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Mayo Clinic Talks

Mayo Clinic Talks

Stay on top of your practice with podcasts from colleagues at Mayo Clinic.

All Episodes

RISE FOR EQUITY Podcast | Pain Points: Strategies to Address Bias in Pain Management

Brought to you by: Mayo Clinic Talks Podcast HOST: Nicole Nfonoyim-Hara GUESTS: Catherine W. Njathi-Ori, M.D. and Natalie H. Strand, M.D. “On a scale of 1 to 10, what's your pain?” If you’ve just broken a bone or are seeking treatment for endomitosis, it’s likely the first question you’ll be asked. But what if your pain is dismissed or minimized due to your age, race, or gender? In this episode of the RISE for Equity podcast, host Nicole Nfonoyim-Hara unpacks the latest evidence around bias in pain management—and effective strategies for a holistic approach to care—with Mayo Clinic physicians Catherine Njathi-Ori and Natalie Strand. Catherine W. Njathi-Ori, M.D., is an anesthesiologist specializing in acute pain management based in Rochester, Minnesota. Natalie H. Strand, M.D., is an Associate Professor in the Department of Anesthesiology, Division of Pain Medicine. She serves as the Director of Pain Research and the Director of Neuromodulation for Mayo Clinic Arizona. 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.    “We need to be humble as providers, because there definitely will be cultural influences on how patients are going to respond to how they're feeling…. While we have the visual and the numeric skills, we have to acknowledge that pain is more complex.” — Catherine Njathi-Ori, M.D. “People I think are well-meaning in medicine for the most part. I really believe that. But just because you're well-meaning doesn't mean you're not biased. People often can't see their own blind spots. When you don't have diversity in your division or department, or you don't have diversity on your admissions committees, or you don't have diversity in your surgical teams and anesthesia teams, how is anybody supposed to see their own blind spots?” —Nathalie H. Strand, M.D.
June 18, 2024

Handle with Care to Giving Bad News

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Amanda K. Lorenz, M.D. Giving our patients bad or unexpected news is one of the most difficult, but also one of the most important responsibilities we have as health care clinicians. This is when our patients need us the most and we need to do this with compassion and empathy. This is best done face to face and ideally once we have established a good relationship with our patient. Unfortunately, this isn’t always possible. A clinician in the emergency department telling a patient they’ve suffered an MI or a radiologist explaining a worrisome finding on mammogram may have just recently met the patient. What’s the best way to give our patients bad news? Can we become better at this? What can we expect from our patients after they hear the news? And how much information should we share with them? These are all topics we’ll discuss with our guest, Amanda K. Lorenz, M.D., a palliative medicine physician. Our topic for this podcast is “Giving Bad News”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 
June 11, 2024

Infertility

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Ali J. Ainsworth, M.D. A successful pregnancy is a complicated process. It involves a combination of precise timing as well as anatomic and physiologic conditions which need to be intact and functioning normally. When pregnancy is unable to be achieved, it can be due to a problem in the female, the male, or both. It’s relatively common and can result in significant frustration. Psychological problems also commonly result. The topic for today’s podcast is infertility; it’s causes, evaluation and management. My guest is Ali J. Ainsworth, M.D., a specialist in reproductive endocrinology and infertility from the Department of Obstetrics and Gynecology at the Mayo Clinic. June is Infertility Awareness Month Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 
June 4, 2024

Update in Immunizations 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Robert M. Jacobson, M.D. 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. 
May 28, 2024

RISE FOR EQUITY Podcast | Demystifying Equity: Navigating the Intersection of AI and Healthcare

Brought to you by: Mayo Clinic Talks Podcast Host: Nicole Nfonoyim-Hara Guests: John Halamka, M.D., M.S., and Sonya Makhni, M.D., M.S., M.B.A. On this episode of the RISE for Equity podcast, Dr. John Halamka and Dr. Sonya Makhni join host Nicole Nfonoyim-Hara to explore the multifaceted realm of Equity in Artificial Intelligence (AI). Delving into AI's applications in healthcare and various industries, this episode sheds light on its potential to transform patient care experiences. Listeners gain a deeper understanding of how AI is reshaping healthcare and are equipped with insights to recognize its presence and benefits within the healthcare landscape. This episode also serves as a beacon illuminating the transformative potential of artificial intelligence in improving patient care experiences. John D. Halamka, M.D., M.S., is a dedicated leader in advancing technology and policy for information exchange among healthcare stakeholders. Currently serving as President of the Mayo Clinic Platform, Dr. Halamka collaborates on research addressing algorithmic bias. With a rich background in education, including 25 years as a professor at Harvard Medical School, he is committed to nurturing the next generation of healthcare technology professionals. Sonya Makhni, M.D., M.S., M.B.A., serves as the Medical Director of Mayo Clinic Platform. Her focus spans data systems transformation, ML operations, AI bias mitigation in healthcare, health equity, innovation, change management, and novel care delivery models. Additionally, she is a Senior Associate Consultant in Hospital Internal Medicine at Mayo Clinic. 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.  “Wonderful thing about AI is it captures knowledge and democratizes access to that knowledge. Any doctor anywhere, any patient anywhere can get the benefit of the best knowledge gathered across our entire population” – Dr. John Halamka “It's equal parts up to the technology and equal parts up to us to understand how to harness the technology and hold ourselves accountable in terms of making sure the technology developers and the technology users are ensuring that we are, in actuality, also pursuing a raised bar of clinical practice.” – Dr. Sonya Makhni
May 21, 2024

Inhalation Injuries in First Responders

Host: Joshua D. Luciew, MPAS, P.A.-C. Guest: Brittany A. Strelow, DMSc, P.A.-C., M.S. Air pollution is a pervasive issue that surrounds us every day, with varying degrees of severity depending on our environment. As we go about our daily lives, we unknowingly inhale harmful substances that are present in the air. But what happens when this exposure is magnified, and individuals such as first responders are continuously exposed to severe air pollutants, like fire smoke? In the United States alone, fire departments respond to a fire every 21 seconds, exposing numerous individuals to the dangers of smoke inhalation.  Tune in as we delve into smoke inhalation injury, exploring who is most at risk, and how this silent killer can have long-term effects on our health. National EMS Week is May 19 – May 25 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/.
May 14, 2024

Lab Medicine Edition | CBC: Platelets (Thrombocytosis, Thrombocytopenia)

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. Ronald S. Go, M.D. returns as a guest to discuss abnormal platelet test results and its implication on patient management. 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. 
May 9, 2024

Prenatal Care

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Michele A. Hanson, M.D. There are a variety of things a woman can do to increase the odds of successful pregnancy. One of the most important is receiving regular prenatal care. It provides major benefits to both the mother and the unborn child. It’s been shown to reduce the risk of pregnancy complications as well as the risk of complications to the fetus. It’s one of the best ways to increase the likelihood of a healthy pregnancy. When should prenatal care begin? What does good prenatal care consist of? How often should a woman be seen for prenatal care?  In this podcast, we’ll be covering these topics and more as we discuss “Prenatal Care” with my guest, Michele A. Hanson, M.D., a family medicine physician 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 7, 2024

Lab Medicine Edition | CBC: White Blood Cell Count (WBC) (Leukocytosis, Leukopenia)

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 us again to discuss white blood cell count abnormalities is renown Mayo Clinic Hematologist, Ronald S. Go, M.D. 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. 
May 2, 2024

Esophageal Cancer Diagnosis and Care for the Primary Care Provider

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Tanios S. Bekaii-Saab, M.D. Although esophageal cancer is not a common malignancy, when found it often has a poor prognosis. It’s about four times more likely to occur in a male than a female. Although a variety of malignancies can develop in the esophagus, most tend to be either squamous cell or adenocarcinoma. Fortunately, the rates of esophageal cancer have been decreasing slightly over the past decade. Despite the fact that esophageal cancer often produces symptoms, the survival rate has not been very good, although due to new and improved treatments it has been improving. The topic for today’s podcast is esophageal cancer and my guest is Tanios S. Bekaii-Saab, M.D., the division chair for Hematology/Oncology at the Mayo Clinic in Phoenix, Arizona. We’ll discuss the risk factors for esophageal cancer, its common presenting symptoms, how to establish a diagnosis and the various treatment options available. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 
April 30, 2024

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