episode is shared from Mayo Clinic Q&A and was recorded in June, 2020. Guest: Alexandra P. Wolanskyj-Spinner, M.D. (@apw01) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Across the world, one of the biggest changes forced by the COVID-19 pandemic is in the field of education. Programs from kindergarten through postsecondary have rapidly moved to a distance learning model. Online and remote instruction has its own unique challenges, and has required students and educators to be creative to stay connected. On the Mayo Clinic Q&A podcast, Dr. Alexandra Wolanskyj-Spinner, senior associate dean for student affairs at the Mayo Clinic Alix School of Medicine in Minnesota, discusses medical education during the COVID-19 pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 10, 2020

COVID-19 Miniseries Episode 36: A Comprehensive Update on COVID-19

This episode was recorded on June 5, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Raymund R. Razonable, M.D. (@RazonableMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Up to about 50% of people infected with SARS-CoV-2 are asymptomatic spreaders. About 80% of those who are symptomatic, developing COVID-19, have mild disease displaying dry cough, fever, and fatigue. The resulting 20% of symptomatic patients accounts for those who develop progressive respiratory distress and sometimes multi-organ failure, among other complications. We’re learning more about anosmia, cardiac injury, and “COVID-toes.” What’s known about COVID-19 and SARS-CoV-2 continues to evolve. Dr. Raymund Razonable walks through a recently published update on the management of COVID-19. Time Stamps:1:18 - New signs and symptoms of COVID-19. 3:30 - Testing characteristics (sensitivity, specificity, and indications) of the molecular and serologic testing for SARS-CoV-26:22 - Risk factors and the prediction of disease progression for patients hospitalized with COVID-199:28 - Hyper-inflammatory syndrome and progression to multi-system organ failure syndrome10:45 - Multisystem inflammatory syndrome in children (MIS-C) 11:22 - Cardiac complications - 3 factors12:50 - Diagnosis and treatment of co-infection in hospitalized patients (COVID-19 and flu, COVID-19 and pneumonia)16:31 - Evidence-based treatment based on the 3 phases of COVID-19 viremic phase, pneumonic phase, hyperinflammation phase18:06 - Remdesivir update21:00 - Hydroxychloroquine update23:25 - Favipiravir and lopinavir-ritonavir update23:53 - Treatment of the hyperinflammatory phase (sarilumab, tocilizumab, lenzilumab, anakinra,)27:13 - Convalescent plasma28:04 - Discharge and social determinants of health33:40 - Telehealth and remote monitoring35:40 - Health disparities and telehealth37:47 - What’s the next development Infectious Disease specialists are looking for in relation to the COVID-19 pandemic? See the article here:A Collaborative Multidisciplinary Approach to the Management of Coronavirus Disease-19 in the Hospital Setting https://doi.org/10.1016/j.mayocp.2020.05.010 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 8, 2020

COVID-19 Miniseries Episode 35: Alternative Ventilation Strategies

This episode was recorded on May 12, 2020. Guest: James E. Baker, R.R.T., L.R.T. & Steven R. Holets, R.R.T., L.R.T. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What are some alternative ventilation strategies we can use to treat patients with COVID-19? James Baker, R.R.T., L.R.T. and Steve Holets, R.R.T., L.R.T. discuss individualizing care, limitations based on device design, and supply chain concerns. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 3, 2020

COVID-19 Miniseries Episode 34: Multi-System Inflammatory Syndrome (MIS-C) in Pediatric Patients

This episode was recorded on May 27, 2020. Guest: Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Patients under 21 who present with fever, lab evidence of inflammation, multisystem involvement, and recent or current SARS-CoV-2 infection fall under the case definition for multisystem inflammatory syndrome. They commonly present with persistent fever and gastrointestinal symptoms and concerningly, shock. Why are we seeing disproportionate rates in children of racial and ethnic minorities? Dr. Nipunie Rajapaske concisely covers what’s known about this syndrome and the data supporting its emergence as a post-infection complication. CDC Health Advisory on Multisystem Inflammatory Syndrome in Children (MIS-C)https://emergency.cdc.gov/han/2020/han00432.asp An outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort studyhttps://doi.org/10.1016/S0140-6736(20)31103-X AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 29, 2020

COVID-19 Miniseries Episode 33: Mayo Clinic Q&A – COVID-19 Transmission Risks and Precautions

This episode is shared from Mayo Clinic Q&A and was recorded on May 26, 2020. Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) According to the Centers for Disease Control and Prevention, the most common mode of transmission for COVID-19 is through close contact from person to person. While it is possible that someone can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or possibly their eyes, this isn’t thought to be the main way the virus spreads. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, discusses virus transmission and steps to take to keep yourself safe. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 28, 2020

COVID-19 Miniseries Episode 32: The Fierce Urgency of Now – Pursuing a Safe and Efficacious Vaccine

This episode was recorded May 22, 2020 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) SARS-CoV-2, as an RNA virus, has marked capacity for mutation and recombination events. How do we build an efficacious and safe vaccine against it? How could we safely speed up development? Is a vaccine neutralizing the spike protein enough? Dr. Greg Poland returns to give you an update from the front lines of research on vaccine development and ongoing clinical trials. Dr. Poland’s Editorial:Tortoises, hares, and vaccines: A cautionary note for SARS-CoV-2 vaccine developmenthttps://doi.org/10.1016/j.vaccine.2020.04.073 'I Have A Dream' Speech, In Its Entirety https://www.npr.org/2010/01/18/122701268/i-have-a-dream-speech-in-its-entirety Our 'Fierce Urgency of Now' - Secretary Kathleen Sebeliushttps://obamawhitehouse.archives.gov/blog/2013/08/26/our-fierce-urgency-now King Legacy: 'Fierce Urgency of Now' Exists Today - Terri Moon Cronkhttps://www.defense.gov/Explore/Features/Story/Article/2059480/king-legacy-fierce-urgency-of-now-exists-today/ AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 23, 2020

COVID-19 Miniseries Episode 31: The Safety of Convalescent Plasma

This episode was recorded May 21, 2020 Visit the program site here: https://www.uscovidplasma.org To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Michael J. Joyner, M.D. (@DrMJoyner) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Convalescent plasma as a passive immunity strategy is not new. What nuances apply for it’s application to treating COVID-19? Is it safe? Is it efficacious? Dr. Michael Joyner, Principal Investigator for Expanded Access to Convalescent Plasma for the Treatment of Patients with COVID-19, discusses what’s known about this treatment option, information that’s currently being gathered, and how you can get involved. AABB Coronavirus Resources: http://www.aabb.org/advocacy/regulatorygovernment/Pages/AABB-Coronavirus-Resources.aspx AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 22, 2020

COVID-19 Miniseries Episode 30: Mayo Clinic Q&A – Addressing Health Disparities Amplified by COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in May 2020. Guest: Irene G. Sia, M.D.; Mark L. Wieland, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Minorities are being affected disproportionately by the COVID-19 pandemic. Early data shows that African Americans and other U.S. ethnic minorities have contracted COVID-19 at a higher rate and experience greater sickness and a higher death rate than other Americans. On the Mayo Clinic Q&A podcast, Dr. Irene Sia, a Mayo Clinic infectious diseases expert, and Dr. Mark Wieland, a Mayo Clinic community internal medicine physician, discuss ethnic disparities and COVID-19, including research being done with the Rochester Healthy Community Partnership. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 20, 2020

COVID-19 Miniseries Episode 29: Lab Medicine Rounds – Understanding COVID-Associated Coagulopathy

This episode is shared from Lab Medicine Rounds and was recorded May 1, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Ariela L. Marshall, M.D. (@AMarshallMD) Host: Justin D. Kreuter, M.D. (@KreuterMD) What is COVID-Associated coagulopathy? Why is it so important to recognize early on? How does it differ from the typical disseminated intravascular coagulation (DIC) picture? Dr. Ariela Marshall details the lab patterns, implications for our patients, and what testing should be evaluated on patients being treated for COVID-19 and when. Time Stamps: 00:00 Podcast Intro 00:40 What is COVID-associated coagulopathy and why is it important to recognize this? 02:45 How is this coagulopathy similar to or different from other coagulopathies that we commonly see in clinical practice? 04:30 Is there recommended testing for COVID-associated coagulopathy? 06:30 Can you explain what the soluble fibrin monomer test is? 08:09 How is COVID-associated coagulopathy managed in terms of prophylactic anticoagulation, therapeutic anticoagulation, and prophylactic transfusion? 14:23 What are a few lessons that you have learned during this pandemic so far? Resources: F.A. Klok, M.J.H.A. Kruip, N.J.M. van der Meer, et al., Incidence of thrombotic complications in critically ill ICU patients with COVID-19,Thrombosis Research (2020) https://doi.org/10.1016/j.thromres.2020.04.013 Thachil J, Tang N, Gando S, Falanga A, Cattaneo M...Iba T, et al. ISTH interim guidance on recognition and management of coagulopathy in COVID‐19 https://doi.org/10.1111/jth.14810 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 ISTH COVID-19 Resources Subscribe to Lab Medicine Rounds here: https://news.mayocliniclabs.com/podcast/lab-medicine-rounds/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 20, 2020

COVID-19 Miniseries Episode 28: Reflections on Telehealth and Teaching

This episode was recorded April 30, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Christopher A. Aakre, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) How do you approach planning for telehealth visits? Dr. Chris Aakre discusses preparing by considering How am I going to assess this concern by video? What are you looking for? What are you hoping to see there? How are you best going to be able to instruct the patient? AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 19, 2020

COVID-19 Miniseries Episode 27: Safely Individualizing the Approach to Treatment for COVID-19

This episode was recorded in May 6, 2020 Claim credit here: https://ce.mayo.edu/covid19podcast Guest: Alice Gallo De Moraes, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Patients hospitalized with COVID-19 are presenting with and developing severe lung injury, thrombosis, heart injury, and renal insufficiency. What is the observed rate of ventilation? Dr. Alice Gallo De Moraes discusses an individualized approach to intubation for critical support of patients infected with SARS-CoV-2. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 15, 2020

COVID-19 Miniseries Episode 26: Mayo Clinic Q&A – Atypical Kawasaki Disease, Recombination Events, and Antiviral Therapy Updates

This episode is shared from Mayo Clinic Q&A and was recorded in May 2020. To claim credit visit https://ce.mayo.edu/covid19podcast Guest: Gregory Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, discusses how SARS-CoV-2 is mutating, atypical Kawasaki disease emerging in pediatric patients, updates in antiviral therapies and how scientists and researchers are rapidly gaining new knowledge about the virus and the disease that it causes. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 12, 2020

COVID-19 Miniseries Episode 25: Mayo Clinic Q&A – Scaling Clinical Trials Through Teamwork

This episode is shared from Mayo Clinic Q&A and was recorded in May 2020. Click here to claim credit: https://ce.mayo.edu/covid19podcast Guest: Andrew D. Badley, M.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Thanks to its combination of practice, education, and research, Mayo Clinic has a strong foundation to respond quickly to a medical crisis such as COVID-19. As the SARS-CoV-2 virus spread worldwide, a research task force was formed at Mayo Clinic to review and approve research proposals related to the virus and the disease it causes. On the Mayo Clinic Q&A podcast, Dr. Andrew Badley, chair of Mayo Clinic’s COVID-19 research task force, gives an update on COVID-19 research activities at Mayo Clinic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 11, 2020

COVID-19 Miniseries Episode 24: AskMayoExpert COVID-19 Navigator

This episode was recorded on May 6, 2020. Guest: Scott D. Eggers, M.D. (@sdze) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Wish you could find the easily digestible evidence-based information you're looking for with just a few clicks? AskMayoExpert COVID-19 Navigator is a free and open access point-of-care resource containing consensus-based clinical recommendations, protocols, and best practices. They’ve done the reviews, they’ve done the synthesis, so you can quickly read what you need to know and get back to your patients. Dr. Scott Eggers lays out how it was formed, how it’s being maintained, and what you can expect moving forward. Check out the tool here:AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 For more in-depth information on inpatient care for COVID-19 check out:https://ce.mayo.edu/criticalcareinsightsonline Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 8, 2020

Mayo Clinic Q&A: Disinfecting the Home After COVID-19 Infection

This episode is shared from Mayo Clinic Q&A and was recorded May 6, 2020. Guest: Gregory Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Spring has sprung, and, for many, spring cleaning is a ritual. During the COVID-19 pandemic, cleaning and disinfecting homes is more important than ever. The Centers for Disease Control and Prevention released new cleaning guidelines to help effectively fight COVID-19 as businesses, schools and public spaces reopen. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, a Mayo Clinic infectious diseases expert, discusses effective cleaning tactics to combat coronavirus. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 CDC Guidelines: Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homeshttps://www.cdc.gov/coronavirus/2019-ncov/community/reopen-guidance.html Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 8, 2020

Mayo Clinic Q&A: The “Quarantine 15”

This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020. Guest: Donald D. Hensrud, M.D., M.S. (@DonaldHensrudMD) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) It’s being called the "Quarantine 15" online — people poking fun at gaining weight while staying at home during the COVID-19 pandemic. Is it really a problem? Or does eating help cope with stress? And what about for kids? Public health researchers warn that COVID-19 related school closures will double out-of-school time this year, raising concerns about weight gain associated with summer recess for children. On the Mayo Clinic Q&A podcast, Dr. Donald Hensrud, director of the Mayo Clinic Healthy Living Program, discusses tips for healthy eating and exercising while staying at home. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 7, 2020

COVID-19 Miniseries Episode 23: Mayo Clinic Q&A – Possible Neurological Effects of COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020. Guest: Allen J. Aksamit, Jr. M.D. Host: DeeDee Stiepan (@deedeestiepan) Originally identified as a respiratory disease, some COVID-19 patients exhibit neurologic symptoms including stroke, loss of consciousness, headache, and even the loss of taste and smell. What's unknown is whether these are direct effects of the virus entering the nervous system, or consequences of the disease's effect on the body. On the Mayo Clinic Q&A podcast, Dr. Allen Aksamit Jr., a Mayo Clinic neurologist, discusses potential neurological effects of COVID-19. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 5, 2020

COVID-19 Miniseries Episode 22: Mayo Clinic Q&A – Continuity of Care for Patients with Cancer

This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020. Guest: Tanios S. Bekaii-Saab, M.D. (@GIcancerDoc) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Because cancer treatments can weaken the immune system, cancer patients are at increased risk of complications from COVID-19. Despite these concerns, cancer patients often still need treatment, including going to the clinic or to the hospital, and many have questions about whether cancer should be treated differently during the COVID-19 pandemic. On the Mayo Clinic Q&A podcast, Dr. Tanios Bekaii-Saab, a Mayo Clinic oncologist, explains how cancer patients can safely continue their cancer treatment during the pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 4, 2020

COVID-19 Miniseries Episode 21: Mayo Q & A – Maintaining Routine Vaccine Schedules During COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2020. Guest: Tina Ardon, M.D. (@TinaArdon) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) As the COVID-19 pandemic continues, the World Health Organization (WHO) says more than 117 million children in 37 countries may be missing out on the lifesaving measles vaccine. The WHO had issued some guidelines to help countries sustain immunization activities during the COVID-19 pandemic. On the Mayo Clinic Q&A podcast, Dr. Tina Ardon, a Mayo Clinic family medicine physician, discusses the importance of childhood vaccinations. Dr. Ardon also discusses masking guidelines for children during the COVID-19 pandemic. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 3, 2020

COVID-19 Miniseries Episode 20: Leveraging Telehealth to Treat Patients with COVID-19 – Part 2

This episode was recorded on April 16, 2020. Guest: M. Nadir Bhuiyan, M.D. (@DrNadirMD); Ravindra Ganesh, M.B.B.S., M.D.; Ryan T. Hurt, M.D., Ph.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) While not all patients with COVID-19 will require hospitalization, many are seeking care and medical advice from their primary providers. With public health measures limiting travel and clinical visits, the question facing many healthcare organizations is: how do they safely provide care and monitor patients with COVID-19? In this two-part episode on telemedicine, Dr. Amit Ghosh speaks with Drs. Nadir Bhuiyan, Ravindra Ganesh, and Ryan Hurt about the Mayo Clinic COVID-19 Frontline Care Team and their efforts to establish a telemedicine practice for patients with COVID-19. Listen as they share key steps to successfully providing remote care, address concerns of COVID-19 positive patients, and mobilize a multifunctional team of healthcare professionals. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 2, 2020

COVID-19 Miniseries Episode 19: Leveraging Telehealth to Treat Patients with COVID-19 – Part 1

This episode was recorded on April 16, 2020. Guest: M. Nadir Bhuiyan, M.D. (@DrNadirMD); Ravindra Ganesh, M.B.B.S., M.D.; Ryan T. Hurt, M.D., Ph.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) While not all patients with COVID-19 will require hospitalization, many are seeking care and medical advice from their primary providers. With public health measures limiting travel and clinical visits, the question facing many healthcare organizations is: how do they safely provide care and monitor patients with COVID-19? In this two-part episode on telemedicine, Dr. Amit Ghosh speaks with Drs. Nadir Bhuiyan, Ravindra Ganesh, and Ryan Hurt about the Mayo Clinic COVID-19 Frontline Care Team and their efforts to establish a telemedicine practice for patients with COVID-19. Listen as they share key steps to successfully providing remote care, address concerns of COVID-19 positive patients, and mobilize a multifunctional team of healthcare professionals. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 1, 2020

COVID-19 Miniseries Episode 18: Mayo Clinic Q&A – Pets, Ultraviolet Light, and Herd Immunity

This episode is shared from Mayo Clinic Q&A and was recorded on April 29, 2020 To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Each week, the Mayo Clinic Q&A podcast shares the latest information on the COVID-19 pandemic. On today's episode, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, answers listeners' coronavirus questions. Topics include: pets and COVID-19, ultraviolet light and viruses, and herd immunity. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 30, 2020

Mayo Clinic Q&A: The Critical Role of Respiratory Therapists

This episode was recorded in April, 2020. Guest: Daniel A. Diedrich, M.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) COVID-19 was first identified late last year with a cluster of pneumonia cases caused by a new coronavirus. The COVID-19 disease process heavily affects the respiratory system, and patients often need oxygen support. The respiratory therapist plays a critical role in managing oxygen levels, placing breathing tubes, and managing the mechanical ventilator, when necessary. On the Mayo Clinic Q&A podcast, Dr. Daniel Diedrich, a Mayo Clinic anesthesiologist and critical care physician, discusses the role of the respiratory therapist from the time a patient presents with COVID-19 all the way through that patient's discharge. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 29, 2020

Mayo Clinic Talks COVID-19 Miniseries Episode 17: Rapid Data Collection for Development of Evidence-Based Guidelines

This episode was recorded on April 22, 2020. Guest: Rahul Kashyap, M.B.B.S. (@Dr_SRKashyap) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Real time data collection is essential for developing evidence based guidelines when facing emerging pathogens. Dr. Rahul Kashyap discusses VIRUS, a multinational multicenter rapid data collection process and how you can participate. Discovery VIRUS COVID-19 Registry (@covid19registry) https://www.sccm.org/Research/Research/Discovery-Research-Network/VIRUS-COVID-19-Registry NIH - Viral Infection and Respiratory Illness Universal Study[VIRUS]: COVID-19 Registry (COVID-19) https://clinicaltrials.gov/ct2/show/NCT04323787 AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 29, 2020

Mayo Clinic Q&A – Keeping Vulnerable Patient Populations Safe

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2020. Guest: Amanda Kubista Owen Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) People around the world have been under stay-at-home orders to prevent the spread of coronavirus. While this situation isn't ideal, it can be dangerous for some. For people in abusive situations, home may not be a safe environment. On the Mayo Clinic Q&A podcast, Amanda Kubista Owen, a Mayo Clinic social worker, discusses services available to help support people affected by domestic violence and why having a safety plan is important. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 24, 2020

COVID-19 Miniseries Episode 16: Mayo Clinic Q&A – Outbreak Updates

This episode is shared from Mayo Clinic Q&A and was recorded April 22, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, covers the latest news on the COVID-19 pandemic. Dr. Poland discusses current outbreak numbers, why there may be a second wave of infections, and research on a vaccine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 23, 2020

COVID-19 Miniseries Episode 15: Recommendations for Care of Pregnant Patients

This episode was recorded on April 20, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Regan N. Theiler, M.D., Ph.D. (@TheilerRegan) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Does pregnancy itself make a woman more susceptible to COVID-19? What advice should we be giving to pregnant women in the third trimester? How is remote monitoring being utilized? Dr. Regan Theiler discusses how they’re advising and caring for pregnant patients, what’s being reported as potential complications for pregnant patients who’ve been infected with SARS-CoV-2, and what isolation precautions should be applied during and after delivery. Deeper Dive: Mayo Clinic COVID-19 Resources for Providers https://www.mayoclinic.org/medical-professionals/provider-relations/covid-19-resources-for-providers Society for Maternal - Fetal Medicine: Clinical Guidance on COVID-19 https://www.smfm.org/covidclinical Society for Obstetric Anesthesia and Perinatology - COVID-19 Toolkit https://soap.org/education/provider-education/expert-summaries/interim-considerations-for-obstetric-anesthesia-care-related-to-covid19/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 22, 2020

Mayo Clinic Q&A – Inside Mayo Clinic’s COVID-19 Research Task Force

This episode is shared from Mayo Clinic Q&A and was recorded April, 2020. Guest: Andrew Badley, M.D. (@BadleyAndrew) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) As the SARS-CoV-2 virus spread worldwide, a race began to develop testing protocols and ramp up research. Mayo Clinic's COVID-19 research task force is studying the virus, predicting hot spots, and working towards effective treatments and a vaccine. On the Mayo Clinic Q&A podcast, Dr. Andrew Badley, chair of Mayo Clinic’s COVID-19 research task force, gives an update on COVID-19 research activities at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 22, 2020

Mayo Clinic Q&A – How Public Health Measures Can Help Reopen the Country

This episode is shared from Mayo Clinic Q&A and was recorded on April 20, 2020. Guest: Gregory Poland, M.D. (@drgregpoland) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) As the COVID-19 pandemic continues, efforts are underway to find a new normal and begin to re-open the country and the economy. While people are eager for strict social distancing rules to end, public health measures, including testing and tracing for the virus, will be important tools needed to control the spread of the virus and prevent an uptick in new infections. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, discusses the steps needed to reopen businesses, schools and other activities as the fight to control COVID-19 continues. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 21, 2020

Mayo Clinic Q&A – Serology Testing for SARS-CoV-2 Antibodies

This episode is shared from Mayo Clinic Q&A and was recorded April 2020. Guest: Elitza S. Theel, Ph.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) A new serology test from Mayo Clinic Laboratories is being used to identify the presence of immune response to SARS-CoV-2, the virus that causes COVID-19. The serology test is intended only to detect antibodies to the virus. It does not diagnose recent or active infection. Mayo Clinic Laboratories also offers a molecular test to diagnose very recent or active infection. Both tests are important tools in the pandemic response. On the Mayo Clinic Q&A podcast, Dr. Elitza Theel, director of Mayo Clinic’s Infectious Diseases Serology Laboratory, explains why serology testing is initially focused on identifying people in areas where potential immunity is key, including front-line health care workers. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 20, 2020

COVID-19 Miniseries Episode 14: An Overview of Pulmonary Critical Care for COVID-19 Patients

This episode was recorded on April 15, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Alexander S. Niven, M.D. (@niven_alex)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) When a patient presents with dyspnea how can we reliably predict who will progress to respiratory failure? How can phenotypes of disease progression be utilized for optimizing selection of treatment modalities? Dr. Alex Niven discusses Fleischner Society recommendations for imaging as a COVID-19 screening tool, cytokine storm, ventilator-associated lung injury, post-ICU care syndrome, and humanity in critical care. Deeper Dive: Mayo Clinic COVID-19 Resources for Providers https://www.mayoclinic.org/medical-professionals/provider-relations/covid-19-resources-for-providers Fleischner Society GuidelinesRubin G, Haramati L, Kanne J, et al. The role of chest imaging in patient management during the COVID-19 pandemic: A multinational consensus statement from the Fleischner Society. Radiology. 2020 April 07; p.201365. https://doi.org/10.1148/radiol.2020201365 The Berlin DefinitionThe ARDS Definition Task Force. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):2526–2533. doi:10.1001/jama.2012.5669 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 16, 2020

Turning Down the Heat on Fibromyalgia

Guest: Sanjeev Nanda, M.D. (@SNandaMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) In 2016, diagnostic criterion was established, finally removing fibromyalgia as a “diagnosis of exclusion.” Still, given the number of manifestations, it’s a challenging disorder to evaluate and treat. Sanjeev Nanda, M.D., shares his expert insights on this complicated condition. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 14, 2020

COVID-19 Miniseries Episode 13: Mayo Clinic Q&A – Pregnancy and COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in April 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) How is SARS-CoV-2 affecting pregnant women? Is breastfeeding safe? How can a pregnant woman protect herself from the disease? On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious diseases specialist, will discuss COVID-19 and pregnancy. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 13, 2020

COVID-19 Miniseries Episode 12: Harnessing Telehealth Without Sacrificing Safety

This episode was recorded on April 8, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Christopher S. Russi, D.O. (@csrussi) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) How can telehealth be used to care for COVID-19 patients? How can we leverage telehealth to bring resources to rural facilities? Collaboration through telehealth can provide care where it’s convenient for patients, help offload cognitive burden from colleagues, and mitigate exposure and PPE challenges during this pandemic. Dr. Christopher Russi walks through how the process works and how it’s being leveraged at Mayo Clinic under typical circumstances and how it’s being utilized to triage and inform care for suspected and confirmed COVID-19 patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 9, 2020

Mayo Clinic Q&A: Medical vs. Public Masking

This episode is shared from Mayo Clinic Q&A and was recorded on Monday, April 6th, 2020. Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) To prevent the spread of COVID-19, the Centers for Disease Control and Prevention (CDC) now recommends that Americans wear cloth masks in public settings where other social distancing measures are difficult to maintain. The CDC considers cloth masks an additional, voluntary public health measure. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, a Mayo Clinic COVID-19 expert, explains the difference between medical masking and public masking, and discusses the proper way to put a mask on and off to prevent the spread of disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Use of Cloth Face Coverings to Help Slow the Spread of COVID-19

April 7, 2020

Advanced Directives in Healthcare

Guest: Janet Vittone, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Janet Vittone, M.D., outlines the difference between different advanced directive documents and the importance of discussing these with all of your patients. She shares tips on when and how to broach the topic with patients, especially those in early adulthood. Drs. Vittone and Chutka also discuss ensuring that the right people are aware of your wishes, should you become incapacitated. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Living wills and advance directives for medical decisions, by Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/living-wills/art-20046303 Patient education video: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/multimedia/advance-directives-awarness/vid-20114292

April 7, 2020

COVID-19 Miniseries Episode 11: Mayo Clinic Q&A – Antibody Testing and Collaboration in Science

This episode is shared from Mayo Clinic Q&A and was recorded on April 3, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Dr. Greg Poland returns to share an update on the COVID-19 pandemic in this episode shared from Mayo Clinic Q&A to discuss the latest in antibody testing, coronavirus immunity, and whether or not it’s safe to wear contact lenses. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 6, 2020

COVID-19 Miniseries Episode 10: How to Mitigate Drug-Induced Sudden Cardiac Death From Hydroxychloroquine

This episode was recorded on April 3, 2020 Claim credit here: https://ce.mayo.edu/covid19podcast Guest: Michael J. Ackerman, M.D., Ph.D. (@MJAckermanMDPhD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) The administration of hydroxychloroquine and azithromycin, along with other very common medications could result in drug-induced sudden cardiac death caused by drug-induced QT prolongation, in some patients. In order to avoid the wrong medication, for the wrong patient, at the wrong time, Dr. Michael Ackerman shares how to assess your patient’s risk, how to find and measure their QTc value, and neutralize the threat. Deeper Dive: Link to Journal Pre-Proof:https://mayoclinicproceedings.org/pb/assets/raw/Health%20Advance/journals/jmcp/jmcp_covid19.pdf Link to COVID-19 QTc Calculator and other resources:https://www.covidqtc.com/#WRchTxt7-12ve Giudicessi JR, Noseworthy PA, Friedman PA, Ackerman MJ. Urgent guidance for navigating and circumventing the QTc prolonging and torsadogenic potential of possible pharmacotherapies for COVID-19 [published online ahead of print March 25, 2020]. Mayo Clin Proc. https://doi.org/10.1016/j.mayocp.2020.03.024. FDA Emergency Use Authorization (EUA) of hydroxychloroquine sulfate: https://www.fda.gov/media/136538/download Mayo Clinic Connected Care - Genetic Heart Rhythm Diseases https://connect.mayoclinic.org/page/genetic-heart-rhythm-disorders/tab/covid-19/# Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 3, 2020

Mayo Clinic Q&A: The ‘Unprecedented Challenge’ of Fighting COVID-19

This episode is shared from Mayo Clinic Q&A. Guest: Elie Berbari, MD (@DODElie) Host: Tom Shives, MD and Tracy McCray (@TracyMcCray) The ongoing fight against the COVID-19 pandemic has heavily burdened front-line health care providers. "Our nation and our medical community is facing an unprecedented challenge," says Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic. On the Mayo Clinic Q&A podcast, Dr. Berbari discusses how Mayo Clinic is minimizing exposure to staff, while providing safe and compassionate care to patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 2, 2020

Mayo Clinic Q&A: How Does SARS-CoV-2 Make People Sick?

This episode is shared from Mayo Clinic Q&A and was recorded on March 31, 2020. Guest: Gregory Poland, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) A novel coronavirus is a new strain that has not been seen before in humans. SARS-Co-V2 is a novel virus, causing the disease COVID-19. Because COVID-19 is a new disease, much is still being learned about how it spreads and the severity of illness it causes. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, infectious disease expert and head of Mayo Clinic’s Vaccine Research Group, explains the science behind how the virus makes people sick, and what the virus does to the body. Dr. Poland will also discuss the latest information on clinical trials and vaccine research to fight the disease outbreak. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 31, 2020

A Rheumatologist’s Approach to Osteoarthritis

Guest: Alicia M. Hinze, M.D., M.H.S. (@alicia_hinze) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Alicia M. Hinze, M.D., M.H.S., provides an overview of osteoarthritis and other rheumatologic conditions. Dr. Hinze shares her approach to distinguishing between osteoarthritis and inflammatory arthritis, along with risk factors for developing osteoarthritis over time, including genetics, professions, prior injuries, and age. She shares recommendations for conservative therapies and at what point surgical intervention should be considered. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 31, 2020

COVID-19 Miniseries Episode 9: Recommendations on Ibuprofen

This episode was recorded on Monday, March 30, 2020. Claim credit here: https://ce.mayo.edu/covid19podcast Guest: Matthew P. Van Cuyk, Pharm.D., R.Ph. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Should we be using ibuprofen to treat patients with COVID-19? Does this fall into the modifiable risk category? Dr. Matthew Van Cuyk breaks down recent events and literature around ibuprofen use in patients with COVID-19. Deeper Dive: Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? The Lancet Respiratory Medicine. March 2020. https://doi.org/10.1016/S2213-2600(20)30116-8 HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19 ASHP Coronavirus Resource Center: https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Coronavirus Assessment of Evidence for COVID-19-Related Treatments: Updated 3/27/2020 For the most up to date COVID-19 information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

March 31, 2020

Mayo Clinic Q&A: Point-of-Care Manufacturing to Help Fight COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded on March 26, 2020. Guest: Jonathan M. Morris, M.D. & Mark Wehde Host: Tom Shives, MD and Tracy McCray (@TracyMcCray) When it comes to fighting the COVID-19 pandemic, Mayo Clinic is relying not only on clinicians, but also engineers. Supply chain management and manufacturing capabilities are being readied to help in the fight against COVID-19. On the Mayo Clinic Q&A podcast, Dr. Jonathan Morris, co-director of Mayo Clinic's 3D Anatomic Modeling Lab, and Mark Wehde, chair of Mayo Clinic's Division of Engineering, discuss personal protective equipment and mobilizing the manufacturing sector to help in the fight. They’ll share how they’re utilizing 3D printing to jump start conventional scalable manufacturing processes to retro-engineer pieces of respiratory equipment and solve today’s problems in the fight against COVID-19. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 30, 2020

COVID-19 Miniseries Episode 8: Azithromycin and Hydroxychloroquine

This episode was recorded on March 27, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Christina G. Rivera, Pharm.D., R.Ph.; Ryan W. Stevens, Pharm.D. (@Stevens_AK) Host: Raymund R. Razonable, M.D. (@RazonableMD) Chloroquine emerged as an early COVID-19 treatment option in China and there has been increasing interest in the use of hydroxychloroquine and azithromycin. What data is available for the safety and efficacy of the drugs in the fight against SARS-CoV-2? Dr. Christina Rivera and Dr. Ryan Stevens provide a breakdown of recent research. Deeper Dive: Gautret P, Lagier JC, Parola P, et al. Hydroxychloroquine and Azithromycin as a treatment of COVID-19: preliminary results of an open-label non-randomized clinical trial. International Journal of Antimicrobial Agents. March 2020. https://doi.org/10.1016/j.ijantimicag.2020.105949 Yao X, Ye F, Zhang M, et al. In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clinical Infectious Diseases. March 2020. https://doi.org/10.1093/cid/ciaa237 Guidance on patients at risk of drug-induced sudden cardiac death from off-label COVID-19 treatments https://mayocl.in/2WQhxzI For the most up to date COVID-19 information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 27, 2020

Mayo Clinic Q&A: Shifting from Me to We

This episode is shared from Mayo Clinic Q&A and was recorded on March 25, 2020. Guest: Greg Poland, MD (@drgregpoland) Host: Tom Shives, MD and Tracy McCray (@TracyMcCray) Greg Poland, MD, answers trending questions from listeners. Is it safe to order take-out or have groceries delivered? Can pets get coronavirus? What about our summer plans? What’s next for social distancing and is it working? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 26, 2020

Opioid Edition 10: Side Effects Management

Guest: Molly A. Feely, M.D. (@mollyfeelymd) Host: Tracy McCray Episode 10 of 10: Dr. Molly Feely, who is board-certified in palliative care, internal medicine, and family medicine now practicing full-time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/gt8znj/Ep_27-Opioid_Edition_10_Side_Effects_Management.pdf

March 26, 2020

COVID-19 Miniseries Episode 7: Anosmia – What’s Currently Known

This episode was recorded on March 25, 2020. Guest: Erin K. O'Brien, M.D. (@ErinOBrienMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Claim credit here: https://ce.mayo.edu/covid19podcast What’s currently known about anosmia as a symptom of COVID-19 infection? Should we be using it as a screening tool? What causes it to occur when someone is infected with SARS-CoV-2 and what’s the prevalence in symptomatic vs otherwise asymptomatic individuals? Dr. Erin O’Brien gives an up-to-date overview of current reports, treatment options, and what you need to know about anosmia. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 25, 2020

COVID-19 Miniseries Episode 6: Mayo Clinic Q&A – The Latest Updates

Guest: Greg Poland, MD (@drgregpoland) Host: Tom Shives, MD and Tracy McCray (@TracyMcCray) Claim credit for this episode at https://ce.mayo.edu/covid19podcast On today's Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious disease expert and head of Mayo Clinic's Vaccine Research Group, shares the latest information on the COVID-19 pandemic. Dr. Poland discusses the importance of testing for SARS-CoV-2, work being done on antiviral medications; and how long social distancing might need to last, emerging reports of loss of smell in survivors, and the use of azithromycin and hydroxychloroquine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 24, 2020

Answering any Question You’ve Ever Had About Liver Function Testing

Guest: John J. Poterucha, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) You can think of liver functions tests as falling into two buckets – markers of inflammation and perturbation and markers of liver function. Dr. John Poterucha answers any question you’ve ever had about liver function testing, including how to interpret the results plus when and what additional testing may need to be ordered as follow up. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 24, 2020

Mayo Clinic Q&A: Coping with Uncertainty

This episode is shared from Mayo Clinic Q&A. Guest: Beth Rush, PhD Host: Tom Shives, MD and Tracy McCray (@TracyMcCray) We are in the midst of uncertain times. Dr. Beth Rush, a Mayo Clinic neuropsychologist, shares tips for you and your patients about coping with uncertainty by creating a structured schedule. Listen in as she shares more tips for taking care of your mental health and finding comfort amid the uncertainty. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 23, 2020

Mayo Clinic Q&A: Inflection Point

This episode is shared from Mayo Clinic Q&A and was recorded on March 19, 2020. Guest: Greg Poland, MD Host: Tom Shives, MD and Tracy McCray Have we acted sufficiently to flatten the curve? When will we know? What does effective safe isolation look like? Infectious diseases expert Dr. Gregory Poland, a Mayo Clinic infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, answers new questions on COVID-19. How are we as a nation faring? What do you do when someone in your house is sick? Dr. Poland discusses preventive measures to stop the spread of the virus, what to do if you do get sick, and the potential for effective treatments and a vaccine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 20, 2020

Mayo Clinic Q&A: Isolation and Flattening the Curve

This episode is shared from Mayo Clinic Q&A and was recorded March 18, 2020. Guest: Clayton T. Cowl, M.D., M.S. (@ChestPresident) Host: Tom Shives, M.D. and Tracy McCray In epidemiology, the idea of slowing a virus' spread so that fewer people need to seek treatment at any given time is known as "flattening the curve." It's a phrase you've likely heard in the news, and it is an important goal for governments and health care leaders during the COVID-19 pandemic. On the Mayo Clinic Q&A podcast Dr. Clayton Cowl, chair of Mayo Clinic's Division of Preventive, Occupational and Aerospace Medicine, explains how isolation can stop a spike in the number of new coronavirus cases. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 19, 2020

Opioid Edition 9: Monitoring and Considerations for Tapering

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/hu4nsg/Ep_26-Opioid_Edition_9_Monitoring_and_Considerations_for_Tapering.pdf

March 19, 2020

Mayo Clinic Q&A: Taking Precautions in Long Term Care Facilities

This episode is shared from Mayo Clinic Q&A and was recorded March 17th, 2020. Guest: Brandon P. Verdoorn, M.D. Host: Tom Shives, MD and Tracy McCray Long-term care facilities are taking steps to prepare and respond to the COVID-19 (coronavirus) outbreak. With guidance from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services, long-term care facilities are restricting visitors in most cases. On the Mayo Clinic Q&A podcast, Dr. Brandon Verdoorn, a Mayo Clinic geriatrician and medical director of Charter House, a continuing care retirement community affiliated with Mayo Clinic in Rochester, explains how staff are taking steps to keep residents safe and prevent spread of the coronavirus. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 18, 2020

Mayo Clinic Q&A: Current Blood Supply Needs During the COVID-19 Pandemic

This episode is shared from Mayo Clinic Q&A and was recorded March 16th, 2020. Guest: Justin Kreuter, MD (@KreuterMD) Host: Dr. Tom Shives and Tracy McCray With recommendations to stay home during the COVID-19 pandemic, the U.S. now has a critical blood shortage. Blood donation collections have plummeted due to canceled blood drives and concerns about being out in the community. Almost half of U.S. blood collectors are reporting that they only have a two-day supply or less of blood products. On today's Mayo Clinic Q&A podcast, Dr. Justin Kreuter, transfusion medicine specialist with the Mayo Clinic Blood Donor Center, explains how new blood donors are needed to step up and fill the void. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 17, 2020

Demystifying Polycystic Ovary Syndrome

Guest: Alice Y. Chang, M.D. (@AliceChangMDMSc) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Polycystic Ovary Syndrome (PCOS) has a prevalence of between 5-10% American women of child-bearing age. With a variety of symptoms, different diagnosis methods, misunderstood criterion, and both genetic and environmental causes, PCOS can be easily missed, especially in patients whose symptoms have developed sporadically. Alice Y. Chang, M.D., breaks down this complicated condition, including treatment strategies based on the patient’s primary concern related to the disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Ferriman-Gallwey Hirsutism Scoring System: https://education.endocrine.org/ferriman-gallwey-hirsutism-system

March 17, 2020

Opioid Edition 8: Family & Patient Counseling

Guest: Holly L. Geyer, M.D. Host: Tracy McCray Episode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, an internal medicine physician at Mayo Clinic in Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference. Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/jit3rx/Ep_22-Opioid_Edition_8_Family_Patient_Counseling.pdf

March 12, 2020

Hand and Wrist Disorders

Guest: Peter C. Amadio, M.D. (@AmadioPeter) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Peter Amadio discusses carpal tunnel, de Quervain's tenosynovitis, and others hand and wrist conditions and gives a few key pearls for helping your patients control symptoms and when to consider surgery. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 10, 2020

COVID-19 Miniseries Episode 5: SARS-CoV-2 and The Valley of Death

Episode Recorded March 5, 2020 To claim credit click here: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Colin M. Bucks, M.D. Why are we seeing very different severity and mortality rates as COVID-19 moves from country to country? Where are we at currently in regard to a COVID-19 vaccine? What does the pathway look like moving forward? Dr. Greg Poland lays out what you need to know about immunity and coronaviruses. Watch Dr. Poland teach Jimmy Kimmel and Guillermo how to wash their hands: https://youtu.be/sJfsyhQ0oBs Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. For the most up to date COVID-19 information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

March 6, 2020

Opioid Edition 7: Treating Opioid Addiction

Guest: Holly L. Geyer, M.D. Host: Tracy McCray Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/xvt7i9/Ep_21-Opioid_Edition_7_Treating_Opioid_Addiction.pdf

March 5, 2020

The Skinny on Bariatric Surgery

Guest: James A. Madura, II M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Obesity is prevalent and places our patients at significantly higher risk for a variety of health conditions. Which patients stand to benefit the most from bariatric surgery? What does insurance coverage for these procedures look like? Dr. James Madura discusses bariatric surgery and the safety and efficacy of the procedures. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 3, 2020

Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts) Host: Tracy McCray Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting. Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/9rje3e/Ep_20-Opioid_Edition_6_Assessing_Treating_Opioid_Misuse_in_the_ED.pdf

February 27, 2020

COVID-19 Miniseries Episode 4: Prepare for a Pandemic

Episode Recorded February 25, 2020 To claim credit, click here: https://ce.mayo.edu/covid19podcast Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: John M. Wilkinson, M.D. “At this point, we need to prepare for a pandemic within the United States and try to shift our mode from thinking about taking care of 1 or 2 of these patients, if it were to come up, to really transforming thinking about, well how we’re going to do this across the country?” - Pritish K. Tosh, M.D. As the spread of COVID-19 expands and index cases become harder to trace the advice is shifting to community preparedness for a pandemic. Family physician, Dr. John Wilkinson, sits down with infectious disease expert Dr. Pritish Tosh to discuss updates for health care providers on the COVID-19 outbreak. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. For the most up to date COVID-19 (Novel 2019 Coronavirus) information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

February 26, 2020

Armchair Physician with a Retrospectoscope: Leg Pain Edition

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Diagnosing leg pain can be very challenging. Dr. Jonathan Finnoff walks through a case study near and dear to Dr. Chutka, offering pearls for your practice along the way. Episode transcript: https://mcdn.podbean.com/mf/web/wfcd2u/Ep_131-Armchair_Physician_with_a_Retrospectoscope-Leg_Pain_Edition.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 25, 2020

Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts) Host: Tracy McCray Episode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/z7mbxj/Ep_19-Opioid_Edition_5_Acute_Prescribing_Emergency_Room_Prescribing.pdf

February 20, 2020

Location! Location! Location! How to Effectively Decipher Hip Pain

Guest: Aaron J. Krych, M.D. (@DrKrych) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hip pain is common, but the pain generators don’t always present in a typical fashion. When do you order x-rays or MRI’s? Dr. Aaron Krych, orthopedist, covers beyond the classic symptoms into atypical presentations you won’t want to miss. He’ll also cover how to help your patient decide when it’s time for a hip replacement and how long should you expect a hip arthroplasty to last. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 18, 2020

Opioid Edition 4: Treating Special Populations & Situations

Guest: David C. Patchett, D.O. Host: Tracy McCray Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/pxsjez/Ep_18-Opioid_Edition_4_Treating_Special_Populations_Situations.pdf

February 13, 2020

Harnessing Pharmacogenomics in your Current Practice

Guest: Eric T. Matey, Pharm.D., R.Ph. (@MateyPh) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Pharmacogenomics can help us predict an effective therapeutic response or avoid an adverse drug reaction before ever starting a medication. Listen in for the scoop on what this is and how it’ll impact your practice from a leading pharmacogenomics pharmacist at Mayo Clinic, Dr. Eric Matey. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Pharmacogenomics for Your Practice – Online Course Use of Codeine and Tramadol Products in Breastfeeding Women - Questions and Answers https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/use-codeine-and-tramadol-products-breastfeeding-women-questions-and-answers PharmGKB is a comprehensive resource that curates knowledge about the impact of genetic variation on drug response for clinicians and researchers https://www.pharmgkb.org/ The Genetic Information Nondiscrimination Act (GINA) of 2008 https://www.genome.gov/about-genomics/policy-issues/Genetic-Discrimination

February 11, 2020

Opioid Edition 3: Family Practitioners – Assessing the Patient

Guest: David C. Patchett, D.O. Host: Tracy McCray Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/vgd4rt/Ep_17-Opioid_Edition_3_Family_Practitioners-Assessing_the_Patient.pdf

February 6, 2020

How to Approach the Diagnostic Challenge of Lupus

Guest: Ronald R. Butendieck, Jr. M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Lupus can be challenging to diagnosis. Dr. Ron Butendieck discusses common presentation and some of the more enigmatic symptoms. What role does genetics play? Geography? Race? Dr. Butendieck details when you should include lupus on your differential and how to approach lab testing and treatment. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus https://doi.org/10.1002/art.40930

February 4, 2020

COVID-19 Miniseries Episode 3: Inside an Outbreak – Expert Perspective

Guest: Colin M. Bucks, M.D. Host: Amit K. Ghosh, M.D. “I think that fear can be valuable…we’re at a time when it’s just fine to be fearful if it provokes you to vigilance and discipline…You’re disciplined because you’re afraid, that keeps you sharp, but panic is dangerous. I don’t mind fear, panic is dangerous.” - Colin M. Bucks, M.D. What is it like in the field during an outbreak? What global response lessons have we learned from SARS and Ebola? Dr. Colin Bucks discusses how access to information accelerates response time in present day outbreaks and the role public education, infrastructure, disparities, and access to supplies, plays in helping to contain one. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To claim credit click here: https://ce.mayo.edu/covid19podcast For the most up to date COVID-19 (Novel 2019 Coronavirus) information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 Other Resources mentioned in the episode: Ontario The SARS Commission: Spring of Fear http://www.archives.gov.on.ca/en/e_records/sars/report/index.html Lancet Infectious Diseases - Immunogenicity of chimeric haemagglutinin-based, universal influenza virus vaccine candidates: interim results of a randomised, placebo-controlled, phase 1 clinical trial https://doi.org/10.1016/S1473-3099(19)30393-7

January 31, 2020

COVID-19 Miniseries Episode 2: 2019 Novel Coronavirus (2019-nCoV): What You Need to Know

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Justin D. Kreuter, M.D. (@KreuterMD) In a special crossover episode from Mayo Clinic Lab Medicine Rounds, Dr. Justin Kreuter discusses what we know so far, what clinicians should be looking for, and what this means for lab testing with Dr. Matthew Binnicker. Time Stamps 00:00 Podcast Intro 00:41 What do we know so far about the novel coronavirus? 02:35 How does this novel coronavirus stack up to influenza? 04:35 Is there still value in getting your flu shot now (this year) if you haven’t gotten it yet? 05:08 Where should people go to get the latest and best information related to the novel coronavirus? 06:36 What should the health care provider be looking for related to the novel coronavirus? 08:18 I’m glad you mentioned the incubation period, is that something we know with this novel coronavirus? 09:15 What do the laboratorians need to have in mind and what does this mean for the hospital clinical labs? 10:50 So, people can test positive for the coronavirus without having this specific novel coronavirus strain? 12:02 So if somebody sent a sample down to a clinical lab, and I was truly positive for the novel coronavirus, I could have a negative result? 12:45 Can you elaborate on when a physician should pick up the phone relative to the new novel coronavirus outbreak? 14:43 Is there a risk to laboratory personnel for the infection to spread when they are handling the samples? 15:20 When should we be suspecting this novel coronavirus? 16:03 What should someone do if they suspect their patient has novel coronavirus? 16:33 As this is an evolving outbreak, where should folks go for the latest information? WHAT IS LAB MEDICINE ROUNDS? A Mayo Clinic curated podcast for physicians, laboratory professionals, and students; hosted by Dr. Justin Kreuter (the Bow Tie Bandit of Blood) and featuring trending topics from subject-matter experts. Subscribe to Lab Medicine Rounds at: https://podcasts.apple.com/us/podcast/lab-medicine-rounds/id1478310691 For feedback and suggestions email [email protected] Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To claim credit click here: https://ce.mayo.edu/covid19podcast Deeper Dive: For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

January 31, 2020

COVID-19 Miniseries Episode 1: How to Respond and What the Numbers Really Mean

Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine Conference Speaker: Pritish K. Tosh, M.D. (@DrPritishTosh) Dr. Pritish Tosh, a Mayo Clinic infectious disease, emergency preparedness, pandemic planning, and biodefense expert; gives a concise overview of the 2019 novel coronavirus (2019-nCoV) and what the numbers really mean. Want to attend live next year? https://ce.mayo.edu/internal-medicine/content/33rd-annual-selected-topics-internal-medicine-2021 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Click here to claim credit: https://ce.mayo.edu/covid19podcast Deeper Dive: For the most Up-To-Date COVID-19 information visit: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

January 31, 2020

Opioid Edition 2: Managing Acute and Chronic Pain

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/bkc6ac/Ep_16-Opioid_Edition_2_Managing_Acute_and_Chronic_Pain.pdf

January 30, 2020

A Deep Dive into Hyperbaric Oxygen Therapy

Guest: Gary N. Toups, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What is hyperbaric oxygen therapy? What types of conditions outside of decompression illness can benefit from it? Dr. Gary Toups gives a fascinating look at the history of the practice and current advances in the field. He also discusses what conditions and types of non-healing wounds can benefit from oxygen therapy and which are not good candidates. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Healing with Hyperbaric Oxygen Therapy https://youtu.be/Uc0FiCEd1fQ?list=PLnAoNb5Mx-v68JrYbNCDavCSZ5lnFNaMf Hyperbaric Oxygen Therapy at Mayo Clinic https://www.mayoclinic.org/tests-procedures/hyperbaric-oxygen-therapy/about/pac-20394380

January 28, 2020

Opioid Edition 1: The Opioid Crisis and Pain Management

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/5d7ztu/Ep_15-Opioid_Edition_1_The_Opioid_Crisis_and_Pain_Management.pdf

January 23, 2020

A Public Health Emergency – The State of Sleep in Children

Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015 American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866

January 21, 2020

Statins vs PCSK9- Inhibitors: The Great Debate

Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 14, 2020

“Sell the Boat.” An Orthopedist’s Insight on Elbow Pain

Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Golfer’s Elbow, Tennis Elbow, Boat-antifouling-pain-elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more. Dr. Barlow shares recommendations for treatment, including why you shouldn’t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 7, 2020

Exercise is Medicine, But Are We Taking It?

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old; N Engl J Med 2006; 355:763-778 DOI: 10.1056/NEJMoa055643 https://www.nejm.org/doi/full/10.1056/NEJMoa055643?query=recirc_curatedRelated_article Physical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019 http://dx.doi.org/10.1136/bjsports-2018-099254

December 31, 2019

Treating Nicotine Dependence in Challenging Patients

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 24, 2019

Creating Efficient Organizational Systems to Build Safe, Equitable, and Dignified Workplaces

Guest: Esther Choo, M.D. (@choo_ek) Hosts: Anjali Bhagra, M.D. (@anjalibhagramd) and Joshua B. Murphy, J.D. As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure? Find more GRIT in Medicine episodes here. Deeper Dive: The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1 Episode transcript: https://mcdn.podbean.com/mf/web/txwesy/Ep_118-Creating_Efficient_Organizational_Systems_to_Build_Safe_Equitable_and_Dignified_Workplaces.pdf

December 17, 2019

Effectively Addressing Nicotine Dependence for Patients with Mental Health Disorders

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 10, 2019

Effective Communication Skills for a Time-Strapped Practice

Guest: Daniel L. Hurley, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short time frame of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 3, 2019

Getting Comfortable With Nicotine Replacement

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 26, 2019

When the Physician Becomes the Patient

Guests: Philip T. Hagen, M.D. and Melanie D. Swift, M.D. (@swifzdh) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Mayo Clinic Physician Health Center https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145

November 19, 2019

Air Travel Safety: When to Advise Your Patient Not to Fly

Guest: Clayton T. Cowl, M.D., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Aerospace Medical Association – Medical Considerations for Airline Travel https://bit.ly/2qLAKVg American College of Chest Physicians – Guidelines and Resources https://bit.ly/2qJGSxi

November 12, 2019

Perception of Risk in Adolescent Substance Use Disorder

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 5, 2019

New Drug Development and Approval

Guest: Denise M. Dupras, M.D., Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 29, 2019

Hernias: When to Watch; When to Refer

Guest: David R. Farley, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 22, 2019

Everything You Need to Know About Cervical Cancer Screening in 20 Minutes

Guest: Lois J. Mc Guire, APRN, C.N.P., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: ASCCP Guidelines: http://www.asccp.org/guidelines US Preventative Services Task Force: https://bit.ly/31h88zR The American College of Obstetrics and Gynecologists: https://bit.ly/2IVhc7g

October 15, 2019

Medication Use and Deprescribing for the Elderly

Guests: Emily J. Holm, Pharm.D., BCACP, R.Ph. and Audrey J. Umbreit, Pharm.D., R.Ph. Host: Darryl S. Chutka, M.D. (@ChutkaMD) With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Beers Criteria https://dcri.org/beers-criteria-medication-list/ STOPP/START Criteria for Potentially Inappropriate Prescribing in Older People Age and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145

October 8, 2019

Increasing Immunization Rates – Would You Like Fries with That?

Guest: Robert M. Jacobson, M.D. (@RobertJMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates. Tips @14:54: It’s more of a stop sign than “do you want fries with that?” TLDR: Listen at 19:21 for Dr. Jacobson’s must-know tips! Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 1, 2019

What I Wish I Knew When I Started in Medicine

Guest: John M. Wilkinson, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter with hashtag #MayoClinicTalks. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 24, 2019

Prosthetic Joint Infections: Risks, Retention, and Removal

Guest: Elie F. Berbari, M.D. (@DOCElie) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Appropriate Use Criteria For the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures https://bit.ly/2QAn6LN The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints https://doi.org/10.1016/j.adaj.2014.11.012

September 17, 2019

Thyroid Extracts, Subclinical Hypothyroidism, and Thyroid Function Testing

Guest: M. Regina Castro, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What do you do when a patient presents with subclinical hypothyroidism? When do you treat and how do you treat? Dr. Regina Castro presents the discussion around treating subclinical hypothyroidism, thyroid extract, and how to differentiate common symptoms from non-thyroid causes. Dr. Castro covers nodules, fine needle aspirates, the Sensitive TSH test, Total T4, Free T4, and TPO antibodies, and the role of lab testing in diagnosis. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 10, 2019

Sexuality in the Elderly Female

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Center for Women's Health (https://www.mayoclinic.org/departments-centers/womens-health/center-for-womens-health/overview or on Twitter @WHMayoClinic). Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: A Study of Sexuality and Health Among Older Adults in the United States August 23, 2007 N Engl J Med 2007; 357:762-774 DOI: 10.1056/NEJMoa067423

September 3, 2019

At the Cutting Edge of Medicine: Ultrasound-Guided Minimally-Invasive Outpatient Surgery

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 5: Greater efficacy, lower cost, and quicker recovery, ultrasound-guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients. Hear more from Mayo Clinic Sport Medicine on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 29, 2019

Dermatologic Conditions for the Primary Care Provider

Guest: Mark Denis P. Davis, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 27, 2019

Sports-Related Foot and Ankle Injuries

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 4: What are some of the common foot and ankle injuries seen in athletes? When is the wait and see approach not advised? When should patients be referred for surgery? Dr. Laskowski dives into detail on presentation and mechanism of injury, risk of recurrence, the role of bracing and proper balance and proprioceptive exercises. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 22, 2019

How to Effectively Manage Obesity

Guest: Maria L. Collazo-Clavell, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What is the true key to weight loss? What about maintaining that loss? How do you manage these conversations with your patients? What framing of those conversations leads to more effective outcomes? Dr. Maria Collazo-Clavell discusses approaches for effectively discussing health concerns and obesity with our patients. How to identify their goals and build upon them utilizing motivational interviewing and partnering effectively with other health care providers. Dr. Collazo-Clavell also covers medications and referral for bariatric procedures. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Maintenance of Lost Weight and Long-Term Management of Obesity Kevin D. Hall Ph.D. and Scott Kahan M.D., M.P.H. Medical Clinics of North America, 2018-01-01, Volume 102, Issue 1, Pages 183-197 DOI: 10.1016/j.mcna.2017.08.012

August 20, 2019

Recognition of Overuse Injuries and Prevention of Long-Term Consequences in Young Athletes

Guest: David B. Soma, M.D. (@DrDaveSoma) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: How are overuse injuries different in youth and what trends are occurring in these patients? What conversations should you have with parents of child athletes? What sports put our patients at highest risk? Dr. David Soma discusses the what role should imaging play in this population, the significance of the history and physical, the age-related prevalence of certain conditions and their underlying etiology, and the long-term complications our patients may face if these are not recognized and addressed. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

August 15, 2019

A Nephrologist’s Take on Renal Function Testing

Guest: Suzanne M. Norby, M.D. (@SuzanneNorby) Host: Darryl S. Chutka, M.D. (@ChutkaMD) When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging. Deeper Dive: https://news.mayocliniclabs.com/2016/05/05/ask-the-expert-cystatin-c-and-creatinine-complementary-markers-of-gfr/

August 13, 2019

Things to Look For in a Sports Physical

Guest: Daniel P. Montero, M.D. (@DanMonteroMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Deeper Dive: American Academy of Pediatrics – Pre-Participation Evaluation: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/PPE.aspx

August 8, 2019

Preventative Screening for Elderly Patients: When to Stop and What to Stop

Guest: Ying Ying (Christina) Chen, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: US Preventative Health Task Force https://www.uspreventiveservicestaskforce.org/Page/Name/tools-and-resources-for-better-preventive-care

August 6, 2019

Sports-Related Concussions: When in Doubt, Sit Them Out

Guest: Cara C. Prideaux, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338

August 1, 2019

Airline Emergencies: A Pilot-Physician’s Perspective Part 2

Guest: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR on board and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to in-flight emergencies and the ethics involved. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 30, 2019

Airline Emergencies: A Pilot-Physician’s Perspective Part 1

Guests: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 23, 2019

Predominant Management Strategies for Irritable Bowel Syndrome

Guest: Stephanie L. Hansel, M.D., M.S. (@SLHanselMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Bile Acid Malabsorption Testing: https://news.mayocliniclabs.com/2018/03/09/michael-camilleri-m-d-leslie-donato-ph-d-discuss-testing-bile-acid-malabsorption-clinical-practice/

July 16, 2019

Thrombotic Disease and Its Treatment

Guest: Matthew A. Bartlett, M.B., B.Ch., B.A.O. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 9, 2019

Microaggressions in Medicine

Guests: Catherine W. Njathi-Ori, M.D., Erin K. O'Brien, M.D. (@ErinOBrienMD), Nafisseh S. Warner, M.D. (@nafisseh_warner) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care require diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

July 2, 2019

Recent Updates in the Management of Hyperlipidemia

Guest: Stephen L. Kopecky, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines http://www.onlinejacc.org/content/early/2018/11/02/j.jacc.2018.11.003 Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia https://www.nejm.org/doi/full/10.1056/NEJMoa1812792

June 25, 2019

Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society

Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594. https://www.nejm.org/doi/10.1056/NEJMp1010594 Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502. https://doi.org/10.1080/14760584.2018.1484284 Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. https://doi.org/10.1016/j.vaccine.2011.07.131

June 18, 2019

Getting the Most Out of Colon Cancer Screening

Guest: John B. Kisiel, M.D. (@DrJohnKisiel) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Who is a good candidate for multitarget stool DNA testing and what do you do when it’s positive but the colonoscopy is discordant? Do you have a surveillance plan for your patients with ulcerative colitis and irritable bowel disease? What are the current screening recommendations for the general public versus patients with a family history? Dr. John Kisiel discusses these recommendations and the evidence behind them. He shares tips on managing patients on anticoagulant therapy going for polypectomy and when to stop screening in the elderly. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

June 11, 2019

What You Need to Know About E-Cigarettes, Vaping, and IQOS

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What’s the difference between e-cigarettes, vaping, and the newly FDA authorized “heat-not-burn” or IQOS devices? Do they really help our patients stop smoking and what data is available on the safety of these products? Listen now to hear Dr. Taylor Hays discuss these points and more. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: The FDA Authorization of IQOS: https://bit.ly/2XV2cLw A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy: https://www.nejm.org/doi/full/10.1056/NEJMoa1808779

June 4, 2019

Preventive Therapies for Breast Cancer

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Breast cancer risk assessment tools: Gail model https://bcrisktool.cancer.gov/ IBIS tool http://www.ems-trials.org/riskevaluator/

May 28, 2019

Meeting the Needs of Our Female Veterans

Guest: Ashley Laganiere, CVSO Host: Darryl S. Chutka, M.D. (@ChutkaMD) Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: National Association of County Veterans Service Officers: https://www.nacvso.org/ Minnesota Association of County Veterans Service Officers: https://www.macvso.org/index.html VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/ Military Health and Health Care https://www.rand.org/topics/military-health-and-health-care.html

May 27, 2019

Lyme Disease: When to Test, When to Treat

Guest: Bobbi S. Pritt, M.D. (@ParasiteGal) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How do you detect Lyme’s disease without the rash? What are the implications for our patients if we miss it? If you practice in an endemic area what are the guidelines for treatment when your patient has been bitten by a tick? Dr. Bobbi Pritt discusses Lyme disease detection, prophylaxis, and some of the long-term consequences of Lyme disease. Listen now to learn the ABCs of tick bite prevention. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: CDC Guidelines for Tick Bite Prophylaxis: https://www.cdc.gov/ticks/tickbornediseases/tick-bite-prophylaxis.html Dr. Pritt's “Creepy, Dreadful, Wonderful Parasites” blog https://parasitewonders.blogspot.com/

May 21, 2019

Perception of Care and Quality of Care: Finding the Sweet Spot in Patient Experience Data

Guest: Kenneth G. Poole, Jr., M.D., M.B.A. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Does perception of care equal quality of care? Healthcare is increasingly consumer-centric and patient experience data can inform us about how we compare within our own institution and across healthcare. But the data can also be influenced by the nature of your practice and implicit bias present in our patients. What are some of the unintended implications of patient experience data? How can we responsibly interpret and utilize it? What scores should we be striving for? What is the sweet spot? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Dr. Poole’s article in the New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMp1813418 A brief webcomic by Whit Taylor and Chris Kindred on the Tuskegee Experiment: https://thenib.com/tuskegee-experiment?utm_campaign=web-share-links&utm_medium=social&utm_source=link

May 14, 2019

Management of HIV and the Barriers to a Cure

Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How close are we to having an immunization for HIV? What’s on the horizon? When should your patients be referred to an HIV center or clinic for care? How do you connect a patient that wants local care when a center isn’t close by? Dr. Rizza discusses the management of HIV, pharmacotherapy, and goals of treatment in the second episode of this two-part HIV mini-series. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 7, 2019

Screening for HIV: Who Are You Missing?

Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Can you predict who has HIV and who doesn’t? Do you order universal HIV screening? What screening tests should be ordered and what happens when the results are positive or equivocal? When is a false negative possible? What is the effective window for post-exposure prophylaxis? Dr. Stacey Rizza discusses HIV and progression to AIDS, medical exposures, and screening in the first episode of this two-part HIV mini-series. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Universal screening: https://doi.org/10.1016/j.mayocp.2012.06.021

April 30, 2019

The Rising Cost of Prescription Drugs

Guest: S. Vincent Rajkumar, M.D. (@VincentRK) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Why are prescription drug costs so high in the United States? What role does the rebate system potentially play in drug availability? What is value-based pricing? Vincent Rajkumar, M.D. discuss research in this area and provides resources for health care providers to have discussions with patients about drug affordability. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: https://doi.org/10.1016/j.mayocp.2012.07.007 https://doi.org/10.1016/j.mayocp.2015.01.014

April 23, 2019

The Five-Finger Approach to Restoring Patient Function

Guest: Jeffrey S. Brault, D.O. (@JeffBrault) Host: Darryl S. Chutka, M.D. (@ChutkaMD) When should patients be referred to a physiatrist versus a physical therapist? What services can you expect when referring your patient to physical medicine and rehabilitation? Can they help your patients avoid surgery? What resources do they utilize to decrease pain and increase function? Listen as Dr. Jeff Brault discusses his five-finger approach to treatment of chronic and degenerative disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 16, 2019

Time’s Up Healthcare: Accelerating a Safe, Equitable, Dignified Workplace

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: https://www.timesuphealthcare.org

April 9, 2019

Dementia: Things You Shouldn’t Forget

Guest: Richard J. Caselli, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 2, 2019

Finding Balance and Harmony in the Face of Illness: Integrative Medicine

Guest: Ying Ying (Christina) Chen, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) How does integrative medicine differ from alternative and complementary medicine? Are the practices evidence-based? How and when can these techniques be applied in your current practice? Listen as Dr. Christina Chen discusses the practice of integrative medicine and its impact on her patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 26, 2019

Be Sure to Pack Humility, Teachability, and Adaptability: Making a Difference in Global Health Disparities

Guest: Stephen P. Merry, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Primary care providers can make a difference in the health disparities experienced internationally. Impact can range from directly providing care to educating staff and building enduring local capacity. Listen for some points to consider when planning a global health trip or medical mission. How do you get started? What skills do you need as a health care provider? How do you pick a location? Where can you find more reliable in-depth information on global health? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 19, 2019

Understanding Stress Traps in the Human Brain

Guest: Anjali Bhagra, M.D. (@anjalibhagramd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 12, 2019

Turning the Tables: Getting to Know the Host

Guest: Darryl S. Chutka, M.D. (@ChutkaMD) Host: Thomas C. Shives, M.D. (@DrTomShives) The tables turn as Thomas Shives, M.D., long-time host of Mayo Clinic Radio, interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

March 5, 2019

What you Need to Know About Medical Cannabis

Guest: Thomas P. Pittelkow, D.O., M.P.H. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Does medical marijuana have proven benefits? Who can prescribe it? What are the potential harms in using it? Dr. Thomas Pittelkow, a Mayo Clinic anesthesiologist specializing in pain management for cancer patients and advanced interventions in end of life care, discusses the differences between recreational and medical marijuana. Listen in for more on hopes and limitations in cannabis research, best practices for patient conversations, state vs. federal regulations, and the importance of communication with dispensaries. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Detailed information about Medical Cannabis, visit https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/medical-marijuana/art-20137855. State-to-state regulations, visit http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx.

February 26, 2019

Communicating with Humility: Lessons Learned

Guest: Katherine W. Arendt, M.D. (@arendt_katie) Host: Darryl S. Chutka, M.D. (@ChutkaMD) We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 19, 2019

Breast Cancer: Screening versus Diagnostic Imaging and the Appropriate Utilization of Genetic Testing

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 12, 2019

Prostate-Specific Antigen (PSA) Testing: A Urologist’s Perspective

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Prostate cancer is a very common malignancy in men, second only to skin cancer. Despite the fact that it’s one of the more treatable malignancies, it remains the 2nd leading cause of cancer death in men. When diagnosed early, it has an excellent prognosis. The 5-year survival rate approaches 100% in those with local or regional disease. Although screening for prostate cancer is available, the use of screening tests has been controversial and recommendations regarding its use, confusing. Listen in to get a urologist’s perspective. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 5, 2019

Treating Musculoskeletal Pain: The Role of Platelet-Rich Plasma Injections and Stem Cell Therapy

Guest: Jacob L. Sellon, M.D. (@jlsellon) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Jacob Sellon discusses advances in treatment of musculoskeletal pain and osteoarthritis, covering common questions about platelet-rich plasma and stem cell injections. Do they work? What’s the efficacy demonstrated in literature so far? What are the benefits and risks we need to discuss with our patients? What is FDA compliant versus FDA approved treatment and how does this influence insurance coverage and care management? Where does regenerative medicine research need to go? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 29, 2019

Provider and Patient Bias: What Do We Do About Culture’s Thumbprint in Medicine?

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Sharonne Hayes discusses the impact of unconscious bias in medicine and how providers can take steps to acknowledge, address, and mitigate these cultural imprints on our automatic thought processes. She then turns the tables discussing patient bias and how health systems and providers can protect and support staff who have been harassed, along with processes that can be put in place to systematically address existing practices that fosters bias. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Project implicit can be found at: https://implicit.harvard.edu/implicit/takeatest.html

January 22, 2019

Pediatric Traumatic Brain Injury and Concussion

Guest: Sherilyn W. Driscoll, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Traumatic brain injury in children represents a significant public health problem and they account for over one-half million emergency department visits per year. It’s estimated that traumatic brain injuries affect as many as one in five children by the age of 15. These brain injuries can have lifelong effects on a child’s development, including their ability to learn and participate effectively in social activities. Today we’re joined by Dr. Sherilyn Driscoll, a consultant in Pediatric Physical Medicine and Rehabilitation at the Mayo Clinic Children’s Center in Rochester. Her areas of interest include brain and spinal cord injury, cerebral palsy, and spina bifida. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: For the CDC’s Heads Up program, visit https://www.cdc.gov/headsup/

January 15, 2019

Does Size Really Matter? Benign Prostatic Hyperplasia (BPH): Evaluation, Management, and Treatment

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 8, 2019

Exercise is Medicine: Adding Years to Life and Life to Years

Guest: Robert Scales, Ph.D., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) We’ve all heard this many times “Exercise is good for you.” We know we should all participate in some form of exercise and we commonly recommend exercise to our patients. We’re very busy, our patients are very busy. So how do we develop a regular exercise program that we can adhere to and how do we get our patients to realize the benefits they can achieve with exercise? To help answer these questions, we have with us today Dr. Robert Scales, an exercise physiologist and director of Cardiac Rehabilitation & Wellness at Mayo Clinic, Arizona. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 1, 2019

You Did What? Uncovering What Kids Are Ingesting

Speaker: Charlotte S. Van Dorn, M.D. Today’s special episode is an excerpt from the Mayo Clinic Pediatric Days Conference. This annual conference provides an interdisciplinary update in the latest strategies for providing timely and effective evidence-based diagnosis and management plans for multiple aspects of pediatric and young adult health. Today’s selected presentation, “You Did What? Uncovering What Kids are Ingesting” is presented by Dr. Charlotte S. Van Dorn, a Mayo Clinic Pediatric and Intensive Care Specialist.

December 25, 2018

Insomnia and Best Practices for Management: A Sleep Specialist’s Approach

Guest: Michael H. Silber, M.B., Ch.B. Host: Darryl S. Chutka, M.D. (@ChutkaMD) We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. Insomnia is common and medications to help us sleep are extremely popular, but are they effective and are they safe? To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 18, 2018

Pediatric Abuse: Recognition, Assessment, and Downstream Impact

Guest: Arne H. Graff, M.D. (@arne_graff) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Child abuse is a serious problem, both within the U.S. and around the world. In 2012, Child Protective Services agencies estimated that approximately 9 out of 1000 children in the U.S. were victims of child maltreatment and this was felt to underestimate the true scope of the problem. A recent study by the CDC estimated that one in four children experience some form of maltreatment in their lifetimes. Today we’re joined by Dr. Arne Graff, a family physician and Division Chair of Child Abuse and Pediatrics, practicing at Mayo Clinic, Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

December 11, 2018

Benefits and Risks of Hormone Therapy in Women

Guest: Ekta Kapoor, M.B.B.S. (@Ektasinghkapoor) Host: Darryl S. Chutka, M.D. (@ChutkaMD) For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 27, 2018

The Dangers of Distraction and Balancing Connectivity

Guest: Robin G. Molella, M.D., M.P.H. (@rmolella) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The percentage of the US population that uses a cell phone is increasing every year. Currently, it is estimated that over 95% of the population own a cell phone and over 75% own some type of smartphone. This is up from 35% compared to statistics from 2011. While these devices certainly make our life more interesting, they can also serve as a major distraction. Studies suggest that drivers using a mobile phone are four times more likely to be involved in a motor vehicle accident. Nearly half of all adults who text say they have either sent or read a text message while driving. Today we are joined by Dr. Robin Molella, a Mayo Clinic physician in the Division of Preventative, Occupational and Aerospace Medicine, and an expert in public health issues. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 20, 2018

Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 2

Guest: Kurt A. Kennel, M.D. (@KurtKennel) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 13, 2018

Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 1

Guest: Kurt A. Kennel, M.D. (@KurtKennel) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

November 6, 2018

Hypoactive Sexual Desire Disorder: Approaches from the Menopause & Women’s Sexual Health Clinic

Guest: Jacqueline M. Thielen, M.D. (@JacquelineThie5) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 30, 2018

Now I Lay Me Down to Sleep, Approaches for Sleep Apnea and Restless Leg Syndrome

Guest: Michael H. Silber, M.B., Ch.B. Host: Darryl S. Chutka, M.D. (@ChutkaMD) We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. As a result, many individuals suffer from daytime sleepiness. For some, such as truck or bus drivers this can place many at risk for serious injury or death due to accident. To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 23, 2018

Erectile Dysfunction and Cardiovascular Disease

Guest: Stephen L. Kopecky, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) About 35% of men ages 40 to 70 years have moderate-to-complete erectile dysfunction (ED), and 15% of men aged 70 have complete ED. Of those with ED, it’s estimated that 50-70% are due to cardiovascular disease. Until recently, only urologists were interested in patients with erectile dysfunction. Now with the knowledge of the relationship between ED and cardiovascular disease, cardiologists are taking an interest in these patients as well. Today we’re joined by Dr. Stephen Kopecky, a Mayo Clinic Preventative Cardiologist. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 16, 2018

Varicose Veins and Venous Insufficiency

Guest: Thom W. Rooke, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Varicose veins are common, and become more common with advance in age. Fortunately, in most cases they’re asymptomatic, but in some cases can cause symptoms and occasionally serious health problems. Today we’re joined by Dr. Thom Rooke, a vascular specialist at Mayo Clinic’s Vascular Center and specialist in peripheral artery disease, varicose veins, and sclerotherapy. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 9, 2018

Fad Diets

Guest: Donald D. Hensrud, M.D., M.S., M.P.H. (@DonaldHensrudMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that approximately 70% of Americans are either overweight or obese. Obesity in the United States is a major health issue, resulting in an increased risk of coronary artery disease, type 2 diabetes, and stroke. It also carries significant economic costs. As a result, the diet industry is booming. It’s thought that the weight loss industry has over $20 billion in annual revenue. Some diets are legitimate, while others are not only ineffective but may be dangerous to one’s health. To help us sort out diets and weight loss, we’re joined by nutrition expert Dr. Donald Hensrud, a Mayo Clinic physician in Preventative Medicine. He is also the medical director for the Mayo Clinic Healthy Living Program here in Rochester and editor in chief of two books on dieting, The Mayo Clinic Diet and The Mayo Clinic Diabetes Diet. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

October 2, 2018

Transgender Patient Care

Transgender is a term for individuals whose gender identity or behavior does not conform to that associated with the sex to which they were assigned at birth. It’s difficult to estimate the number of transgender individuals, primarily because there are no population studies that accurately account for the range of gender identity and gender expression. What common health risks do transgender patients face? How does healthcare screening and preventive strategies differ in transgender patients who have been on hormonal therapy? Today we’re joined by Dr. Caroline Davidge-Pitts, an Endocrinologist and a core member of the Transgender and Intersex Specialty Care group at Mayo Clinic. For more information, join us in Washington D.C., Oct 4 – 6 at the Principles in the Care of Transgender and Intersex Patients 2018 Conference.

September 25, 2018

Approaches for Diagnosis and Treatment of Depression

Guest: Bruce Sutor, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Depression is a common disorder seen in primary care practice. The majority of patients with depression are evaluated and treated not by psychiatrists, but by primary care providers, and it’s been shown that we correctly diagnose depression only about half of the time. Despite the fact that we have some very good treatment options for depression, those on treatment often have continued symptoms. Dr. Sutor is a Mayo Clinic Psychiatrist and Practice Chair of Psychiatry and Psychology in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

September 18, 2018

Ooh! My Aching Back!

It is estimated that more than 80% of Americans will experience an episode of low back pain at some time in their lives, with total annual costs estimated at $100 billion. What are some important questions to ask patients regarding their low back pain? Are there any red flag symptoms that patients may have which would alert us to a potentially serious cause for their back pain? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.

September 11, 2018

Constipation, This Too Shall Pass

This week we’re talking about constipation. What are some of the causes of chronic idiopathic constipation? Are there any medications which can cause constipation or make constipation worse? When would a patient’s complaint of constipation raise your suspicion of something ominous causing the symptoms? Do prunes actually help? Today we’re joined by Dr. Amy Foxx-Orenstein, a Mayo Clinic Physician in the Division of Gastroenterology and Hepatology.

September 4, 2018

How to Keep a Baby Boomer Buff

Is weight gain an unavoidable result of aging? Do we need to just plan that our bodies will be aching and sore all the time? How can the physiologic changes of aging translate into physical problems for our elderly patients? Can anything be done to maintain our flexibility as we age? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.

August 28, 2018

Recent Trends in Sexually Transmitted Infections

Sexually transmitted infections are at an unprecedented high with 50-60% affecting young people. Today we’re talking about recent trends in sexually transmitted infections and the best way to screen for STI’s. Presented by Dr. Janice Blair, a physician in the Mayo Clinic Division of Infectious Diseases, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.

August 21, 2018

Sexual History Taking–Why Sexual Health Matters

Why is it important to talk about sexual history? What questions should we ask to get a detailed sexual history? Today we’re talking about sexual history taking and why sexual health matters. Presented by Dr. Suneela Vegunta, a physician in the Mayo Clinic Women’s Health Center, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.

August 14, 2018

How to Recognize Abuse in the Elderly

It’s estimated that up to 10% of cognitively intact elderly and up to 47% of adults with dementia have experienced some form of abuse. What are some warning signs we should look for? Are there recommended questions we should be asking our elderly patients? This week we’re talking with Dr. Paul Takahashi, a Mayo Clinic geriatrician and physician in Community Internal Medicine, about recognizing abuse in the elderly.

August 7, 2018

How to Lower Lipids Without a Prescription Pad

Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses non-pharmacological treatment of hyperlipidemia, and which diets can improve the lipid profile. Dr. Kopecky also explains how nutritional supplements, exercise, and weight loss can help lower LDL cholesterol levels.

July 31, 2018

Doctor, I Have a Splitting Headache

Headache is one of the most common medical complaints seen by medical providers, and although the vast majority don’t represent any serious underlying conditions, they can cause patients a great deal of anxiety and daily disruption. In today’s talk “Doctor I Have a Splitting Headache,” Dr. Jerry Swanson, a Mayo Clinic neurologist and headache specialist, helps shed light on this common complaint. Visit with Dr. Swanson and other experts at the March 2019 Headache Symposium in Phoenix, Arizona. Sign up for the mailing list at ce.mayo.edu.

July 24, 2018

Fibromyalgia in a 20 Minute Office Visit

Widespread pain. Fatigue. Depression. Why does the diagnosis of Fibromyalgia engender so much fear and trembling? How do we as physicians determine Fibromyalgia from the many other widespread muscle pain syndromes? Today’s selected presentation, “Fibromyalgia in a 20 Minute Office Visit” is presented by Dr. Jeffrey Thompson of the Mayo Clinic. Dr. Thompson, an award-winning educator, is board certified in physical medicine and rehabilitation as well as sports medicine. The March 2019 Mayo Clinic Principles of Pain and Palliative Care: Essential Tools for the Clinician conference will be held at the JW Marriott Desert Springs in Palm Desert, California. This annual conference targets the integration of pain and palliative services across disciplines. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu. Links to the course can be found in this podcast’s description.

July 17, 2018

Patients with Medically Unexplained Symptoms

There are few patients that are more challenging to care for than those who have medically unexplained symptoms. They require a great deal of our time and huge medical costs can result. When should we suspect symptoms represent a functional disorder? How do we help patients when we have determined that their symptoms don’t represent a serious disorder? Do patients have a common fear regarding what their symptoms represent? Dr. Kevin Fleming, a Mayo Clinic physician in General Internal Medicine joins us to delve into medically unexplained symptoms.

July 10, 2018

Sneezers and Wheezers

Up to 30% of adults and children suffer from seasonal allergies. Allergic Rhinitis accounts for nearly 2 million lost school days and 6 million lost work days per year. Are there any non-pharmacologic ways to treat or manage seasonal allergies? Today, Dr. Gerald Volcheck is joining us to talk about allergic Rhinitis. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is also course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.

July 3, 2018

Food Allergies: This May be Hard to Swallow

How can we diagnose a food allergy from an often vast array of symptoms? Is it possible to desensitize to the food we are allergic to? What are the best methods we have to test for food allergies? Today Dr. Gerald Volcheck is joining us to talk about food allergies. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.

June 26, 2018

Lipids – What Goes Up Must Come Down

Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Dr. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses pharmacological treatment of hyperlipidemia and the potential long-term risks of using statins. Dr. Kopecky also talks about how to treat the patient who develops myalgias from several different statins and discusses the gender differences in the benefits seen from statins.

June 19, 2018

What I Won’t Let My Kids Do

For physicians like Mark Mannenbach, trampoline injuries are “what they do in the summertime.” Today’s selected presentation, “What I Won’t Let my Kids Do” is presented by Mayo Clinic pediatrician and pediatric emergency medicine physician, Mark Mannenbach, MD. Dr. Mannenbach discusses the top three sport activities he sees the most injuries from and goes on to offer some potential strategies to mitigate these “far too common” injuries. Topics like these are discussed at the Mayo Clinic Pediatric Days conference. This annual conference provides an interdisciplinary update on the latest strategies for providing timely and effective evidence based diagnosis and management plans for multiple aspects of pediatric and young adult health. This year’s conference will be held in October at Chicago’s Westin Hotel on Michigan Avenue. We invite you to network with your colleagues and Mayo Clinic faculty by registering at http://ce.mayo.edu/pediatricdays2018.

June 12, 2018

The Case for Ethics

Medical ethics is not new, it actually dates back many centuries. In fact, there’s evidence that this topic dates back to medieval times. Dr. Darryl Chutka welcomes Dr. Jon Tilburt, to review cases where an ethical decision has to be made.

June 5, 2018

Hypertension and the New Hypertension Guidelines Part 2

Hypertension is extremely common in our society, affecting nearly 1 in every 3 individuals in the United States. The treatment of hypertension is the most common reason for office visits in non-pregnant adults to healthcare providers and the most common reason for use of prescription medications. Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester, along with Dr. Gary Schwartz, a consultant in the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, discuss the evaluation and management of hypertension and the new hypertension treatment guidelines.

May 29, 2018

Burned by Stress

Healthcare professionals are more prone to stress and professional burnout compared to many other occupations. Chronic exposure to stress can decrease a provider’s efficiency and could result in negative consequences on our health and family life. It can lead to mental health issues, alcoholism, and other substance abuse. Debbie Fuehrer is a Licensed Professional Clinical Counselor in the Mayo Clinic Mind Body Medicine program and is the coordinator of the Mayo Clinic Complementary and Integrative Mind Body Medicine program. Debbie discusses how stress affects us as well as techniques health care professionals can use to manage stress.

May 23, 2018

Hypertension and New Hypertension Guidelines Part 1

Despite the fact that we have a wide variety of antihypertensive medications available, it’s estimated that up to half of the patients with hypertension are not adequately controlled. Dr. Darryl Chutka welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.

May 15, 2018

Risks and Benefits of Coffee

Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester and Dr. Donald Hensrud, a physician in Preventative Medicine and the medical director for the Mayo Clinic Healthy Living Program in Rochester, Minnesota discuss the risks and benefits of drinking coffee.

April 17, 2018

Opioid Edition 10: Side Effects Management

Guest: Molly A. Feely, M.D. (@mollyfeelymd) Host: Tracy McCray Episode 10 of 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/gt8znj/Ep_27-Opioid_Edition_10_Side_Effects_Management.pdf

April 10, 2018

Opioid Edition 9: Monitoring and Considerations for Tapering

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 9 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/hu4nsg/Ep_26-Opioid_Edition_9_Monitoring_and_Considerations_for_Tapering.pdf

April 3, 2018

Troponin Edition: Inpatient Care

Ep3 of 3: Which patients should be placed in monitored beds? Are there other factors to consider besides the troponin values when treating patients with ACS? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester share their insights on inpatient care, including pre- and post-surgery patients. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

March 13, 2018

Troponin Edition: Emergency Medicine

Ep2 of 3: Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Casey Clements, an emergency physician from Mayo Clinic-Rochester discuss how the new 5th generation assay for troponin will affect emergency medicine. What are the benefits and potential difficulties associated with the new test? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

March 7, 2018

Troponin Edition: The 5th Generation Assay

Ep1 of 3: How does the 5th generation assay differ from the 4th generation assay? Will a more sensitive assay improve clinical practice? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester walk us through the new 5th generation assay for troponin. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

February 28, 2018

Opioid Edition 1: The Opioid Crisis and Pain Management

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/5d7ztu/Ep_15-Opioid_Edition_1_The_Opioid_Crisis_and_Pain_Management.pdf

January 4, 2018

Opioid Edition 2: Managing Acute and Chronic Pain

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCray Episode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain. Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/bkc6ac/Ep_16-Opioid_Edition_2_Managing_Acute_and_Chronic_Pain.pdf

January 4, 2018

Opioid Edition 3: Family Practitioners – Assessing the Patient

Guest: David C. Patchett, D.O. Host: Tracy McCray Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/vgd4rt/Ep_17-Opioid_Edition_3_Family_Practitioners-Assessing_the_Patient.pdf

January 4, 2018

Opioid Edition 4: Treating Special Populations & Situations

Guest: David C. Patchett, D.O. Host: Tracy McCray Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/pxsjez/Ep_18-Opioid_Edition_4_Treating_Special_Populations_Situations.pdf

January 4, 2018

Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts) Host: Tracy McCray Episode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians? Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/z7mbxj/Ep_19-Opioid_Edition_5_Acute_Prescribing_Emergency_Room_Prescribing.pdf

January 4, 2018

Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts) Host: Tracy McCray Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting. Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/9rje3e/Ep_20-Opioid_Edition_6_Assessing_Treating_Opioid_Misuse_in_the_ED.pdf

January 4, 2018

Opioid Edition 7: Treating Opioid Addiction

Guest: Holly L. Geyer, M.D. Host: Tracy McCray Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/xvt7i9/Ep_21-Opioid_Edition_7_Treating_Opioid_Addiction.pdf

January 4, 2018

Opioid Edition 8: Family & Patient Counseling

Guest: Holly L. Geyer, M.D. Host: Tracy McCray Episode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, internal medicine physician at Mayo Clinic in Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference. Claim CME credit at ce.mayo.edu/opioidpc. Episode transcript: https://mcdn.podbean.com/mf/web/jit3rx/Ep_22-Opioid_Edition_8_Family_Patient_Counseling.pdf

January 4, 2018

Common Curbsides from the Infectious Disease Clinic

What are some tips for interpreting common infectious diseases tests (Syphilis, Hepatitis B, Lyme, Quantiferon, etc.)? How do I treat common infections in patients with antimicrobial allergies? What are the major emerging infectious disease concerns that I need to be aware of?

November 1, 2017

Trouble Sleeping? Tips on Managing Insomnia

What are the key elements of effective sleep hygiene? How effective are over the counter agents in treating insomnia? How do I choose which pharmacologic therapy to recommend? For patients who require long-term pharmacologic therapy, what are the most appropriate options?

October 18, 2017

Updates in Atrial Fibrillation

Which patients should receive anticoagulation for atrial fibrillation? How do I choose which anticoagulant to use? What should be done when atrial fibrillation is detected incidentally? Do patients with transient atrial fibrillation after non-cardiac surgery need long term anticoagulation? Do patients need chronic anticoagulation after ablation?

October 12, 2017

Topical Steroids: How to Choose

How do I decide which topical steroid potency to use? What vehicles are suitable for different clinical situations? What quantity should be prescribed?

September 29, 2017

Frequently Asked Questions in Diabetes

When should I consider metformin in patients with impaired fasting glucose? What are the different types of insulin available and how do I choose the best agent for my patient with DM2? Which commonly used performance measures are least supported by evidence? What are some key take home points from the new guidelines?

August 30, 2017

Acne and Rosacea Management in Primary Care

How do I individualize the approach to acne treatment? What are the different subtypes of rosacea and how are they treated? What new agents are available for treating acne and rosacea?

August 18, 2017

Asthma Update

Dr. Volcheck will cover the following questions in this podcast: What is the best diagnostic strategy for asthma? What new treatment options are available and how do they compare with currently available agents? What are some key take home points from the new guidelines?

January 26, 2017

How to Assess Memory Complaints in the Office

What is the most efficient strategy for determining who needs further evaluation? What are the most common medical conditions that present with memory loss? For those patients who need further evaluation, what is the most cost-effective strategy?

January 25, 2017

Updates in Hypertension: What the Generalist Needs to Know

During this talk, Dr. Stephen C. Textor will answer the following questions: - How do I apply the SPRINT trial findings to my patients? - What is the role of ambulatory blood pressure for diagnosis and monitoring hypertension? - Is there a role for aldosterone antagonists in primary hypertension?

January 23, 2017

Sexuality in the Aging Female

A review of sexuality changes in woman related to aging and chronic disease. Discussion includes assessment of sexual functioning along with sexual wellness in aging women and what practitioners can do to help patients enhance their sexual wellness.

January 19, 2017

Working Effectively with Patients with Borderline Personality Disorder

This week’s talk, Working Effectively with Patients with Borderline Personality Disorder, was presented by Dr. Brian Palmer at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research

January 9, 2017

Celiac Disease: 10 Things Every Primary Care Provider Should Know

This week’s talk, Celiac Disease: 10 things every primary care provider should know, was presented by Dr. Margaret Gill at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research

December 21, 2016

Menopause Management in 2016

This week’s talk, Menopause Management in 2016, was presented by Dr. Stephanie Faubion at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research

December 21, 2016

Truthful and Fearless

Today’s talk, Truthful and Fearless - Talking Through Vaccine Hesitancy, was presented by Nicole K. Callahan, Certified Nurse Practitioner and Dr. Derek L. Weyhrauch. It was given at the Internal Medicine Review Conference in September, 2015 in Rochester, Minnesota. ©2016 Mayo Foundation of Medical Education and Research

December 5, 2016

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