Mayo Clinic Talks

Holiday Stress and Wellness Edition: Alcohol Use and the Holidays Dec 19, 2024

Host: Darryl S. Chutka, M.D.

Guest: Terry D. Schneekloth, M.D.

According to the National Institute on Alcohol Abuse and Alcoholism, there’s a significant increase in alcohol consumption during holidays. Christmas and New Years are times of celebration and alcohol use is often part of that celebration. Binge drinking is common, and this can result in impaired judgment, motor vehicle accidents, and risky behaviors. Who’s at greatest risk for alcohol-related behaviors? How can we as health care clinicians detect those at risk for a problem with alcohol during the holidays and what advice can we give our patients recovering from an alcohol addiction to get through the holidays and maintain their sobriety? The topic for this podcast is “Alcohol Use and the Holidays” and these are some of the questions I’ll be asking my guest, Terry Schneekloth, M.D., 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.

Holiday Stress and Wellness Edition: Holiday Stress and Mental Health Dec 17, 2024

Host: Darryl S. Chutka, M.D.

Guest: Mark A. Frye, M.D.

For many, the holidays are a time for happiness and connecting with family and friends. It’s often a time of celebration. But for some, it can be a time of increased stress, anxiety and sadness. In some cases, our good health habits such as eating healthy, regular exercise and getting adequate sleep are replaced by overeating, consuming excess alcohol and taking on too many responsibilities. A recent study by the American Psychological Society found that 89% of those surveyed felt stressed during the holiday season. What are the most common reasons for this stress? Can we avoid it? If not, what are the best ways to manage it? I’ll be discussing these topics with my guest, Mark Frye, M.D., a psychiatrist from the Mayo Clinic. The topic for this podcast is “Holiday Stress and Mental Health”.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Holiday Stress and Wellness Edition: Exercise and the Holidays Dec 12, 2024

Host: Darryl S. Chutka, M.D.

Guest: Amanda R. Bonikowske, Ph.D.

There are many benefits of exercise, from improving our mental health to reducing the risk of chronic disease. It can improve our sleep, increase our energy and can help establish relationships with others. It’s an activity that almost anyone can do, and it doesn’t have to cost a thing, other than an individual’s time. The holiday season will soon be upon us as well as its associated stress and in many cases, weight gain. Can exercise help with some of these problems associated with the holidays? How much exercise is optimal? What kind of exercise should we recommend for those who are unable to participate in vigorous exercise? Does it matter if we do one type of exercise or is a variety of exercise better? These are questions I’ll be asking my guest, Amanda Bonikowske, Ph.D., an exercise physiologist from the Department of Cardiovascular Diseases at the Mayo Clinic as we discuss “Exercise and the Holidays”.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Holiday Stress and Wellness Edition: Pharmacologic Management of Depression Dec 10, 2024

Host: Darryl S. Chutka, M.D.

Guests: Bruce Sutor, M.D. & Megan R. Leloux, Pharm.D., R.Ph., BCPP

Depression is very common both in the U.S. and worldwide. It’s estimated that major depression affects over 8% of American adults, representing over 20 million individuals. Fortunately, we now have a variety of pharmacologic options for the management of depression and they’re much safer than what we had available in the past. However, we now have so many choices, how do we know which medication is best for our patient? What’s the difference between an SSRI and an SNRI? Is there an anti-depressant that’s also effective in treating anxiety? Are some medications better for our elderly patients? I’ll be asking these questions and more to my guests, psychiatrist Bruce Sutor, M.D., and pharmacist Megan R. Leloux, Pharm.D., R.Ph., BCPP, from the Mayo Clinic as we discuss “Pharmacologic Management of Depression” as part of our “Holiday Stress and Wellness” podcast series.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Holiday Stress and Wellness Edition: Seasonal Depression Dec 05, 2024

Host: Darryl S. Chutka, M.D.

Guest: Craig N. Sawchuk, Ph.D., L.P.

It’s relatively common for individuals to feel somewhat sad or have the “winter blues” when the days get shorter and then feel better when we get our daylight back in the spring. However, for some, mood changes can be more serious, and they may be experiencing seasonal affective disorder, a type of depression characterized by recurrent mood changes related to a change in the season. It’s estimated that up to 10 million Americans are affected by this disorder. What’s the natural history of seasonal affective disorder? Is it the same as depression which tends to occur around the holidays? Is seasonal affective disorder related to the time of year or the amount of sunlight and does it ever occur during the summer months? I’ll be asking these questions and more of my guest as we discuss “Seasonal Depression” as part of our “Holiday Stress and Wellness” podcast series. My guest for today’s podcast is psychologist Craig N. Sawchuk, Ph.D., L.P., 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.

Holiday Stress and Wellness Edition: How to Avoid Gaining Weight During the Holidays Dec 03, 2024

Host: Darryl S. Chutka, M.D.

Guest: Tara Schmidt, RDN, LD

It’s not uncommon to gain a pound or two each year as we get older. For many, most of our annual weight gain occurs during the holidays. It’s a time of celebration and is filled with parties and events, often with high calorie foods and drinks. Holidays can also be stressful, and many find some relief of stress by eating. Weight gain during the holidays occurs so easily and quickly, yet losing this weight can be quite challenging and can take months. In fact, some studies have shown that weight put on during the holidays never comes off. How do we deal with the abundance of food we’re exposed to over the holidays? How should we approach holiday parties? How can we avoid contributing to the problem when we bring food to holiday events? With the holidays approaching, today’s podcast is directed at our own personal health in our “Holiday Stress and Wellness Series” as we discuss “How to Avoid Gaining Weight During the Holidays.” My guest for this podcast is registered dietician and nutritionist Tara Schmidt, RDN, LD, from the Mayo Clinic.

Check out our guest’s podcast, “Mayo Clinic on Nutrition” Here https://mcpress.mayoclinic.org/podcasts/on-nutrition/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nicotine Dependence: Update on Vaping Nov 26, 2024

Host: Darryl S. Chutka, M.D.

Guest: Jon O. Ebbert, M.D.

According to the CDC, in 2020 nearly 20% of high school students reported using a vaping product, and nearly a quarter of them indicated they used the product daily. It’s now known that vaping has potential health risks and is just as addictive as combustible tobacco products with some vaping cartridges having a higher concentration of nicotine than cigarettes. In this podcast, we’ll discuss nicotine dependence with an update on vaping. My guest is Jon O. Ebbert, M.D., an internist and nicotine dependence specialist at the Mayo Clinic. I’ll be asking Dr. Ebbert about the health risks of vaping, including second-hand exposure, the likelihood of “vapers” to switch to traditional tobacco products and whether vaping has any potential to help individuals discontinue use of tobacco products.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease: Chronic Kidney Disease as a Systemic Inflammatory Syndrome Nov 21, 2024

Host: Darryl S. Chutka, M.D.

Guest: Aleksandra Kukla, M.D.

In 2023, an estimated 14% of all adults in the U.S. or just over 35 million individuals had chronic kidney disease and it’s even more common in the elderly population affecting over 1/3 of those over the age of 65. It represents the 8th leading cause of death in the U.S. It’s now known that chronic kidney disease is associated with systemic inflammation, which is responsible for a variety of complications including atherosclerosis and subsequent cardiovascular disease. Does kidney disease result in inflammation or does inflammation produce renal dysfunction? Are there inflammatory markers we could measure to assess this inflammation? Can we do anything to reduce the inflammation and if so, does it improve patient outcome? These are just some of the questions I’ll be asking my guest, Aleksandra Kukla, M.D., from the Division of Nephrology at the Mayo Clinic as we discuss “Chronic Kidney Disease as a Systemic Inflammatory Syndrome”.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease Edition: Obesity - The Linking Pathology Nov 19, 2024

Host: Darryl S. Chutka, M.D.

Guest: Maria L. Collazo-Clavell, M.D.

Its common knowledge that those who are obese are at greater risk for developing metabolic syndrome, diabetes and cardiovascular disease. However, the reason for this association has not always been clear. It does appear that systemic inflammation plays a major role and obesity triggers this inflammation. But what specifically initiates the inflammation? How can we measure it? Most importantly, can we reduce or eliminate this inflammation and prevent the progression to these cardiometabolic states? My guest for this podcast is Maria L. Collazo-Clavell, M.D., from the Division of Endocrinology and Metabolism at the Mayo Clinic and we’ll discuss “Inflammation and Cardiometabolic Disease: Obesity- The Linking Pathology”.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease Edition: Hepatic Inflammation and Metabolic Dysfunction-Associated Steatohepatitis (MASH) Nov 14, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Alina M. Allen, M.D., M.S.

Fat deposits in the liver are quite common and many individuals have no idea they have the condition. A minority of those individuals will develop an associated hepatic inflammation. It’s not entirely clear why some progress to this state, although there are some known risk factors. Steatohepatitis is a potentially serious health problem and can lead to end-stage liver disease. It’s also associated with cardiovascular disease and all of its complications. The topic for today’s podcast is Hepatic Inflammation and Metabolic Dysfunction-Associated Steatohepatitis. My guest is Alina M. Allen, M.D., M.S., from the Division of Gastroenterology and Hepatology at the Mayo Clinic. What are the risk factors for this health problem? Should we be screening patients for its presence and how should it be managed. These are just some of the topics we’ll discuss in this podcast.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease Edition: hs-CRP and Cardiovascular Disease Nov 12, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Regis I. Fernandes, M.D.

Inflammation commonly occurs as a response to injury or infection but can lead to damage when it develops in healthy tissue. It’s now known that inflammation plays a key role in the development of cardiovascular disease. It produces damage to the endovascular arterial cells allowing plaque to form within the artery leading to stenosis, thereby reducing coronary blood flow. What initiates the inflammatory response as it develops in otherwise healthy arteries? How should we use the hs-CRP in measuring inflammation in cardiovascular disease? Does our management of cardiovascular disease result in a decrease in hs-CRP? These are some of the questions I’ll be asking my guest, Regis I. Fernandes, M.D., a preventive cardiologist from the Mayo Clinic as we discuss “hs-CRP and Cardiovascular Disease”.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease Edition: Type 2 Diabetes as an Inflammatory Disease Nov 07, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Vinaya Simha, M.B.B.S., M.D.

Type 2 Diabetes is a commonly seen condition in a general medical practice. It’s estimated that over 38 million adults have the disease. When we think of diabetes, we think of a metabolic condition with patients who have hyperglycemia, often overweight, and occasionally have renal, eye and/or neurologic complications. But, do we ever think of diabetes as an inflammatory disease? How is inflammation associated with diabetes? What are the mediators of inflammation in diabetics and when we treat diabetes, are we reducing the associated inflammation in addition to lowering blood glucose? These are questions I’ll be asking our guest, Vinaya Simha, M.B.B.S., M.D., from the Division of Endocrinology and Metabolic Disease at the Mayo Clinic as we discuss “Type 2 Diabetes as an Inflammatory Disease”.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Inflammation and Cardiometabolic Disease Edition: Interplay Between Cholesterol, Inflammation and Thrombosis Nov 05, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Atul Jain, M.D., M.S.

Cardiovascular disease is the leading cause of death for both men and women and it’s responsible for 1 in every 5 deaths. It’s estimated to cost over $250 billion a year, which includes the cost of medical services, medications and lost productivity. Patients with cardiovascular disease are commonly seen in a general medical practice and since it’s such a common health problem, we’re all pretty comfortable managing these patients. But do we know what’s happening pathologically? What’s the role of cholesterol and inflammation in cardiovascular disease? What causes the inflammation? How do we measure it and most importantly, can we do anything about it? I’ll be asking these questions of our guest, internist Atul Jain, M.D., M.S., from the Division of General Internal Medicine at the Mayo Clinic as we discuss the interplay between cholesterol, inflammation and thrombosis in cardiovascular disease.

These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk

Learn more about this series HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Back to School Edition | Pediatric Mental Health Disorders Oct 31, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Joselyn R. Lebow, Ph.D., L.P.

Unfortunately, mental health problems are common in our youth. A recent study by the CDC found that among adolescents aged 12 to 17, just under 21% had experienced a major depressive episode within the past year. Among high school students, more than 35% reported feeling sad or hopeless, with nearly 20% seriously contemplating suicide and mental health disorders are not limited to our teens. Over 17% of children aged 2 through 8 have had a diagnosis of a mental, behavioral or developmental disorder. Are mental health disorders in our youth increasing? How might depression present in a child or adolescent? How common is suicide in our youth and how often are suicide attempts successful? I’ll be asking these questions and more to my guest in today’s podcast on “Pediatric Mental Health Disorders” as part of our “Back to School” podcast series. My guest is child psychologist Joselyn R. Lebow, Ph.D., L.P., from the Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Back to School Edition | Pediatric and Adolescent Ophthalmologic Concerns Oct 29, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Erick D. Bothun, M.D.

It’s estimated that more than 1 in 20 preschool-age children and 1 in 4 school-age children have a vision disorder. Since the eyes are the source of sensory input for much of the learning that takes place in our children, these statistics take on real importance. Vision problems in childhood can result in developmental delays and are often misdiagnosed as learning disabilities. As adults, we’re aware of changes and problems with our vision. Children who have never known clear vision may not realize their vision is impaired. What are the most common eye disorders in children? How many of our pre-school children are receiving vision screening? What are common signs a child may have a vision impairment? These are just some of the questions I’ll asking my guest, Erick D. Bothun, M.D., from the Department of Ophthalmology at the Mayo Clinic. As part of our “Back to School” Series, we’ll be discussing “Pediatric and Adolescent Ophthalmologic Concerns”.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Back to School Edition | Pediatric and Adolescent Sleep Medicine Oct 24, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Julie M. Baughn, M.D.

Sleep is very important for a child’s physical and mental health and plays a vital role in the development of cognitive and motor skills. The American Academy of Pediatrics estimates that up to 50% of children and 40% of adolescents have problems with their sleep, which may manifest as issues in school, mood disorders as well as relationship problems with others. What kind of sleep problems do children and adolescents commonly experience? When should we suspect impaired sleep is causing problems and do children and adolescents have some of the same sleep disorders as adults? I’ll be asking these questions and more as we explore “Pediatric and Adolescent Sleep Medicine” as part of our “Back to School” series of podcasts. My guest is Julie M. Baughn, M.D., a pulmonologist and sleep specialist at the Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Diverticular Disease Oct 22, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guests: Sahil Khanna, M.B.B.S., M.S., and Sherief Shawki, M.B., B.Ch., M.D.

Diverticulosis is quite common. Its prevalence varies with age from fewer than 20% at age 40 to 60% by age 60. It's far more common in the left colon and tends to be progressive with both the number and size of the diverticula, both increasing with age. There are potential complications of diverticulosis, with diverticulitis being most common. This also tends to increase in prevalence with age and appears to be increasing with time. Can diverticulitis be prevented? What’s the best way to manage a patient with acute diverticulitis and when is surgery indicated? I’ll be asking these questions and more to my guests, Sahil Khanna, M.B.B.S., M.S., from the Division of Gastroenterology and Hepatology and Sherief Shawki, M.B., B.Ch., M.D., from the Division of Colorectal Surgery at the Mayo Clinic. The topic for this podcast is diverticular disease.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Back to School Edition | Pediatric and Adolescent Sports Injuries Oct 17, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: David B. Soma, M.D.

Participation in sports in children and adolescents is extremely common and its popularity is increasing. Although sports play an important role in promoting health and developing interpersonal relationships, its estimated that injuries related to playing sports is quite common, especially musculoskeletal injuries. The literature describes prevalence rates ranging from 34 to 65%. This leads to lost school days and significant health care costs. Which sports carry the greatest risk of injury? Are there any differences in injuries in girls vs. boys? Can sports injuries be prevented and are the benefits of participation in sports worth the risk of serious injury? We’ll discuss these issues and more as part of our “Back to School” podcast series. The topic for this podcast is “Pediatric and Adolescent Sports Injuries” and my guest is David B. Soma, M.D., from the Department of Pediatric and Adolescent Medicine at the Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

RISE for Equity Podcast | Advancing Diversity in the Physician Workforce Oct 15, 2024

Brought to you by: Mayo Clinic Talks

Host: Nicole Nfonoyim-Hara

Guests: Semirra L. Bayan, M.D., and Katie M. Van Abel, M.D.

On this episode of the RISE for Equity podcast, host Nicole Nfonoyim-Hara is joined by Semirra L. Bayan, M.D., and Katie M. Van Abel, M.D., to discuss diversifying the physician workforce. Dr. Van Abel and Dr. Bayan share about the important role of pathway programs to lift up marginalized and underserved communities, and innovative strategies for cultivating diversity, equity, and inclusion in medical training and careers.

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.

“Equity is about pulling up more chairs at a table. There's just more chairs at the table. We're not taking chairs away from other people. And the importance of lifting everybody up and creating community truly makes all of us better people.” – Dr. Bayan

“One thought has been really important for me throughout this process, and that is to remain curious; to not just assume you know everything about a problem, to learn as we go, and to allow the people that we're working with to teach us so that we can do better for the next group of students or individuals.” -Dr. Van Abel

Back to School Edition | Pediatric and Adolescent Diet & Nutrition Oct 10, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Angela C. Mattke, M.D.

Providing good nutrition and developing healthy eating habits is extremely important for our children. It sets a pattern and can impact their health throughout their adult life. However, this goal has many challenges. Parents must battle effective media marketing for unhealthy foods, deal with ever available and convenient fast-food options and struggle with time constraints in their busy families. How healthy are the diets of our children? How can parents manage their own busy schedules and still prepare healthy meals and what’s our role as health care clinicians in promoting healthy nutrition in our children. This podcast in our “Back to School” series will focus on these questions as we discuss “Pediatric and Adolescent Diet and Nutrition”. My guest is Angela C. Mattke, M.D., a pediatrician from the Division of Community Pediatrics and Adolescent Medicine at the Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Back to School Edition | Immunization Update Oct 08, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Robert M. Jacobson, M.D.

Pencils, books and lots of dreams is what many children will experience as they head back to school. It’s a time filled with a variety of emotions: excitement and anticipation over what the next 9 months will bring. For some, it’s a time of sadness as summer comes to an end. It’s also a time to review and update immunizations. What’s recommended for school and what’s required? What are the common reasons parents refuse immunizations for their children and how do we address the many myths people have about immunizations? I’ll be getting the answers to these questions in today’s podcast from our guest, Bob M. Jacobson, M.D., from the Division of Community Pediatrics and Adolescents at Mayo Clinic.

To learn more about this series, check it out HERE

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Conversations in OB/GYN: Infectious Diseases in Pregnancy: Part Two Oct 03, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Regan N. Theiler, M.D., Ph.D.

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

Today, we are going to be discussing inpatient management of infections in pregnant patients. Specifically, infections that might show up on a general medicine service or in the emergency department. To help us understand how to better assess and manage these patients, we are joined by Regan N. Theiler, M.D., Ph.D., obstetrical hospitalist and immediate past-chair of the Division of Obstetrics and Gynecology at Mayo Clinic in Rochester.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Lifting the Veil on Female Sexual Dysfunction Oct 01, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Richa Sood, M.D., M.S.

Concerns and problems related to sexual health in women are common and can be very distressing. They can occur at any stage of life and can lead to issues with self-image and potential problems in establishing and maintaining relationships with a partner. To complicate things, this problem is often not mentioned by the patient when they are seen by their health care provider. The issues are often complex and can involve physiology, emotions, lifestyle as well as several other factors. In this podcast, we’ll discuss female sexual concerns and dysfunction. What are common sexual problems patients experience? How do we evaluate the patient’s concerns? How are the problems managed and most importantly, how do we encourage our patients to let us know when they are having problems related to their sexual health. My guest is Richa Sood, M.D., M.S., an internist and specialist in women’s health 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.

Conversations in OB/GYN Edition | Infectious Diseases in Pregnancy: Part One Sep 26, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Regan N. Theiler, M.D., Ph.D.

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

Today, we’ll be discussing common infections during pregnancy. We are joined by Regan N. Theiler, M.D., Ph.D., obstetrical hospitalist and immediate past-chair of the Division of Obstetrics and Gynecology at Mayo Clinic in Rochester. Not only does she serve on the National Clinical Committee for the American College of Obstetrics and Gynecology, but she has also earned a Ph.D. in microbiology and immunology.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Testicular Tissue Cryopreservation Sep 24, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Candace F. Granberg, M.D.

Developments in cancer treatment have resulted in significant improvements in the survival of malignancy in young children. Unfortunately, these treatments often result in infertility. If these children are pre-pubertal, preservation of mature sperm is not possible. But there is now a procedure which may result in the preservation of fertility by removing testicular tissue, subjecting it to cryopreservation to preserve stem cells capable of producing viable sperm in the future. This procedure is known as testicular tissue cryopreservation and I’ll be discussing it with our guest, Candace F. Granberg, M.D., a urologist 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.

Conversations in OB/GYN Edition | Unexpected Pregnancy Sep 19, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Jenna N. Wygant, APRN, C.N.P., D.N.P.

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

Sometimes we encounter unexpected pregnancies as healthcare professionals and clinicians. To help us “skill-up” for those conversations, we have Jenna N. Wygant, APRN, C.N.P., D.N.P. She is an advanced practitioner and assistant professor of Obstetrics and Gynecology at Mayo Clinic in Rochester.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

RISE for Equity Podcast | Quality and Value to Promote Health Equity Sep 17, 2024

Brought to you by: Mayo Clinic Talks

Host: Nicole Nfonoyim-Hara

Guest: Subashnie Devkaran, Ph.D.

On this episode of the RISE for Equity Podcast, Subashnie Devkaran, Ph.D., joins host Nicole Nfonoyim-Hara to discuss the importance of the value of care, and how Mayo Clinic champions equity through quality care.

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.

Conversations in OB/GYN Edition | Hyperemesis Sep 12, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Margaret E. Long, M.D.

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

Today, we’re going to be talking about nausea and vomiting in pregnancy. We definitely see this in the healthcare setting, outside of the specialty office; and sometimes I wonder, do I know the latest and greatest information about this and how do we best manage these patients. To help us with this, we have Margaret E. Long, M.D. She’s an obstetrician and gynecologist researcher and award-winning educator and one of our faculty members here at the Mayo Clinic.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Venous Thrombosis (DVT) Sep 10, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Ana I. Casanegra, M.D., M.S.

Venous thrombosis is an under diagnosed and potentially serious health condition, yet in many cases its preventable and certainly treatable when found. Its most serious potential complication is embolization, most commonly to the lung. As a medical condition, venous thrombosis has been known for many years. In fact, the triad of contributing factors to venous thrombosis including venous stasis, vascular injury and hypercoagulability were discovered in the mid-1800’s. Despite the long duration we’ve been diagnosing and treating the health problem, there’s still much we need to learn about it. The topic for today’s podcast is venous thrombosis and we’ll discuss its risk factors, how to diagnose a DVT and the best management recommendations. My guest will be Ana I. Casanegra, M.D., M.S., a vascular 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.

Conversations in OB/GYN Edition | Loss Management Sep 05, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Julie A. Lamppa, APRN, CNM

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

Today, we’re back with Julie A. Lamppa, APRN, CNM, director of our midwifery services at Mayo Clinic Rochester and director of the Early Pregnancy Care Clinic at Mayo Clinic in Rochester. For this episode, we will be continuing our conversation about first trimester bleeding but going more towards how it relates to pregnancy loss.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Conversations in OB/GYN Edition | First Trimester Bleeding Sep 03, 2024

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D.

Guest: Julie A. Lamppa, APRN, CNM

Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”.

This podcast edition is specifically designed for the non-OB/GYN frontline provider.

Today, we’re going to be addressing first trimester bleeding and we are joined by our content expert, Julie A. Lamppa, APRN, CNM. She is the director of our midwifery services at Mayo Clinic Rochester and the director of the Early Pregnancy Care Clinic at Mayo Clinic in Rochester.

To learn more about this series, click here

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Working Effectively with Patients with Obsessive Compulsive Disorder (OCD) Aug 27, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Craig N. Sawchuk, Ph.D., L.P.

It’s estimated that 1 in 40 adults have obsessive compulsive disorder. Obsessions are repetitive, unwanted thoughts that are very difficult to control. They commonly cause distress and anxiety and are often focused on a specific theme such as germs and contamination. Compulsions are repetitive behaviors or thoughts that help make the obsessive thoughts go away. They can be very time consuming and prevent the individual from participating in activities the person values. Treatment is available for patients with OCD, and most can be helped. We’ll discuss OCD with our guest, Craig N. Sawchuk, Ph.D., L.P., a psychologist at the Mayo Clinic and find out how patients with OCD present, common obsessions they experience and how OCD can be managed.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes and Your Health Edition | GeneRx: Revolutionizing Primary Care with Pharmacogenomics Aug 22, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Isa J. Houwink, M.D., Ph.D.

Pharmacogenomics (PGx) is transforming everyday primary care practice. By using patients’ genetic profiles, providers are guiding more precise, personalized treatments. In this episode of Genes & Your Health podcast, primary care physicians Dr. Denise Dupra and Dr. Isa J. Houwink discuss their practical applications and integration of PGx. The tips, tools and case studies shared, including how to optimize medication outcomes, reduce adverse drug reactions and deliver better patient care, is beneficial for all primary care providers.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

RISE for EQUITY Podcast | Women in Medicine Aug 20, 2024

Brought to you by: Mayo Clinic Talks Podcast

HOST: Nicole Nfonoyim-Hara

GUESTS: Aminah Jatoi, M.D.; Yemi Sokumbi, M.D.

On this episode of the RISE for Equity podcast, host Nicole Nfonoyim-Hara is joined by Dr. Aminah Jatoi and Dr. Yemi Sokumbi to discuss women in medicine. Drs. Jatoi and Sokumbi share their personal stories of deciding to practice medicine, explore the current field of medicine as women physicians, and offer insight into the growth of women in the medical workforce and leadership in the future.

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.

Genes and Your Health Edition | Antisense Oligonucleotide (ASO) Therapeutics for Rare Genetic Disease Aug 15, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Margot A. Cousin, Ph.D.

This episode of Genes & Your Health provides a comprehensive look at how ASO (Antisense Oligonucleotide) therapy is paving the way for personalized medicine and offering new hope for patients with previously untreatable conditions. Margot A. Cousin, Ph.D., an Assistant Professor of Medical Genetics in the Department of Molecular Medicine and Director of the N-or-1 Therapeutics Program in the Center for Individualized Medicine, walks us through an overview of what antisense oligonucleotides are and how they work. We then discuss clinical applications, success stories, and potential new applications to transform treatment approaches.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Weight Changes Associated with Antidepressants Aug 13, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Mark A. Frye, M.D.

We have a variety of antidepressant medications available to us including SSRI’s, SNRI’s and others, and for the most part they’re very well tolerated by our patients. They are much better tolerated compared to some of our older options such as the tricyclic antidepressants and MAO inhibitors. These older products often produced cardiovascular and anticholinergic adverse effects, not commonly seen with our newer medications. However, our newer antidepressants do have a relatively common adverse effect. They tend to produce weight changes, usually a weight increase. Which antidepressants tend to produce the most weight gain? How much weight does the typical patient gain from these medications? Is the weight gained typically maintained or lost when the medication is stopped? In this podcast, I’ll be discussing these questions and more with Mark A. Frye, M.D., a psychiatrist at the Mayo Clinic.

To learn more about this topic: https://pubmed.ncbi.nlm.nih.gov/38950403/

Join us at the Swissotel in Chicago for two days of learning, networking, and advancing patient care. Seats are limited, so visit our website to register now!

National Network of Depression Centers Best Practices for Mood Disorders in Collaboration with Mayo Clinic 2024 | Mayo Clinic School of Continuous Professional Development | CME Course Conference

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition | Microbiome and Ovarian Cancer Aug 08, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Marina Walther-Antonio, Ph.D.

Can microbe populations affect women’s health in areas like ovarian cancer or predicting pre-term delivery? Tune into this episode of Genes & Your Health with Marina Walther-Antonio, Ph.D., a microbiome researcher within Mayo Clinic's Center for Individualized Medicine, to learn what recent research studies suggest about the interaction of the microbiome, the environment, and the genome.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Obesity Pharmacotherapy Management Aug 06, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Kristina M. Thurber, Pharm D., R.PH.

Obesity in the U.S. is reaching epidemic proportions. Managing our overweight patients has been challenging, with few being able to adopt and adhere to a healthy diet and exercise program. There is a class of medications that improves blood glucose in type 2 diabetics and in most cases also results in significant weight loss. These medications are known as glucagon-like peptide 1 or GLP-1 agonists. A substantial number of patients are taking these medications, some for management of diabetes but for many others, the weight loss they produce. How do these medications work to produce weight loss? How much weight loss can patients expect? How much do they cost and most importantly, are these medications the solution to obesity as a health problem? In this podcast, I’ll be discussing these questions with my guest, Kristina M. Thurber, Pharm D., R.P.H., a pharmacist at the Mayo Clinic as we review “Obesity Pharmacotherapy Management”.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes and Your Health Edition | Legal Aspects of Genetic Testing Aug 01, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Jessica Kelly, JD

Join our expert hosts as they delve into the intersection of genetic science and the legal landscape in this episode of Genes & Your Health.

Jessica Kelly, J.D., and Denise M. Dupras, M.D., Ph.D., discuss the latest advancements in genetic research, personalized medicine, and how these innovations are shaping the future of healthcare. They also explore the legal implications, from privacy concerns and ethical considerations to the policies governing genetic data usage and patient rights.

Whether you're a healthcare professional, a legal expert, or simply curious about the future of genetics, this episode offers valuable insights and thought-provoking discussions. Tune in to stay informed about the cutting-edge developments at the nexus of genetics and the law.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Sarcomas Jul 30, 2024

Host: Darryl S. Chutka, M.D., [@chutkaMD]

Guests: Steven I. Robinson, M.B.B.S., and Brittany L. Siontis, M.D.

When you think of malignancies, sarcomas don’t usually come to mind. They are very uncommon and can occur in numerous locations. In addition, they can be very difficult to diagnose as the symptoms they produce are often very subtle. Approximately 15,000 cases of sarcoma are diagnosed each year in the U.S. and because July is Sarcoma Awareness Month, we’re going to do our part to raise awareness of sarcomas. My guests for this podcast include Steven I. Robinson, M.B.B.S. and Brittany L. Siontis, M.D., both from the Department of Oncology 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.

Genes and Your Health Edition | AI in Cardiology and Primary Care Jul 25, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Peter A. Noseworthy, M.D., M.B.A.

Rapid advances in artificial intelligence, or AI, are changing everyday medical practice. In this episode of Genes & Your Health, explore the transformative role of AI in cardiology and primary care practices. Don’t miss this fascinating episode of Genes & Your Health with Peter A. Noseworthy, M.D., M.B.A., Professor of Medicine and Chair of the Division of Heart Rhythm Services at the Mayo Clinic. We’ll discuss the power of AI in early detection of heart disease, streamlined workflows for better patient outcomes, and ethical considerations of using AI in healthcare.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

From Head to Toe: How to Perform a Skin Exam Jul 23, 2024

Host: Darryl S. Chutka, M.D., [@chutkaMD]

Guest: Emma F. Johnson, M.D.

For both men and women, skin cancer is the most common malignancy and unlike colon, breast and lung cancer, skin cancers should be visible as they exist on the exterior of our bodies. Primary care providers need to be proficient in examining the skin of our patients and recognizing suspicious skin lesions. It’s just not possible to send all patients to a dermatologist for a skin exam. In this podcast, we’ll explore what questions we should ask our patients before we perform an exam of their skin, how we fit a skin exam into our busy schedules, and when a photograph of a skin lesion might be of benefit. Our guest for this podcast is Emma F. Johnson, 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.

Genes and your Health Edition | Answers from the Lab: Cell Free DNA and Testing for Cancer Jul 18, 2024

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Aaron S. Mansfield, M.D.

Can a simple blood draw diagnose cancer? Join this episode of Genes & Your Health with Aaron Mansfield, M.D., a Mayo Clinic medical oncologist whose focus is on thoracic malignancies and early therapeutics, as we discuss the science behind non-invasive cancer screening, how cell-free DNA tests can help diagnose some cancers earlier than ever before, what limitations exist, and what promise the future holds.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

RISE for EQUITY Podcast | Leadership in Healthcare: An Asian American Perspective Jul 16, 2024

Brought to you by: Mayo Clinic Talks Podcast

HOST: Nicole Nfonoyim-Hara

GUEST: Amy Hara, M.D.

On this episode of the RISE for Equity podcast, Dr. Amy Hara joins host Nicole Nfonoyim-Hara for an insightful discussion on the topic of leadership in healthcare. Dr. Hara, a member of the Mayo Clinic Board of Governors and Mayo Clinic Arizona’s Executive Operations team, shares her experiences and perspectives on what it means to be an effective leader in the ever-evolving healthcare industry.

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.

"For my leadership, I really encourage folks to bring themselves. Because you think differently or because you do this differently, you would be a great leader. I try to encourage people that's a strength in not trying to mold yourself into something else."

-Amy Hara, M.D.

Artificial Intelligence (AI) in Medicine: Part 2 Jul 11, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Jason D. Greenwood, M.D., M.S.

Artificial intelligence is currently one of the most commonly discussed topics, but how does it relate to the practice of medicine? According to a recent publication in the Journal of the American Board of Family Medicine, “AI has the potential to fundamentally change the way society thinks about medicine, the way medicine is practiced, and the way medicine is taught.” That’s a pretty all-encompassing statement regarding the effect AI will have on what we do. Is AI beneficial to us as clinicians? Are there challenges associated with it? What are its shortcomings? In this podcast, I’ll be asking my guest, Jason D. Greenwood, M.D., M.S., a family physician at the Mayo Clinic these questions and as we discuss Artificial Intelligence in Medicine in this two-part release on July 9 and July 11!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Artificial Intelligence (AI) in Medicine: Part 1 Jul 09, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Jason D. Greenwood, M.D., M.S.

Artificial intelligence is currently one of the most commonly discussed topics, but how does it relate to the practice of medicine? According to a recent publication in the Journal of the American Board of Family Medicine, “AI has the potential to fundamentally change the way society thinks about medicine, the way medicine is practiced, and the way medicine is taught.” That’s a pretty all-encompassing statement regarding the effect AI will have on what we do. Is AI beneficial to us as clinicians? Are there challenges associated with it? What are its shortcomings? In this podcast, I’ll be asking my guest, Jason D. Greenwood, M.D., M.S., a family physician at the Mayo Clinic these questions and as we discuss Artificial Intelligence in Medicine in this two-part release on July 9 and July 11 this week!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Management of Varicose Veins Jul 02, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Newton B. Neidert, M.D.

Varicose veins are quite common and for most, they’re a minor nuisance. However, for some individuals, they have the potential to be much more than a cosmetic health problem. They can lead to a variety of symptoms including skin discoloration, discomfort, extremity swelling and occasionally skin ulceration. Fortunately, there have been numerous advances in the management of varicose veins and in this podcast, I’ll discuss these advances with interventional radiologist, Newton B. Neidert, M.D., from the Mayo Clinic. We’ll discuss who’s at risk for varicose veins, typical symptoms patients experience and the conservative as well as more invasive treatment options.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Healthcare of the Transgender Patient Jun 25, 2024

Host: Darryl S. Chutka, M.D. [@chutkaMD]

Guest: Natalie C. Erbs, M.D.

There is abundant research that indicates there are healthcare inequities experienced by transgender individuals. Transgender patients have the same basic health care needs as any patient. However, in addition, they might also have gender-related healthcare needs and concerns. It’s important for us to meet these healthcare needs, and this requires some special knowledge. The special needs of the transgender patient may be related to gender-affirming hormonal therapy or surgery, or it may relate to gender-specific preventive healthcare. This podcast will explore transgender health care. We’ll discuss the difficulties experienced by transgender patients, the specific healthcare needs they have and how we can become more educated in providing healthcare to transgender patients. My guest is Natalie C. Erbs, M.D., from the Department of Family Medicine at the Mayo Clinic.

Mayo Clinic Minute: Coming out as LGBTQ to your health care provider - Mayo Clinic News Network

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

RISE FOR EQUITY Podcast | Pain Points: Strategies to Address Bias in Pain Management Jun 18, 2024

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.

Handle with Care to Giving Bad News Jun 11, 2024

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.

Infertility Jun 04, 2024

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.

Update in Immunizations 2024 May 28, 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.

RISE FOR EQUITY Podcast | Demystifying Equity: Navigating the Intersection of AI and Healthcare May 21, 2024

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

Inhalation Injuries in First Responders May 14, 2024

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/.

Lab Medicine Edition | CBC: Platelets (Thrombocytosis, Thrombocytopenia) May 09, 2024

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.

Prenatal Care May 07, 2024

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.

Lab Medicine Edition | CBC: White Blood Cell Count (WBC) (Leukocytosis, Leukopenia) May 02, 2024

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.

Esophageal Cancer Diagnosis and Care for the Primary Care Provider Apr 30, 2024

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.

Lab Medicine Edition | CBC: Hemoglobin/Anemia (Micro, Macro, Hemolytic) Apr 25, 2024

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.

Diversity, Equity and Inclusion (DEI) in Healthcare Apr 23, 2024

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.

Lab Medicine Edition | Electrolytes: Calcium (Hypercalcemia, Hypocalcemia) Apr 18, 2024

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.

RISE FOR EQUITY Podcast: Pride in Health: Navigating the Path to LGBTQ+ Health Equity Apr 16, 2024

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.

Lab Medicine Edition | Electrolytes: Potassium (Hyperkalemia, Hypokalemia) Apr 11, 2024

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.

When to Refer a Patient for a Lung Transplant Apr 09, 2024

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

Lab Medicine Edition | Electrolytes: Sodium (Hypernatremia, Hyponatremia) Apr 04, 2024

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.

When to Refer a Patient for a Heart Transplant Apr 02, 2024

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.

Menopause and Women's Health Edition | Menopause and Sexual Health Mar 28, 2024

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

RISE FOR EQUITY Podcast: Breaking Down Weight Bias: Unpacking Prejudice in the Doctor’s Office Mar 26, 2024

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.

Menopause and Women's Health Edition | Hormones and Sexual Health After Cancer Mar 21, 2024

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

Tuberculosis Mar 19, 2024

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.

Menopause and Women's Health Edition | Topical and Non-Hormonal Therapies Mar 14, 2024

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

Update in Asthma Mar 12, 2024

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.

Menopause & Women's Health Edition | Menopause and Hormonal Therapy Mar 07, 2024

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

*Episode Addendum: terminology “micronized progesterone acetate”; said in error: “medroxyprogesterone acetate”

A Career in Academic Medicine Mar 05, 2024

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.

This episode is a special video offering of Mayo Clinic Talks podcast - To watch the full video please visit: ce.mayo.edu

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Menopause and Women's Health Edition | Menopause and Bone Health Feb 29, 2024

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

Menopause and Women's Health Edition | Introduction to Menopause Feb 27, 2024

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

Identifying and Treating Thyroid Disorders Feb 20, 2024

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.

Rheumatology Edition | Temporal Arteritis Feb 15, 2024

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

Outpatient Antibiotic Stewardship Feb 13, 2024

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.

Rheumatology Edition | What Primary Care Providers Need to Know About Polymyalgia Rheumatica Feb 08, 2024

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

Chest Pain: What’s the Best Test? Feb 06, 2024

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.

Rheumatology Edition | Sjogren’s Syndrome “The Basics” Feb 01, 2024

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

Blood Donation and How it Relates to Primary Care Jan 30, 2024

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.

Rheumatology Edition | When to Suspect (RA) Rheumatoid Arthritis Jan 25, 2024

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

Update in Cervical Cancer Screening Jan 23, 2024

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.

Rheumatology Edition | Is It Always Lupus? Jan 18, 2024

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

RISE for Equity Podcast: Breaking Barriers | Inclusive Health Perspectives through Diverse Clinical Trials and Community Engagement Jan 16, 2024

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/

Rheumatology Edition | When Are Rheumatology Lab Tests Indicated? Jan 11, 2024

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.

Rheumatology Edition | What Everyone Should Know About Gout Jan 09, 2024

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.

THE BEST OF SEASON 1: Exercise is Medicine ”Adding Years to Life and Life to Years” Jan 02, 2024

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.

THE BEST OF SEASON 1: Microaggressions in Medicine Dec 26, 2023

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.

RISE for Equity Podcast: Equity in Every Season | Navigating Cold, Flu, and COVID Disparities Dec 21, 2023

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/

Assessing the Older Patient with New Cognitive Symptoms Dec 19, 2023

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.

Functional Bowel Disorders: Identification & Treatment Updates Dec 12, 2023

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.

Taking Care of Your Personal Well-Being “In Their Own Words” Dec 05, 2023

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.

Taking Care of Your Personal Well-Being “From the Experts” Nov 28, 2023

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.

Welcome to Season 2 of Mayo Clinic’s RISE for Equity Podcast Nov 21, 2023

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/

Genes & Your Health | Respiratory Disease and Health Disparities Nov 15, 2023

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.

Pain Management Beyond Opioids Nov 14, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | “Hip Hip Hooray” The Surgical Management of Hip & Knee Arthritis Nov 09, 2023

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.

Genes & Your Health Edition | Genetic Informed Risk Assessments Nov 08, 2023

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.

Attention-Deficit / Hyperactivity Disorder (ADHD) in Adults Nov 07, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | “Sticks & Stones May Break My Bones” Common Fractures Associated with Osteoporosis Nov 02, 2023

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.

Genes & Your Health Edition | Spotlight on PGx: Pain Nov 01, 2023

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.

Intimate Partner Violence Oct 31, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | “Stiffen Up” Management of Osteoporosis Oct 26, 2023

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.

Genes & Your Health Edition | Navigating the Genetic Testing World - The Role of a Genetic Counselor Oct 25, 2023

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.

Nutrition & Cardiovascular Health Oct 24, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | Osteoporosis “Getting to the Core” Oct 19, 2023

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.

Genes & Your Health Edition | Ethical Considerations Oct 18, 2023

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.

“Hacking” The Unexplained Chronic Cough Oct 17, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | Calcium & Vitamin D “When Enough is Enough” Oct 12, 2023

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.

Genes & Your Health Edition | All in the Family Oct 11, 2023

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.

Osteoporosis, Fragility & Bone Health Edition | Bone Basics & Tips for Good Bone Health Oct 10, 2023

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.

Valvular Heart Disease: The Mitral Valve Oct 03, 2023

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.

Valvular Heart Disease: The Aortic Valve Sep 26, 2023

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.

Thyroid Hormone & Brain Development in Children Sep 19, 2023

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.

Tired Teens: Chronic Fatigue in Adolescents Sep 12, 2023

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.

”The Heat is On” Heat-Related Conditions Sep 05, 2023

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.

What’s New with C. Difficile? Aug 29, 2023

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.

The Role of Nutrition in Lowering the Risk of Chronic Disease Aug 22, 2023

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.

Diagnostic Uncertainty & Undiagnosed Illness Aug 15, 2023

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.

Psychiatric Issues Stemming From COVID-19 Aug 08, 2023

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.

“Lettuce Eat” Plant-Based Diets: Healthy & Non-Healthy Aug 01, 2023

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.

Obesity Edition | Post Bariatric Patient: Common Issues & Weight Regain Jul 27, 2023

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.

Alopecia: Handling Our Patients with Hair Loss Jul 25, 2023

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.

Obesity Edition | Pediatric Obesity Jul 20, 2023

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.

Vestibular Schwannomas (aka Acoustic Neuromas) Jul 18, 2023

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.

Obesity Edition | Surgical Weight Loss Jul 13, 2023

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.

Food Intolerance: When “Food Allergies” Aren’t Allergies Jul 11, 2023

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.

Obesity Edition | Endoscopic Weight Loss Jul 06, 2023

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.

Functional Dyspepsia: BOOM! BANG! Burning & Pain! Jul 04, 2023

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.

Obesity Edition | Medical Weight Loss Jun 29, 2023

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.

HIV & Attitudes Towards PrEP Jun 27, 2023

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.

Obesity Edition | Obese Adult Patient Presents to Primary Care Provider Jun 22, 2023

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.

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.

Healthy Start: Nutrition in Early Childhood Jun 20, 2023

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.

LGBTQIA+ Health for Primary Care Jun 13, 2023

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.

Testosterone Supplementation in Men: Risks, Benefits & Best Practices Jun 06, 2023

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.

Celiac Disease & Gluten Sensitivity: “No Loafing Matter” May 30, 2023

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.

Sleep Medicine Edition | Violent Dreams, Sleepwalking & Other Strange Nighttime Events May 25, 2023

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.

Food Allergy: Common Causes, Diagnosis & Treatment May 23, 2023

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.

Sleep Medicine Edition | Restless Leg Syndrome (RLS) May 18, 2023

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.

Women in Medicine May 16, 2023

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.

Sleep Medicine Edition | Medications for Insomnia: What Works? May 11, 2023

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.

The Tick Talk of Lyme Disease: How to Diagnose & When to Treat May 09, 2023

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.

Sleep Medicine Edition | Cognitive Behavioral Therapy for Treatment of Insomnia May 04, 2023

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.

Seasonal Allergies: It’s Not Easy To Be Sneezy May 02, 2023

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.

Sleep Medicine Edition | Sleep Apnea & its Complications Apr 27, 2023

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.

Benign Scrotal Masses & Testicular Cancer Screening Apr 25, 2023

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.

Sleep Medicine Edition | The Patient Who Cannot Tolerate CPAP: Alternative Approaches to Obstructive Sleep Apnea Apr 20, 2023

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.

Sleep Medicine Edition | The Sleepy or Fatigued Patient: Yawning for Relief Apr 18, 2023

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.

Liver Transplant Selection Criteria Apr 11, 2023

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.

Post-Kidney Transplant Care for Primary Care Providers Apr 04, 2023

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.

Prostate Cancer & Men’s Health Edition | Primary Care Management of the Post-Prostate Cancer Patient Mar 31, 2023

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.

Prostate Cancer & Men’s Health Edition | Updates in Advanced Prostate Cancer Mar 29, 2023

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.

Prostate Cancer & Men’s Health Edition | Prostate Cancer & Sexual Health Mar 27, 2023

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.

Prostate Cancer & Men’s Health Edition | Treatment of Prostate Cancer Mar 24, 2023

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.

Prostate Cancer & Men’s Health Edition | Screening for Prostate Cancer Mar 22, 2023

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.

Prostate Cancer & Men’s Health Edition | Benign Prostatic Hyperplasia (BPH) Mar 20, 2023

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.

Healthcare Professional Burnout: Contributors, Consequences & Solutions Mar 14, 2023

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.

Nutrition History Taking: A Practical Approach Mar 07, 2023

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.

THE BEST OF SEASON 1: Varicose Veins & Venous Insufficiency Feb 28, 2023

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.

Multiple Sclerosis: A Primary Care Perspective Feb 21, 2023

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.

Determining the Source of GI Blood Loss Feb 14, 2023

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.

Year 3 of COVID-19: Harsh Truths, Brutal Realities & Glimmers of Hope Feb 07, 2023

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.

THE BEST OF SEASON 1: Effective Communication Skills for a Time Strapped Practice Jan 31, 2023

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.

How to Use Pulmonary Function Tests Effectively Jan 24, 2023

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.

Obesity Update in Women Jan 17, 2023

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.

THE BEST OF SEASON 1: The Risks & Benefits of Coffee Jan 10, 2023

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.

Sudden Cardiac Arrest in Athletes Jan 09, 2023

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.

Management of Patients with Late-Stage Dementia: A Caring Hand Jan 03, 2023

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.

Alternative Therapies for Hyperlipidemia: The Lipid-ome of Lowering Cholesterol Dec 27, 2022

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.

Hand & Wrist Disorders: Lend Me a Hand (& Wrist) Dec 20, 2022

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.

Chronic Kidney Disease: What Primary Care Providers Need to Know Dec 13, 2022

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.

Glaucoma: Not So Easy on the Eyes Dec 06, 2022

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.

Abortion: What the Primary Care Provider Should Know Nov 29, 2022

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]

Vaccine Recommendations: 2022 Important Updates Nov 22, 2022

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]

What To Know About Home Genetic Testing Nov 15, 2022

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.

Evaluation & Management of Osteoporosis: Make No Bones About It Nov 08, 2022

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.

Reducing Medical Supply Chain Vulnerability: Now You See It, Now You Don’t Nov 01, 2022

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

Colon Polyps: A Real Bum-mer Oct 25, 2022

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.

Genes & Your Health Edition: Precision Medicine for Obesity: From Phenotypes to Multi Omics Oct 20, 2022

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.

Uterine Fibroids: Under Pressure Oct 18, 2022

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.

Genes & Your Health Edition: Epigenomics Research – Understanding Genetics of Treatment Resistance Oct 13, 2022

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.

Scoliosis: Around The Bend Oct 11, 2022

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.

Genes & Your Health Edition: Neurodegenerative Brain Disease Oct 06, 2022

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.

Psoriasis: Let’s Talk Rash-tionally Oct 04, 2022

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.

Genes & Your Health Edition: Breast Cancer & SNPs- What Are They & What Do We Know? Sep 29, 2022

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.

Helping Your Patients Live Younger Longer Sep 27, 2022

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.

Genes & Your Health Edition: Polycystic Kidney Disease & Genetic Testing - Aiming for Accurate Diagnosis Sep 22, 2022

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.

Genes & Your Health Edition: Exposomics - The Next Frontier Sep 20, 2022

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.

Monoclonal Gammopathy of Undetermined Significance (MGUS) Sep 13, 2022

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.

Mayo Clinic Q&A: Updated COVID-19 boosters target omicron variants Sep 06, 2022

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.

Plantar Fasciitis: Best Step Forward Sep 06, 2022

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.

Peripheral Neuropathies: On Pins and Needles Aug 30, 2022

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.

Kidney Stones: This Too Shall Pass Aug 23, 2022

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.

Managing Hypertension in the Elderly Aug 16, 2022

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.

Treating Sacroiliac (SI Joint) vs. Chronic Lower Back Pain Aug 09, 2022

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

Headache Edition: Status Migrainosus and Headache in the ER Aug 04, 2022

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.

Endometriosis: An Issue with Tissue Aug 02, 2022

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.

Headache Edition: Pediatric Headaches Jul 28, 2022

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.

Elevated Triglycerides: Implications for Cardiovascular Health Jul 26, 2022

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.

Headache Edition: Serious Secondary Headaches Jul 21, 2022

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.

The Outs and Ins of Vitamins Jul 19, 2022

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.

Mayo Clinic Q&A: BA.5 omicron variant fueling latest COVID-19 surge Jul 18, 2022

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.

Headache Edition: Unusual Headaches Jul 14, 2022

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.

Selection Criteria for Kidney Transplantation Jul 12, 2022

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.

Headache Edition: Chronic Daily Headaches Jul 07, 2022

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.

Cervical Cancer Screening Jul 05, 2022

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

Headache Edition: Migraine Advocacy & Special Considerations in Women Jun 30, 2022

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.

Cannabidiol (CBD): Discussing Benefits and Risks with Patients Jun 28, 2022

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.

Headache Edition: Interdisciplinary Pain Rehabilitation Treatment for Chronic Headache Jun 23, 2022

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.

COVID-19 Update Jun 22, 2022

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.

Assessing and Supporting Patients with Alcohol Use Disorder Jun 21, 2022

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.

Headache Edition: Migraine Treatment Jun 16, 2022

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.

Managing Patients with Lynch Syndrome Jun 14, 2022

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.

Headache Edition: Migraine Jun 09, 2022

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.

Headache Edition: Approach to the Evaluation of Headache Jun 07, 2022

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.

Pediatric Topics: Evaluation of a Suspected Inborn Error of Metabolism Jun 02, 2022

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.

Women and Depression May 31, 2022

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.

Pediatric Topics: Undescended Testicles – Evaluation and Management May 26, 2022

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.

Adrenal Insufficiency: Investigation and Management May 24, 2022

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.

Mayo Clinic Q&A: COVID-19 news update May 19, 2022

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.

Evaluating Adrenal Incidentalomas May 17, 2022

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.

Eating Disorders Edition: Adult Eating Disorders May 12, 2022

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.

The Role of Monoclonal Antibodies in the Treatment of COVID-19 May 10, 2022

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.

Mayo Clinic Q&A: COVID-19 news update May 06, 2022

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.

Eating Disorders Edition: Case Discussions May 05, 2022

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.

Fragility Fractures May 03, 2022

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.

Eating Disorders Edition: Basic Principles of Treatment for the Primary Care Provider Apr 28, 2022

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.

The Use of Race in Clinical Algorithms Apr 26, 2022

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.

Eating Disorders Edition: Treatment for Eating Disorders Apr 21, 2022

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.

Secondary Hypertension: Identifying Clues in Patients Apr 19, 2022

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.

Eating Disorders Edition: Medical Management of Eating Disorders in Primary Care Apr 14, 2022

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.

Treating Hypertension: Doing What’s Best for Your Patient Apr 12, 2022

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.

Eating Disorders Edition: Identification and Assessment of Eating Disorders for the Primary Care Provider Apr 07, 2022

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.

Eating Disorders Edition: Eating Disorders 101: Background and Debunking Myths Apr 05, 2022

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.

Mayo Clinic Q&A: COVID-19 metrics improve, expert still urges caution Mar 31, 2022

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.

Colorectal Cancer – Screening Guidelines Updates Mar 29, 2022

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.

Post COVID Syndrome Mar 22, 2022

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.

Mayo Clinic Q&A: COVID-19 Update Mar 17, 2022

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.

Skin Cancer and Skin Lesions: What to Look For Mar 15, 2022

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.

Mild Cognitive Impairment, Dementia, and Alzheimer’s Disease Mar 08, 2022

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.

Heart Disease in Women Mar 01, 2022

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.

Amyloidosis: Recognition, Diagnosis and Treatment Feb 22, 2022

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.

Mayo Clinic Q&A: COVID-19 News Update Feb 17, 2022

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.

Infertility in Males Feb 15, 2022

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.

Dental Infections in the Primary Care Setting Feb 08, 2022

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.

Mayo Clinic Q&A: Omicron wave wanes, new variant arises Feb 03, 2022

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.

Shining a Light on Seasonal Affective Disorder Feb 01, 2022

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.

Mayo Clinic Q&A: COVID-19 testing scenarios — what test and when? Jan 27, 2022

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.

Chiropractic Care for Back Pain Jan 25, 2022

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.

Mayo Clinic Q&A: Why getting infected with COVID-19 is still a bad idea Jan 20, 2022

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.

Improving Medication Adherence Jan 18, 2022

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.

All Age-Related Changes May Not Be Inevitable: Senescent Cells and Anti-Aging Jan 11, 2022

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

Mayo Clinic Q&A: January Bringing an Omicron Surge Jan 06, 2022

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.

Temporal Arteritis Jan 04, 2022

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.

Nutritional Supplement Edition: Research and Regulation Dec 30, 2021

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

Lung Cancer Screening Dec 28, 2021

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.

Nutritional Supplements Edition: Family Medicine Case Studies Dec 23, 2021

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.

Infertility in Females Dec 21, 2021

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.

Mayo Clinic Q&A: Experts urge COVID-19 boosters to fight omicron surge Dec 17, 2021

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.

Nutritional Supplement Edition: Weight Loss and Thermogenic Agents Dec 16, 2021

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

Influenza Vaccine 2021 Dec 14, 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.

Mayo Clinic Q&A: Post COVID-19 syndrome can be a long haul Dec 10, 2021

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.

Nutritional Supplements Edition: Strength, Power, and Performance Dec 09, 2021

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.

Recommendation for Your Arthritic Patients - Keep Them Moving Dec 07, 2021

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.

Nutritional Supplement Edition: Exercise Endurance and Recovery Dec 02, 2021

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.

Mayo Clinic Q&A: Boosters reduce vulnerability to COVID-19 variants Dec 01, 2021

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.

Nutritional Supplement Edition: A Critical Overview Nov 30, 2021

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.

Racism in Pain Medicine Nov 23, 2021

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.

Mayo Clinic Q&A: Travel trends and colder temperatures could mean a COVID-19 holiday surge Nov 22, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Cold weather, increased travel, waning immunity and the potential for new variants may serve up the perfect recipe for a holiday COVID-19 surge, according to Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group.

"I have consistently said what's very likely to happen as we get to the cooler weather and see the trends in travel is that we will have another surge," says Dr. Poland. "We're in this unusual situation where the pandemic is actually getting worse because humans don't want to believe that the pandemic is just as important now as it was a year ago."

In this Mayo Clinic Q&A podcast, Dr. Poland answers several listener questions and talks more about being vigilant against COVID-19 as the U.S. heads into a second winter with this coronavirus. He also addresses the recent news that wild deer have shown evidence of COVID-19 infection and what that might mean in the battle to eliminate the disease.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes and Your Health Series: Hot Topics in Phage Therapy Nov 18, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guests: Gina A. Suh, M.D.

Host: Denise M. Dupras, M.D., Ph.D.

What is Phage Therapy? When was it discovered? Where is it used? We know about antibiotics, antifungals, and antivirals, but this is a whole new world! Have no fear, this episode is here from the Genes & Your Health miniseries to help demystify all there is to know about Phages.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hyperlipidemia Nov 16, 2021

Guest: Monique A. Freund, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Hyperlipidemia is one of the major risk factors for cardiovascular disease. It’s known that a combination of lifestyle changes and pharmacologic therapy has proven effective in reducing the complications of cardiovascular disease. Despite this, it’s estimated that less than 35% of those patients with hyperlipidemia are adequately managed. Why aren’t we doing a better job at managing this major public health problem? In this podcast, we’ll be speaking with Monique A. Freund, M.D., a cardiologist at Mayo Clinic. We’ll discuss how to optimize management of hyperlipidemia, which lifestyle changes are beneficial, when to use pharmacologic therapy and how to manage patients with statin intolerance.

Specific topics:

Relative importance of elevated LDLc, low HDLc and elevated triglycerides
Effective non-pharmacologic therapy for treating elevated LDLc, low HDLc and elevated triglycerides
When to consider starting a patient on a statin
Benefits of fish oil
Mechanism of action of statins
Statin intolerance
When to use ezetimibe
When to use one of the PCSK9-inhibitors

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes and Your Health Series: Predicting the Future: What Role is Artificial Intelligence Playing Today and What Can We Expect in the Future? Nov 11, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guests: Christopher (Chris) A. Aakre (@ChrisAakreMD), M.D.; Bradley J. Erickson, M.D., Ph.D.

Host: Denise M. Dupras, M.D., Ph.D.

Artificial Intelligence has begun being utilized in Radiology. In fact, it was boldly predicted that Radiology would become an obsolete profession as a result! How has it altered this practice? How will it alter our practices moving forward? Join this episode of our Genes & Your Health miniseries from the Center of Individualized Medicine to learn these answers and more!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The Eyes Have It: Common External Eye Conditions Nov 09, 2021

Guest: Amir R. Khan, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

External eye disorders are commonly seen in a primary care provider’s office, yet very few of us have ever had any formal training in ophthalmology. Fortunately, most of the external eye problems are relatively benign, though not all. It’s important to be able to recognize these conditions since some may be associated with a variety of systemic diseases. In this podcast, Amir Khan, M.D., an ophthalmologist at Mayo Clinic, joins Dr. Chutka to discuss how to recognize commonly seen external eye conditions. Links to specific topics below include additional information and images for most of the covered conditions.

Specific topics:

Viral versus bacterial conjunctivitis: https://www.mayoclinic.org/diseases-conditions/pink-eye/symptoms-causes/syc-20376355
Scleritis and episcleritis
Blepharitis: https://www.mayoclinic.org/diseases-conditions/blepharitis/symptoms-causes/syc-20370141
Sty (Hordeolum): https://www.mayoclinic.org/diseases-conditions/sty/symptoms-causes/syc-20378017
Ectropion versus entropion: https://www.mayoclinic.org/diseases-conditions/ectropion/symptoms-causes/syc-20351164; https://www.mayoclinic.org/diseases-conditions/entropion/symptoms-causes/syc-20351125
Subconjunctival hemorrhage: https://www.mayoclinic.org/diseases-conditions/subconjunctival-hemorrhage/symptoms-causes/syc-20353826
Herpes zoster ophthalmicus
Corneal abrasions: https://www.mayoclinic.org/first-aid/first-aid-corneal-abrasion/basics/art-20056659

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Building a wall of immunity against COVID-19 Nov 05, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in November 3, 2021

Guest: Elie F. Berbari, M.D.

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

In anticipation of more COVID-19 vaccine approvals this week, Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic, says it's good news that younger children will now have more protection against COVID-19.

"It's important that we reach a very high level of vaccination rates to achieve kind of a wall of immunity that could prevent transmission and prevent us from these repeated peaks that we've been dealing with over the last year and a half during this pandemic," says Dr. Berbari.

In this Mayo Clinic Q&A podcast, Dr. Berbari also talks about the rare cases of myocarditis and how the Food and Drug Administration is monitoring those cases. Dr. Berbari also addresses additional COVID-19 vaccine doses for immunocompromised people, the importance of masking, even if vaccinated, and he answers a number of listener questions.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Preparing Your Practice for the Increased Use of Genomics Nov 04, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guests: Megan A. Allyse, Ph.D. (@MAllyse); Jennifer (Jenny) L. Anderson, M.S., CGC; Radhika Dhamija, M.B.B.S. (@NeurogenesDr)

Host: Denise M. Dupras, M.D., Ph.D.

Genetic testing is increasingly becoming mainstream. Not only is it first-line testing for many different indications, but we have begun seeing an increase in predictive genomics for healthy patients as well. How can your practice prepare for what is here and what is to come? Tune in to this episode of the Genes & Your Health miniseries from the Center for Individualized Medicine to find out.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Developing Equitable Care Models for Diabetic Patients Nov 02, 2021

Guest: Rozalina G. McCoy, M.D., M.S. (@RozalinaMD)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Diabetic research starts with understanding contemporary treatment practices (overtreatment and undertreatment, misuse or underuse of glucose-lowering medications, comparative effectiveness of different diabetes medications), the resulting impact on patient health and the disparities in both treatment practices and outcomes. In this episode Rozalina McCoy, M.D., M.S., associate professor of medicine and consultant in the Division of Community Internal Medicine at Mayo Clinic’s Rochester campus, joins us to discuss developing care delivery models that support high-quality, evidence-based, patient-centered, and equitable diabetes care.

Additional resources:

McCoy RG, Galindo RJ, Swarna KS, et al. Sociodemographic, clinical, and treatment-related factors associated with hyperglycemic crises among adults with type 1 or type 2 diabetes in the US from 2014 to 2020. JAMA Netw Open. 2021;4(9):e2123471. doi:1001/jamanetworkopen.2021.23471

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Genomics for Cardiovascular Health in Primary Care Oct 28, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guest: Iftikhar J. Kullo, M.D. (@iftikhar_kullo)

Host: Denise M. Dupras, M.D., Ph.D.

What is familial hypercholesterolemia? Who should be tested for it? Are there genetic variants that are associated with cardiovascular diseases? How young do we start screening? This installment of the Genes & Your Health miniseries from the Center for Individualized Medicine is here to help answer these questions and more!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Preserving Sight with Macular Degeneration Oct 26, 2021

Guest: Sophie J. Bakri, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Macular degeneration is the most common cause of vision loss in individuals over the age of 50. The loss of central vision from macular degeneration can result in significant lifestyle changes in patients. They may no longer be able to read, write or drive. In this podcast, we’ll discuss macular degeneration with Sophie Bakri, M.D., an ophthalmologist at Mayo Clinic. She’ll review the two types and pathology of macular degeneration, its presentation, risk factors and preventive strategies, and new treatments on the horizon.

Specific topics:

Pathologic changes in macular degeneration
Vision loss associated with macular degeneration
Possible causes of macular degeneration
Risk factors
Typical course of macular degeneration
The difference between wet and dry macular degeneration
Treatment strategies
Preventive strategies

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Changing COVID-19 recommendations means the science is working Oct 22, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

As continuing research guides medical recommendations, it seems that there are COVID-19 updates released daily. These recommendations cover a range of topics, including whether COVID-19 booster vaccinations are necessary to whether COVID-19 vaccines can be mixed and matched.

"The fact that recommendations are changing is not evidence people don't know what they're doing," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "It's evidence that they do know what they're doing and are paying close attention to new data that's coming along. Then they're adjusting recommendations based on the latest data."

Dr. Poland continues to urge people to get the latest COVID-19 news from credible sources.

In this Mayo Clinic Q&A podcast, Dr. Poland walks through the recent recommendations, corrects misperceptions and answers a number of listener questions.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Cell-Free DNA: Implications in Practice Oct 21, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guests: Minetta C. Liu, M.D.; Myra J. Wick, M.D., Ph.D. (@MyraWickMD)

Host: Denise M. Dupras, M.D., Ph.D.

What is cell-free DNA? How does this type of DNA interact with our body? How is it useful in the clinical setting? Advances in technologies has expanded our understanding of cell-free DNA and its implications. Where are we now and what can we look for in the future? Find out these answers and more in the seventh episode of the Genes & Your Health miniseries from the Center for Individualized Medicine.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

A Neurologist’s Take on Syncope Oct 19, 2021

Guest: Paola Sandroni, M.D., Ph.D.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Syncope is defined as the sudden and transient loss of consciousness and postural tone due to global reduction of blood flow to the reticular activating system. Syncopal episodes are followed by a rapid and spontaneous recovery. Joining us today is Paola Sandroni, M.D., Ph.D., a neurologist at Mayo Clinic’s Rochester Campus. She will help us sort through the complicated subject of syncope, including its main etiologies and how to distinguish which is affecting your patient. She also outlines the nuances of evidence-based evaluation of syncope, which is largely guided by the patient’s presentation.

Additional resources:

Thiruganasambandamoorthy V, Kwong K, Wells GA, Sivilotti MLA, Mukarram M, Rowe BH, Lang E, Perry JJ, Sheldon R, Stiell IG, Taljaard M. Development of the Canadian Syncope Risk Score to predict serious adverse events after emergency department assessment of syncope. CMAJ. 2016 Sep 6;188(12):E289-E298. doi: 1503/cmaj.151469. Epub 2016 Jul 4. PMID: 27378464; PMCID: PMC5008955

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Why Does It Matter? Genes, Hormones, and Women’s Health Oct 14, 2021

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guests: Stephanie S. Faubion, M.D., M.B.A. (@StephFaubionMD); Kejal Kantarci, M.D. (@KejalKantarciMD); Juliana (Jewel) M. Kling, M.D., M.P.H. (@DrJewelKling)
Host: Denise M. Dupras, M.D., Ph.D.

Is hormone therapy good or bad for women? What are the myths surrounding it? Is the varying experience of menopause genetic? Join the sixth episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health Edition to dive into women’s health and hormones and what you need to know for your practice.

Additional resources:
• USPSTF Recommendations Statement for Breast Cancer: Medication Use to Reduce Risk https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction
• Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Using Artificial Intelligence to Combat COVID-19 Oct 12, 2021

Guest: Thomas Caulfield, Ph.D.

Host: Amit K Ghosh, M.D., MBA (@AmitGhosh006)

In this podcast, Dr. Thomas Caulfield from Mayo Clinic Florida describes a novel approach for SARS-CoV2 multi-drug targeting using artificial intelligence. Dr. Caulfield is leading a national team of investigators from Harvard, University of California, In Vivo Biosystems and Mayo Clinic to perform large-scale in silico and in vivo experiments on de novo drugs to better understand COVID-19 and halt its progression. University of California hosts a live virus BSL3 facility for rapidly screening novel compounds that Dr. Caulfield's lab designs in silico and refines with feedback using machine learning techniques and data layering.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - How Does Your Microbiome Impact Your Health? Oct 07, 2021

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your Health
Guest: Purna C. Kashyap, M.B.B.S. (@KashyapPurna); Marina R. Walther-Antonio, Ph.D.
Host: Denise M. Dupras, M.D., Ph.D.

What is the microbiome? How does the microbiome interact with our body? How much of us is nurture, how much is nature? The whole concept of microbiome may be a new idea but have no fear this fifth episode of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine is here to help answer those questions and more!

Additional resources:

Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Breaking Down COVID-19 Vaccine Booster Approvals Oct 06, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in September 29, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The path to approvals for a booster dose of the Pfizer COVID-19 vaccine has seemed complicated.

"This is a confusing set of recommendations," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "So let's look at the four groups approved for only the Pfizer booster, thus far. If you got a primary series of the Pfizer vaccine, you're 65 and older, and it's been six months or more, you are eligible for a booster. If you're 50–64 and you have medical conditions that place you at high risk, you are eligible for the booster. If you're 18–49, you may be able to get a booster based on a medical condition and if you talk with your health care provider to weigh risks and benefits. And, finally, for people 18–64 years old, who are health care providers in congregate living situations or who have occupations that place them at high risk for transmission, such as school teachers, they also may be eligible. That should happen very soon."

In this Mayo Clinic Q&A podcast, Dr. Poland talks more about the approval process for COVID-19 vaccine boosters, including for the Moderna and Johnson & Johnson COVID-19 vaccines. He also discusses the possibility that emergency use approval for children, down to age 5, could come before the end of October.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Breast Imaging for Patients with Dense Breast Tissue Oct 05, 2021

Guest: Christina A. Dilaveri, M.D. (@CDilaveri)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Breast cancer is very treatable when detected early. Therefore, early detection becomes very important as it significantly reduces a patient’s risk of developing metastases and death. Breast imaging plays an extremely important role in the detection of early breast cancer, and we now have several modalities of breast imaging available, each with its advantages and disadvantages. Our guest for this podcast is Christina Dilaveri, M.D. a breast disease specialist, from Mayo Clinic’s Rochester Campus. We’ll discuss mammography, ultrasound, MRI, and molecular breast imaging, when they’re indicated, and the advantages of each. You’ll hear which patients should have more than a mammogram and how often it should be performed.

Specific topics discussed:

The various types of mammography available
Indications for breast ultrasound
Benefits of breast MRI
When breast MRI should be performed
Benefits of molecular breast imaging
When molecular breast imaging should be performed

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Genomics and Cancer: Primary Care Impact and Research Advances Sep 30, 2021

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your Health

Guest: Niloy Jewel J. Samadder, M.D. (@J_Samadder)
Host: Denise M. Dupras, M.D., Ph.D.

Can we find the cause of a patient’s cancer? Is it possible to provide targeted treatment to prevent future cancers by understanding what genetic predispositions a patient or their family members have? In a recently published study, nearly one in six to one in eight cancer patients, depending on which type of cancer they had, carried a genetic predisposition to the development of their cancer. How can we translate these findings into our practice for the benefit of our patients and their families? Tune in to episode four of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine.

Additional resources:

Samadder NJ, Riegert-Johnson D, Boardman L, et al. Comparison of universal genetic testing vs guideline-directed targeted testing for patients with hereditary cancer syndrome. JAMA Oncol. 2021;7(2):230–237. doi: 10.1001/jamaoncol.2020.6252
Uson, PLS. Riegert-Johnson, D. Boardman, L. Kisiel, J. et al. Germline cancer susceptibility gene testing in unselected patients with colorectal adenocarcinoma: a multicenter prospective study. Clin Gastroenterol Hepatol. 2021 April 20; doi: 10.1016/j.cgh.2021.04.013
Mayo Clinic’s Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The Evolution of COVID-19 Testing Sep 28, 2021

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

In this podcast Matthew J. Binnicker, Ph.D. discusses the development of different types of testing available to diagnose SARS-CoV2 infection. Binnicker discusses the test characteristics of the rapid antigen tests and RT-PCR test and its variability based on the time when the test was performed. He also discusses the optimal timing of diagnostic testing (rapid testing, RT-PCR) and the role and limitations of antibody testing in COVID-19.

Additional resources:

Shah AS, Tande AJ, Challener DW, O’Horo JC, Binnicker MJ, Berbari EF. Diagnostic stewardship: An essential element in a rapidly evolving COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):S17-S19. DOI: https://doi.org/10.1016/j.mayocp.2020.05.039

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Pharmacogenomics and its Value for Primary Care Sep 23, 2021

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1

Guest: Jessica A. Wright, Pharm.D., R.Ph.

Host: Denise M. Dupras, M.D., Ph.D.

Pharmacogenomics helps to identify how your patients’ DNA may affect their response to medications. But there's a lot of different genes! How do we get started? What resources are out there? Do we have to worry about every drug a patient is on? Find out these answers and more in episode three of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine.

Additional resources:

PharmGKB: pharmgkb.org
Clinical Pharmacogenetics Implementation Consortium (CPIC®): cpicpgx.org
Basic Pharmacogenomics Nomenclature: https://www.pharmgkb.org/page/glossary
NIH’s National Human Genome Research Institute: Healthcare Provider Resources: https://www.genome.gov/For-Health-Professionals/Provider-Genomics-Education-Resources
Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Techniques for the Larynx Sep 21, 2021

Guest: David G. Lott, M.D.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

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

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - How Does Viral Genetics Influence Transmission, Diagnosis, and Severity of COVID-19? Sep 16, 2021

To claim credit for this series, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1

Guests: Andrew D. Badley, M.D. (@BadleyAndrew); Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)

Host: Denise M. Dupras, M.D., Ph.D.

COVID-19. Variants. The future. Does one test fit all? Will the vaccine continue to provide protection against future variants? What makes the Delta variant more transmissible? Join the second episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine to learn how viral genetics influence transmission, diagnosis, and severity of COVID-19.

Additional resources:

Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Genes & Your Health Edition - Genomics and Healthcare, Why Does it Matter? Sep 14, 2021

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1

Guests: Matthew J. Ferber, Ph.D. (@Matt_Ferber); Teresa M. Kruisselbrink, M.S., CGC (@T_Kruisselbrink); William C. Palmer, M.D. (@williampalmermd)

Host: Denise M. Dupras, M.D., Ph.D.

For so long we've heard Genetic Testing is coming. Well guess what, it’s here! We have over 25 million people who have chosen to participate in direct-to-consumer testing alone. What does this mean for primary care, and does it matter? Find out in the first episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine.

Additional resources:

TAPESTRY Study: https://www.mayo.edu/research/clinical-trials/cls-20477323?_ga=2.268706548.460922620.1627479724-1519128218.1623079535
Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine

Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Variants, Virulence, and Vaccines, Oh My! Sep 07, 2021

Guest: Elitza S. Theel, Ph.D. (@ElliTheelPhD)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Dr. Elitza Theel, Professor of Laboratory Medicine and Pathology and Director of Infectious Diseases Serology Laboratory at Mayo Clinic’s Rochester Campus, discusses our immune response to vaccination and natural infection and outlines the different types of antibody assays currently available. Dr. Theel also discusses the concept of herd immunity in the context of different circulating SARS-CoV-2 variants and the increased need to get higher rates of vaccination in the community as the infectivity and transmissibility of circulating SARS-CoV-2 variants changes. We also discuss the status of correlates of protective immunity against SARS-CoV-2 and the need for booster vaccine doses for immunocompromised individuals.

Additional resources:

Interim Guidelines for COVID-19 Antibody Testing in Clinical and Public Health Settings https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antibody-tests-guidelines.html

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Evaluating Hematuria Aug 31, 2021

Guest: Aaron M. Potretzke, M.D. (@potretzke)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Microscopic hematuria, and less commonly gross hematuria, are conditions commonly seen by the primary care provider. Malignancy is the most ominous cause of hematuria. Fortunately, other causes are much more likely. Since this is a relatively common health condition, when should we investigate hematuria and what should the evaluation consist of? How do we evaluate a patient’s risk for urinary tract malignancy? Dr. Aaron Potretzke, a urologist at Mayo Clinic joins us to discuss these questions.

Specific topics:

Definition of hematuria
Benign causes of hematuria
Risk of malignancy in low, medium, and high-risk patients
Stratifying malignancy risk in patients for genitourinary malignancy
Recommended evaluation for patients with hematuria
How to manage patients with persistent hematuria despite a negative evaluation
Role of urine cytology in the evaluation of hematuria

Additional resources:

American Urological Association hematuria guideline and algorithm: https://www.auanet.org/guidelines/guidelines/microhematuria

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Exercise is First-Line Treatment for Your Parkinson's Patients Aug 24, 2021

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed)

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

Daily exercise has so many health and emotional benefits – it can help decrease your blood pressure, promote cardiovascular wellbeing, alleviate stress, and assist with weight loss and blood sugar control. Parkinson’s disease is a condition that affects the central nervous system, and in particular the brain, that can lead to shakiness, poor balance, and frequent falls. Joining us in this episode is Edward Laskowski, M.D., a professor of physical medicine and rehabilitation and sports medicine specialist at Mayo Clinic’s Rochester Campus, to discuss why exercise is first-line treatment for your Parkinson’s patients.

Additional resources:

Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-20376055
The Michael J. Fox Foundation for Parkinson’s Research: https://www.michaeljfox.org/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Parkinson's Disease - It's More Than Just a Tremor Aug 17, 2021

Guest: Jeremy K. Cutsforth-Gregory, M.D. (@JCGneuro)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Parkinson’s Disease is one of the more common neurodegenerative diseases, in fact, patients with Parkinson’s outnumber those with multiple sclerosis, ALS, and muscular dystrophy combined. It tends to affect older patients, although on rare occasions it can be seen in those under the age of 50. It can have a devastating effect on an individual’s lifestyle as the physical symptoms of the disease tend to gradually progress over years. This podcast will feature Dr. Jeremy Cutsforth-Gregory, a neurologist at the Mayo Clinic, as we discuss the evaluation and management of Parkinson’s Disease.

Specific topics:

Pathophysiology of Parkinson’s Disease
Common presenting symptoms of Parkinson’s
Assessing patients with tremor
Complications of advanced Parkinson’s
Pharmacologic management of Parkinson’s

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Working from the Ground Up to Impact Gender Disparities in COVID-19 Aug 10, 2021

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd)

Host: Anjali Bhagra, M.D. (@anjalibhagramd)

Anjali Bhagra, M.D., and Carol L. Kuhle, D.O., M.P.H., discuss the narrative they recently published in Mayo Clinic Proceedings, which outlines and highlights the further widening of preexisting gender disparities in response to the COVID-19 pandemic. What can we do to identify and mitigate these issues?

Additional resources:

Nordhues, HC. Bhagra, A. Stroud, NN. Vencill, JA. Kuhle, CL. COVID-19 gender disparities and mitigation recommendations: a narrative review. Mayo Clin Proc. 2021 April 20; 96(7): 1907-1920. doi: https://doi.org/10.1016/j.mayocp.2021.04.009

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: The COVID-19 Delta Variant has Changed Everything Aug 06, 2021

This episode is shared from Mayo Clinic Q&A and was recorded August, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

A fourth COVID-19 surge is blanketing the U.S., and the delta variant is the culprit.

"Where did this delta variant come from? It came from unvaccinated people getting infected in large numbers allowing the virus to continue mutating," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

In the past, a person with COVID-19 might infect two to four people. But with the delta variant, one person can infect nine people, according to Dr. Poland. He says if you want to protect yourself and your family, wear a mask, especially indoors, and get vaccinated with an appropriate series of one of the COVID-19 vaccines.

"These are the most studied vaccines in the history of the world," Dr. Poland emphasizes. "There have never been this many people who have received this many doses of vaccines during this amount of time with as much scrutiny as these COVID-19 vaccines have had."

In this Mayo Clinic Q&A podcast, Dr. Poland answers questions about a person's waning immunity and the likelihood of COVID-19 booster shots. He also explains the two phases of immunity and goes into detail about the extensive Federal Drug Administration license approval process for COVID-19 vaccines.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Will We Be Replaced by Computers? Artificial Intelligence and Medicine Aug 03, 2021

Guest: Steve G. Peters, M.D.

Host: Sanjeev Kakar, M.D. (@sanjkakar)

No doubt you’ve heard the term “artificial intelligence,” by now; but what is it exactly? How can medicine use AI to improve patient care and outcomes? Will it one day replace doctors’ years of training? Steve Peters, M.D. a pulmonary and critical care medicine consultant, with a special interest in AI, at Mayo Clinic’s Rochester campus. Dr. Peters will help us take a look into the not-so-distant future as we explore AI and its role in medicine.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Stopping the Spiral of the COVID-19 Delta Variant Jul 30, 2021

This episode is shared from Mayo Clinic Q&A and was recorded July, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Transmission of the COVID-19 delta variant is increasing.

"We're in this constant spiral, right now,” says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

“The delta variant is so highly contagious,” he says. “The number of delta viral particles in the upper respiratory system is reportedly 1,000 times higher than with the original COVID-19 virus. If we can't find ways to get people vaccinated, we are going to be in a world of hurt. And I don't say that to be alarmist. I say it to be a realist, based on what’s happening right in front of us.”

But Dr. Poland says the spiral can be stopped by getting higher rates of immunization.

"Getting a COVID-19 vaccine will prevent the development of worse and worse variants. It will prevent severe cases of hospitalization and death, even in the face of a variant,” he says. "The alternative is to lose another 600,000-plus Americans. Only this time it will, unfortunately, involve younger people."

Dr. Poland explains further, "Every time somebody gets infected with the delta variant, there's the opportunity for that virus to mutate and transmit to other people," says Dr. Poland. "This means that immunization rates to control herd immunity will probably have to be in the 85% to 95% range."

In this Mayo Clinic Q&A podcast, Dr. Poland continues to talk about the delta variant, breakthrough infections, booster shots and much more.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

What’s That Sound? Maybe It’s Stridor Jul 27, 2021

Guest: Shelagh A. Cofer, M.D. (@ShelaghCoferMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Stridor is a musical sound due to disrupted airflow in an individual’s airway. In many instances it’s due to a benign cause but it can also represent a serious problem, possibly even life-threatening. In today’s podcast, we’ll learn about the various causes of stridor and when we need to be concerned that it represents a serious health issue. Our guest for this podcast is Dr. Shelagh Cofer, a pediatric otolaryngology specialist at the Mayo Clinic. We’ll discuss how stridor differs from wheezing, the most common causes of stridor in both children and adults and what symptoms we should be watching for that might suggest a serious cause for stridor. We’ll also cover the evaluation of patients with stridor, which imaging studies may be helpful and when an ENT consultation is warranted.

Specific topics:

Definition of stridor
Difference between stridor, stertor, and wheezing
Most common causes of stridor in both children and adults
Croup as a form of stridor
Important questions we should be asking our patients about stridor to identify those at risk for airway obstruction – including the SPECS-R mnemonic
Tests and imaging studies which may be helpful in the evaluation of a patient with stridor
Treatments for the more common causes of stridor

Additional resources:

Zoumalan, R; Maddalozzo, J; Holinger, LD. Etiology of stridor in infants. Ann Otol Rhinol Laryngol. 2007; 116(5):329-334. doi: 10.1.1896.429 https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.896.429&rep=rep1&type=pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: On the Verge of Predicted COVID-19 Surge with Delta Variant Jul 22, 2021

This episode is shared from Mayo Clinic Q&A and was recorded July, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The delta variant is being blamed for hot spots in the U.S. where cases of COVID-19 are on the rise. These hot spots account for most cases in the U.S. They are also the geographical areas that tend to have the lowest vaccination rates.

"It's no surprise that the two go together," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

"This (delta variant) is the bad actor that we predicted it would be," adds Dr. Poland. "Our seven-day average is getting up to 19,000 cases a day in the U.S. We were down to 3,000. So we're starting to see, just as we predicted, a surge as people took masks off and as restrictions were lifted before we had achieved high rates of immunization."

In this Mayo Clinic Q&A podcast, Dr. Poland expands on how the highly transmissible delta variant continues to spread. He also talks about the possibility of COVID-19 vaccine boosters, explains how the Vaccine Adverse Event Reporting System works, and much more as he answers listener questions.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Multidisciplinary Approach to Pelvic Pain Jul 20, 2021

Guest: Isabel C. Green, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Pelvic pain can be challenging. It can have a variety of presenting symptoms since it can originate from a variety of organ systems. When pelvic pain becomes chronic, it becomes even more challenging. It’s associated with significant direct medical costs as well as indirect costs as it frequently results in work absenteeism. Patients with chronic pelvic pain are often initially evaluated by primary care providers, but referral to specialists is quite common. Due to the variety of symptoms associated with chronic pelvic pain, multiple specialties often are asked to evaluate these patients. This frequently results in patients being passed back and forth between various medical specialties. It therefore becomes important for primary care providers to become comfortable evaluating and managing patients with pelvic pain. Our guest for this podcast is Dr. Isabel Green, a physician from the Department of Obstetrics and Gynecology at the Mayo Clinic. We’ll discuss how to effectively evaluate patients with pelvic pain, “red flag symptoms” to watch for, useful laboratory tests to order, and common imaging studies which can be helpful in establishing a cause for the pain. We’ll also discuss the benefits of a multi-disciplinary approach to pelvic pain.

Specific topics:

Categorization of pelvic pain
Appropriate evaluation of pelvic pain including the clinical history, physical exam, laboratory tests and imaging studies
Relationship of chronic pelvic pain with other symptoms such as anxiety, depression, insomnia, and work/relationship issues
Chronic pelvic pain representing a form of centralized pain
Advantages of a multi-disciplinary approach to evaluating and managing chronic pelvic pain

Additional resources:

Chronic pelvic pain: ACOG practice bulletin, number 218. Obstet Gynecol. 2020 Mar; 135(3):e98-e109. doi: 1097/AOG.0000000000003716.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Identifying and Treating Urinary Urge Incontinence Jul 13, 2021

Guest: Brian J. Linder, M.D. (@brianjlinder)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Patients rarely mention urinary incontinence to us as a problem as many assume it’s a normal change of aging. However, it’s a major quality-of-life issue. Many with incontinence are reluctant to go out in public and those who do, usually know the location of all the nearby restrooms. Yet, with proper evaluation and treatment, essentially all patients can be helped, and in many cases, they can be cured. In this podcast, we’ll discuss urgency urinary incontinence, one of the most common forms of incontinence. We’ll cover the questions you should ask your patients to make a diagnosis, what evaluation you should do, and what treatment options are available. Our guest for this topic is Dr. Brian Linder, a urologist at the Mayo Clinic.

Specific topics:

The various types of urinary incontinence
Important questions to ask patients to make a diagnosis
Effective use of a voiding diary
Physical exam recommendations
Helpful laboratory tests
When urodynamic studies are indicated
Non-pharmacologic treatment options
Medications useful in treating urgency incontinence
Treatment options for the refractory patient

Additional resource:

https://www.auanet.org/guidelines/overactive-bladder-(oab)-guideline

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Summer Travel and People Not in Your Bubble During COVID-19 Pandemic Jul 07, 2021

This episode is shared from Mayo Clinic Q&A and was recorded June, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

"The reason we have the COVID-19 delta variant, the reason we have the delta plus variant is because of unimmunized people who get infected," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. He adds that 99.2% of the recorded COVID-19 deaths in the U.S. are in people not vaccinated against the virus.

This is why he cautions folks who may be traveling this Fourth of July holiday and throughout the summer.

"You don't know what variants people are carrying, how symptomatic they are, the health of their immune system, or if they've been vaccinated," says Dr. Poland. "When you are around groups of people indoors that are not in your bubble, so to speak, I think you should still wear a proper mask."

In this Mayo Clinic Q&A podcast, Dr. Poland explains why, even if you are fully vaccinated for COVID-19, you should still consider being masked in some situations. He also discusses breakthrough infections in certain subpopulations, and what that may mean for needing booster shots.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Postural Orthostatic Tachycardia Syndrome (POTS) in Adult Patients Jul 06, 2021

Guest: Jeremy K. Cutsforth-Gregory, M.D. (@JCGneuro)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Postural Orthostatic Tachycardia Syndrome, or POTS, is a medical condition manifested by tachycardia that occurs after standing or prolonged sitting and is often associated with symptoms such as dizziness, fatigue, and occasionally syncope. POTS can be difficult to diagnose as patients often present with a variety of vague, and what seem like unrelated, symptoms. Management of patients with POTS can be equally difficult as there’s no one treatment which is effective in all patients. However, patients with POTS often have typical symptoms and objective findings on physical exam. Once a diagnosis is made, effective treatment is available and many patients with POTS can be helped with non-pharmacologic therapy. To help us understand POTS and its management, we’ll speak with Dr. Jeremy Cutsforth-Gregory, a neurologist at the Mayo Clinic. We’ll discuss the proposed theories regarding the cause of POTS, the different types of POTS, pathologic findings in patients with POTS, and the management of patient with POTS.

Specific Topics:

Typical symptoms of POTS
Risk factors for POTS
Theories regarding the cause of POTS
Description of the varieties of POTS
How to diagnose POTS
Pathologic and pharmacologic abnormalities related to POTS
Management of patients with POTS

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.10: FDA Regulatory Process and Clinical Trials Jul 01, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Drew M. Witter, CCRP

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

“Stem Cell Clinics” throughout the U.S. promote stem cell therapy for a variety of health conditions including osteoarthritis, autism, macular degeneration, Parkinson’s Disease, Alzheimer’s Disease and most recently COVID-19 infections. How can our patients be assured that the regenerative medicine therapy effectively treats their health condition and the products they receive are safe? In this podcast, we discuss regulations regarding regenerative medicine, the process of obtaining FDA-approval and which regenerative medicine therapies are FDA-approved. Our guest will be Drew Witter, a Program Manager from the Office of Research and Regulatory Support at the Mayo Clinic.

Specific topics discussed:

Process of taking regenerative medicine from the research lab to the clinical practice
How regulators ensure the safety and effectiveness of regenerative therapies
The process of acquiring FDA-approval
Regenerative medicine therapies that are FDA-approved
How patients and clinicians learn of FDA-regulated regenerative medicine clinical trials

Additional resources:

Clinical Trials available at Mayo Clinic through the Center for Regenerative Medicine: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/clinical-trials
U.S. National Library of Medicine: https://www.clinicaltrials.gov/
Center Watch: https://www.centerwatch.com/

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Primary Care Management of the Post-Prostate Cancer Patient Jun 29, 2021

Guest: Matthew K. Tollefson, M.D. (@MattTollefsonMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Other than skin cancer, prostate cancer is the most common cancer in men in the United States and will affect 1 in every 6 men 65 years and older. Fortunately, when detected early, it is very treatable. Long-term follow-up of patients with treated prostate cancer is usually performed by primary care providers. How often should these patients be seen? How much of an exam is recommended? Which tests should be ordered? When are imaging tests indicated and which studies are the most helpful? This podcast will address these questions and more as we discuss the primary care management of the post-prostate cancer patient with Dr. Matthew Tollefson, a urologist from the Mayo Clinic.

Specific topics discussed:

Current treatment options for prostate cancer
Determinants for choosing one of the treatment options for prostate cancer
When and how often patients should receive follow-up for prostate cancer
Laboratory tests recommended for the follow-up of prostate cancer patients
When a detectable PSA is concerning following prostate cancer treatment
Imaging studies recommended for following prostate cancer patients and when they are indicated
Treatment options for recurrent prostate cancer
Future treatment options for prostate cancer which have potential

Additional resources:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: COVID-19 Vaccination Rates Stalling, Infections From the Delta Variant Rising Jun 25, 2021

This episode is shared from Mayo Clinic Q&A and was recorded June 21, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Summer and fall are going to be a dangerous time for people in the U.S. who have not been vaccinated for COVID-19, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

"I really think this exponential rise in the number of sequences that are delta must be taken seriously," says Dr. Poland. "We are seeing a surge again, in hospitalizations in the UK, because of the delta variant in people who have not been vaccinated or who only got one dose of vaccine. This is a really critical message for the public to hear because in the U.S. we are stalled in vaccination rates."

In this Mayo Clinic Q&A podcast, Dr. Poland talks more about a possible COVID-19 surge and being emotionally ready for the pandemic to be over. He also answers listener questions about COVID-19 reinfection, the latest on antiviral development for COVID-19, and the latest news about COVID-19 vaccines affecting menstrual cycles and sperm quality.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.9: Cardiac Regenerative Therapies Jun 24, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Atta Behfar, M.D., Ph.D. (@AttaBehfar)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Traditional treatment of cardiac disease, especially advanced congestive heart failure has been limited. Transplantation has potential for benefit; however, organ shortage remains a barrier. It’s anticipated that regenerative medicine will help solve this unmet need with new treatment options to repair damaged heart tissue. This podcast will discuss regenerative medicine for cardiovascular disease with Dr. Atta Behfar, a Mayo Clinic cardiologist with expertise in advanced heart failure and transplantation. We’ll review the progress made in regenerative medicine in management of cardiovascular disease, what treatment options are currently available and the potential treatment options which will become available in the future.

Specific topics discussed:

Regenerative potential of the cardiovascular system
Current challenges in management of patients with cardiovascular disease
Progress in regenerative medicine for the cardiovascular system
Limitations in regenerative cardiac therapy using regenerative medicine
Future potential for regenerative medicine treatment of cardiovascular disease
Patients who are candidates for cardiac regenerative therapies

Additional resources:

Clinical Trials available at Mayo Clinic through the Center for Regenerative Medicine: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/clinical-trials
U.S. National Library of Medicine: https://www.clinicaltrials.gov/
Center Watch: https://www.centerwatch.com/

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Examining Reports of Heart Inflammation in Young People After Second COVID-19 Vaccine Jun 23, 2021

This episode is shared from Mayo Clinic Q&A and was recorded June 14, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices is holding an emergency COVID-19 meeting this week to discuss COVID-19 vaccine safety as it relates to news that young people may develop myocarditis after receiving a second dose of a messenger RNA COVID-19 vaccine.

Myocarditis, which is an inflammation of the heart muscle, is usually caused by a viral infection. But it can result from a reaction to a drug or be part of a more general inflammatory condition. Signs and symptoms include chest pain, fatigue, shortness of breath and arrhythmias.

"There have been about 789 cases reported," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "And that can happen for a whole variety of reasons."

In this Mayo Clinic Q&A podcast, Dr. Poland details the concerns about the myocarditis reports. He also discusses the latest news on the COVID-19 delta variant, and he explains what scientists are calling the "two-track pandemic."

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The Sobering Statistics of Alcohol Use Disorder Jun 22, 2021

Guest: Terry D. Schneekloth, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

According to the 2019 National Survey on Drug Use and Health, nearly 26% of individuals 18 and older reported that they engaged in binge drinking and slightly over 6% engaged in heavy alcohol use within the past month. Binge drinkers were 70 to 90 times more likely to have an alcohol-related emergency department visit. Based on their data from this study, they estimated that nearly 15 million people ages 12 and older had alcohol use disorder. It’s also known that those with alcohol use disorder commonly seek care from primary care providers for alcohol-related medical problems. Our guest for this podcast is Terry Schneekloth, M.D., a psychiatrist and addiction specialist at Mayo Clinic.

Specific topics discussed:

Definition of alcohol use disorder
Risk factors for alcohol use disorder
Role of genetics
Questions primary care providers should ask to explore the possibility of an alcohol use disorder in patients
Physical exam or lab findings which could suggest an alcohol use disorder
Available treatment options and their alcohol use disorder effectiveness

Additional Resources:

World Health Organization (WHO). Alcohol Use Disorders Identification Test (AUDIT). 2001 November 18; https://www.who.int/publications/i/item/audit-the-alcohol-use-disorders-identification-test-guidelines-for-use-in-primary-health-care
National Institute on Alcohol Abuse and Alcoholism (NIAAA). National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III) study: https://www.niaaa.nih.gov/research/nesarc-iii

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.8: Neuroregenerative Therapies Jun 17, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Nathan Staff, M.D. (@NathanStaffMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The cells in our nervous system are extremely specialized, especially those in the brain. Unfortunately, nervous tissue does not have a great potential to regain function once it is lost. Exciting research is being done in the field of neuro-regenerative medicine which will give hope for improvement to those with chronic neurodegenerative disease or nerve damage from injury. Dr. Nathan Staff, a Mayo Clinic neurologist, joins us regarding the challenges with the current management of chronic neurodegenerative diseases and the future potential for treating such conditions as Parkinson’s Disease, Alzheimer’s Disease, ALS and other neurodegenerative disease with regenerative medicine therapies.

Specific topics discussed:

Current research in regenerative medicine treatment for chronic neurodegenerative disease
Currently used regenerative medicine in neurologic conditions
New treatment options on the horizon for chronic neurodegenerative disease using regenerative medicine therapy

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The Agony of Da Feet - Assessing Foot and Ankle Pain and Injury Jun 15, 2021

Guest: Daniel B. Ryssman, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Generally, we take our feet for granted. It’s not unusual for a person to take 8- to 10-thousand steps per day. That translates to over 115,000 miles in a lifetime. By the time we reach 70 years old, the average person will have walked the equivalent of 4 times around the globe. Yet, we stop taking our feet for granted when they hurt, and it’s estimated that 75% of Americans will experience foot problems of varying degrees of severity during their lifetime. In this podcast, we’ll discuss foot and ankle pain with Daniel Ryssman, M.D., an orthopedist and sports medicine physician from Mayo Clinic. We’ll review some of the common injuries to the ankle such as sprains and fractures as well as common chronic conditions of the foot such as plantar fasciitis and bunions. Dr. Ryssman delves into the best ways to prevent, diagnose, and treat these conditions as well as what, if any, imaging to order.

Specific topics discussed:

Ankle sprains
Ankle fractures
Achilles’ tendon rupture
Plantar fasciitis
Bunions
Metatarsalgia

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 75: Mayo Clinic Q&A - A Dangerous Phase of the COVID-19 Pandemic for Those who are Unvaccinated Jun 11, 2021

This episode is shared from Mayo Clinic Q&A and was recorded June, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

If you've been vaccinated for COVID-19, you're able to go shopping, eat in restaurants and travel on airplanes without the same worry of becoming infected with COVID-19 that existed just months ago. But for those who are unvaccinated, getting infected with COVID-19 — even with just minor symptoms — should be a concern, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

"For those who have been vaccinated, life is resuming back to a sense of normalcy," says Dr. Poland. "But for the unvaccinated, they now live in a dangerous phase of the pandemic, where we're seeing circulating variants that are much more transmissible and may cause worse cases of the disease than what happened last year at this time. I think the people who are unvaccinated may not realize that."

In this Mayo Clinic Q&A podcast, Dr. Poland also offers information on more COVID-19 studies underway and he talks about COVID-19 vaccine research protocols that will be able to help scientists with other vaccine research, such as HIV vaccine research. Also, he answers listener questions, such as, "Does someone who has already been infected with COVID-19, really need to be fully vaccinated for COVID-19 or would just a booster be needed?"

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.7: Preventing Osteoarthritis of the Knee Jun 10, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Daniel Saris, M.D., Ph.D. (@sarisnl)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Osteoarthritis of the knee is extremely common, and it’s estimated that 1 in 2 people are likely to develop symptomatic knee osteoarthritis in their lifetime. Its known that damaged cartilage is the precursor to osteoarthritis. Many individuals have had partial or complete meniscectomies for meniscal tears in the past and those individuals were then likely to eventually develop knee osteoarthritis. What if damaged cartilage was repaired instead of surgically removed? Could that be an effective treatment recommendation we could give to our patients to help prevent or treat osteoarthritis? Our podcast guest today is Dr. Daniel Saris and he has some fascinating information related to cartilage damage and repair using regenerative medicine techniques.

Specific topics discussed:

How meniscal damage relates to osteoarthritis
Ability of cartilage to repair itself when damaged
Repairing a damaged meniscus instead of a partial or complete meniscectomy
Specific techniques of repairing cartilage
Success in treating patients with cartilage repair
Future treatment options for osteoarthritis using regenerative medicine

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 74: The World is Flat – Addressing Anosmia in Post-COVID Patients Jun 08, 2021

Guest: Erin K. O'Brien, M.D. (@ErinOBrienMD)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Erin O’Brien, M.D., division chair of Rhinology in Rochester, MN, joins us again to provide an evidence-based update on anosmia and its prevalence in post-COVID patients. She reviews the postulated mechanism by which anosmia occurs in this group of patients, and how this effects patients’ safety, mental health, and overall wellbeing. Dr. O’Brien also gives an overview of treatment options, such as various methods of olfactory training, and what physicians need to know when counseling their patients with post-COVID anosmia.

Additional resources:

Video on olfactory training: https://www.youtube.com/watch?v=Qrr0so6pFOs
Abscent – resources for patients with anosmia: https://abscent.org/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.6: New Options for Treating Musculoskeletal Pain Jun 03, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Shane A. Shapiro, M.D. (@ShaneShapiroMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Musculoskeletal pain is extremely common and when severe, patients often gain significant benefit from joint replacements. However, until our patients reach the point where surgery is an option, our efforts to help patients with the chronic joint pain often leave much to be desired. A relatively new treatment approach has appeared in the past decade, musculoskeletal regenerative medicine. But does the research back up the numerous claims of benefit? This podcast will review the current treatment options available and future potential of regenerative medicine for musculoskeletal problems with Dr. Shane Shapiro, a sports medicine physician in the Department of Orthopedics at the Mayo Clinic. We’ll discuss the current regenerative products and therapies available to optimize patient outcomes, potential adverse effects of the therapies and the numerous claims by many clinicians regarding the benefit potential for regenerative medicine in musculoskeletal disease.

Specific topics discussed:

Challenges of currently available traditional treatment for musculoskeletal conditions
Benefits of stem cell injections for osteoarthritis
Potential adverse effects of stem cell injections
Currently available regenerative medicine therapies that have shown benefit to patients
Validity of the many claims made by clinicians regarding the benefits of stem cell injections

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Watching Out for Loperamide Abuse Jun 01, 2021

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Opioid abuse remains a significant problem, and as law enforcement and regulatory agencies tighten access to prescription analgesics, individuals are seeking alternatives. It’s been discovered that when taken at very high doses, loperamide can produce similar effects to the opioid analgesics and the drug is inexpensive when compared to the price of both illicit and prescription opioids. As a result, loperamide abuse has become a significant problem. In this episode we discuss loperamide abuse with Tyler Oesterle, M.D., M.P.H., a psychiatrist at Mayo Clinic’s Rochester campus. We’ll review the typical central nervous system effects of high dose loperamide and the associated safety issues.

Specific topics:

Current status of the opioid crisis in the U.S.
Effects of loperamide in both therapeutic and excessive doses
Reasons behind taking high dose loperamide in excessive doses
Safety issues associated with high dose loperamide
Potential of high dose loperamide leading to drug dependence

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 73: Mayo Clinic Q&A - Dissecting COVID-19 Research and Putting Data in Perspective May 28, 2021

This episode is shared from Mayo Clinic Q&A and was recorded May 24, 2021.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The number of COVID-19 cases, hospitalizations and deaths in the U.S. continues to decline. However, cases of COVID-19 are increasing in younger populations.

"It's becoming a childhood disease," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Children have composed over 16,000 hospitalizations for COVID-19 and about 300 have died."

Meanwhile, each day brings fresh research news, including updates on possible side effects of the COVID-19 vaccines.

"We're collecting information as we go and have data on about 4.5 million people now," says Dr. Poland. "That's larger than we would have for any other vaccine."

In this Mayo Clinic Q&A podcast, Dr. Poland expands on these latest news items and puts the data in perspective. He also discusses vaccination rates, the possibility of mixing and matching vaccines for COVID-19 boosters, vaccination rates, and much more.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.5: The Mission for Fluency and Safeguarding Patients from Stem Cell Tourism May 27, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Saranya Wyles, M.D. (@SWylesMDPhD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Much of regenerative medicine is relatively new and some of the future treatment capabilities have the potential to significantly change the way we practice medicine. How do you educate established clinicians as well as clinicians in training regarding this new practice? How do you educate the general public which has been misled by a variety of false claims regarding which medical conditions regenerative medicine can currently effectively treat? This podcast discusses how a relatively new medical field puts together an education program to inform others of its potential. Our guest is Saranya Wyles, M.D., a resident in the Department of Dermatology who has considerable experience in regenerative medicine education.

Specific topics discussed:

Specific groups who need educating regarding the capabilities of regenerative medicine
The importance in training the medical workforce regarding regenerative medicine
What regenerative medicine means for the next generation of healthcare providers
How to incorporate regenerative medicine concepts into an established medical school curriculum
How to educate more advanced learn years such as residents and healthcare providers
Obtaining an advanced degree in the field a regenerative medicine

Additional resources:

International Society for Stem Cell Research (ISSCR): https://www.isscr.org/
The ISSCR Patient Handbook on Stem Cell Therapies: https://www.closerlookatstemcells.org/patient-resources/
Regenerative medicine curriculum for next-generation physicians: https://www.nature.com/articles/s41536-019-0065-8
Digital regenerative medicine and surgery pedagogy for virtual learning in the time of COVID-19: https://www.futuremedicine.com/doi/full/10.2217/rme-2020-0106

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 72: Mayo Clinic Q&A - Guidelines and Nuances of Wearing a Face Mask May 26, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in May, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Recent COVID-19 masking guidelines announced by the Centers for Disease Control and Prevention, continue to generate a public conversation.

"The decision about masking needs to be nuanced," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Wearing a mask should be based on the risk of infection, the percentage of the population vaccinated, a person's own immune system, and then the role of vaccine variants with the durability of our immune response."

In this Mayo Clinic Q&A podcast, Dr. Poland discusses masking guidelines in further detail. Also, he offers an update on COVID-19 vaccine research for children, and he shares positive news about the decreasing numbers of COVID-19 cases and deaths.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The M.I.A.M.I. Approach to Deciphering Lymphadenopathy May 25, 2021

Guest: Carrie A. Thompson, M.D. (@CaThompsonMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

It’s common for a patient to see their primary care provider after they’ve discovered an enlarged lymph node and they’re usually concerned that it represents a serious illness. Fortunately, in most cases it’s due to a benign cause and most patients can be reassured once we perform a careful history and physical examination. However, on occasion lymphadenopathy can represent serious disease. Carrie Thompson, M.D. a hematologist, at Mayo Clinic’s Rochester campus joins us to discuss how to tell when lymphadenopathy is due to a benign or serious cause. We’ll review the characteristics of both benign and malignant lymph nodes and the evaluation which should be done both for an enlarged solitary lymph node as well as generalized lymphadenopathy.

Specific topics discussed:

Prevalence of malignancy in patients who seek a medical evaluation for lymphadenopathy
Categories of disease which can have associated lymphadenopathy
Characteristics of benign and malignant lymph nodes
Diagnostic approach for a solitary enlarged lymph node
Diagnostic approach or multiple or generalized lymphadenopathy
Fine needle aspirate vs. excisional biopsy for evaluation of lymphadenopathy

Additional resources:

Gaddey, HL. Riegel, AM. Unexplained lymphadenopathy: evaluation and differential diagnosis. Am Fam Physician.2016 December 1; 94(11): 896-903. https://www.aafp.org/afp/2016/1201/p896.html

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.4: The Curative Potential of Immunotherapy May 20, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Saad J. Kenderian, M.B., Ch.B. (@kenderian_ss)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Regenerative immunotherapy is a treatment that uses the power of our own immune system to fight malignancy. It can include targeted antibodies, cancer vaccines, or tumor infecting viruses to name a few. Some immunotherapy treatments use genetic engineering to enhance our immune cell’s cancer fighting properties and can be used in combination with more traditional treatments including surgery, chemotherapy, or radiation. It’s FDA-approved as a first line treatment of multiple cancers and may also be effective in the management of malignancies that have been resistant to more traditional therapy. This podcast will address regenerative immunotherapy with Dr. Saad Kenderian, a hematologist at the Mayo Clinic. We’ll review the relationship between cancer and our immune system, how we can use our immune system to treat malignancy and which malignancies which have shown the best responses to regenerative immunotherapy.

Specific topics discussed:

Relationship between cancer and our immune system
How we can use our body’s immune system to fight malignancy
Malignancies which can be currently be effectively treated with regenerative immunotherapy
Malignancies which have had the best responses to regenerative immunotherapy
Limitations in regenerative immunotherapy

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Identifying Breast Cancer in Men May 18, 2021

Guest: Kathryn J. Ruddy, M.D. (@KathrynRuddyMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Breast cancer in men is very uncommon, about 1/100th as common as in women. It’s expected that this year, just under 3000 men are likely to be diagnosed with it, and just over 500 men will die from breast cancer. Because it’s so uncommon, there are very few good studies which have been completed to educate us about this disease. Kathryn Ruddy, M.D., an oncologist at Mayo Clinic’s Rochester campus joins us to discuss breast cancer in men and what we should do as primary care clinicians to care for our male patients who may be at increased risk to develop it. We’ll cover how breast cancer in males differs from that in females, its risk factors, how it’s diagnosed, and the survival rates of men with a diagnosis of breast cancer.

Specific topics:

Prevalence of breast cancer
How most breast cancers in men are found
The recommended evaluation of a male patient with suspected breast cancer
Risk factors for breast cancer in men
Treatment for male breast cancer
Survival rates for breast cancer in men

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.3: Perspectives in Reconstructive Surgery May 13, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Richard E. Hayden, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Currently reconstructive surgery involves taking the patient’s tissue from one area of their body and using it elsewhere to rebuild diseased or damaged tissue. Regenerative reconstructive surgery will allow the patient to grow their own replacement tissue from stem cells. This has incredible potential for allowing significantly better reconstructive surgical results. Currently regenerative reconstructive surgery is in its infancy, however in the next several years this should develop into a new standard of care for patients who need reconstructive surgery. This podcast features Dr. Richard Hayden, a reconstructive surgeon/otolaryngologist. We discuss the future of reconstructive surgery using regenerative medicine techniques, the difficulties in enabling patient access to regenerative therapies, the education that’s needed for not only providers but also for patients, and the future of regenerative reconstructive surgery.

Specific topics discussed:

Role regenerative medicine plays and reconstructive surgery
Importance in adopting and delivering regenerative care
Challenges in current standard of care approaches in reconstructive surgery
Difficulties enabling patient access to regenerative therapies
Educational needs in regenerative reconstructive surgery
The future of regenerative reconstructive surgery

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

What You Need to Know About Eustachian Tubes and Tonsils May 11, 2021

Guest: Laura J. Orvidas, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Tonsils and eustachian tubes often get taken for granted until they cause problems. Eustachian tube dysfunction is quite common and usually resolves on its own, however some patients will develop recurrent eustachian tube dysfunction and it can result in recurrent episodes of otitis media, especially in children. Although recurrent tonsillitis used to be the most common indication for tonsillectomy, more children are having this procedure for disordered breathing conditions, such as obstructive sleep apnea. In this episode, we’ll discuss disorders of the eustachian tube and tonsils with Laura J. Orvidas, M.D., an otolaryngologist at the Mayo Clinic.

Specific topics discussed:

Purpose of the eustachian tube
Definition of eustachian tube dysfunction
Physical exam findings of eustachian tube dysfunction
Recurrent eustachian tube dysfunction in children and potential for recurrent episodes of otitis media
When pressure equalization tubes are indicated
Relationship between pharyngitis and tonsillitis
Viral versus bacterial causes of tonsillitis
How to suspect a peritonsillar abscess
Indications for tonsillectomy
Management of tonsil stones

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 71: Mayo Clinic Q&A - Ramping up COVID-19 Vaccination Rate in Race Against Virus May 07, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in May 2021.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: DeeDee Stiepan (@deedeestiepan)

COVID-19 cases are falling in the U.S. because 245 million doses of one of the available COVID-19 vaccines have been administered, according to Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "But at the same time, there are still people who need more information about the safety and the value of getting a COVID-19 vaccine," says Dr. Poland.

While still hopeful, Dr. Poland says he's concerned herd immunity won't be reached in the U.S. through vaccination. And that will mean more tragic deaths due to COVID-19 infection.

"My guess is, because we're such an interconnected global community until everybody's safe, none of us are safe. And we're going to likely see continued circulation of the virus, and that virus will seek out whoever is not immune," says Dr. Poland.

In this Mayo Clinic Q&A podcast, Dr. Poland also addresses when we will need COVID-19 vaccine boosters will be needed and the latest on masking guidelines from the Center for Disease Control and Prevention. Plus, he will provide an update on COVID-19 treatments and how to handle those who want to visit a newborn baby.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.2: Between Hype and Hope – What’s Really Possible? May 06, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Dennis Wigle, M.D., Ph.D. (@DrWigle)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Regenerative Medicine has some amazing capabilities and in the near future, it’s likely to significantly change how we practice medicine. It faces some challenges in educating both the medical community as well as the general public regarding its current realistic capabilities. There are many unsubstantiated claims made by practitioners to the public regarding the benefits of regenerative medicine therapy. We’ll discuss how the true potential of regenerative medicine is conveyed to both clinicians and the public with Dr. Dennis Wigle, a thoracic surgeon and chair of the Division of General Thoracic Surgery at the Mayo Clinic. We’ll discuss some of the common misperceptions of regenerative medicine and how a consultation service can educate both the public and medical community regarding the benefits of regenerative medicine.

Specific topics discussed:

How to provide education to the public and the medical community
When and why the regenerative consultation service was formed
How the regenerative medicine consultation service works
Common misperceptions community regarding the realistic benefits of regenerative medicine

Additional resources:

For more information about Mayo Clinic’s Regenerative Medicine Consult Service, visit: https://www.mayo.edu/research/centers-programs/center-regenerative-medicine/patient-care/regenerative-medicine-consult-service

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Edition Ep.1: Transforming Care Towards Curative Solutions May 04, 2021

To claim credit for this episode, visit: www.ce.mayo.edu/regmedonline

Guest: Fredric B. Meyer, M.D.; Andre Terzic, M.D., Ph.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Imagine a patient who has suffered a massive myocardial infarction leaving a significant amount of damaged and non-functioning ventricular myocardium. Treatment for this patient’s subsequent congestive failure does not involve diuretics and beta blockers but rather an injection of the patient’s modified stem cells into surrounding viable ventricular myocardium resulting in the regeneration of new, functioning myocardial cells restoring the cardiac output. This is not science fiction but represents ongoing work by investigators in Regenerative Medicine. This week’s podcast will explore this amazing field of medicine which has the potential to change how medicine is practiced. We’ll discuss the origins of regenerative medicine, what currently be done in regenerative medicine as well as the potential for the future. Our guests today are Andre Terzic, M.D., Ph.D., director of the Mayo Clinic Center for Regenerative Medicine and Fredric B. Meyer, M.D., a neurosurgeon and the Executive Dean for Education at the Mayo Clinic.

Specific topics discussed:

When the field of regenerative medicine began
Which current medical conditions can currently be managed with regenerative medicine
How to determine which patients have potential for regenerative medicine therapies

Additional educational opportunities from Mayo Clinic:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: COVID-19 Vaccine Confidence and the Importance of That Second Dose Apr 29, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

While the number of people being vaccinated for COVID-19 is dropping, the Centers for Disease Control and Prevention and other medical experts continue to strongly encourage people to get vaccinated for COVID-19. And that means that those who are being vaccinated with the Moderna and Pfizer COVID-19 vaccine should get their first and second doses on schedule.

“About 8% of people who got their first dose have not returned for the second dose and this is concerning when you're getting close to 1 in 10," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "When you measure in the short term, one dose in a healthy person offers about 80% protection. But that's not 95% protection, like you get after two doses."

In this Mayo Clinic Q&A podcast, Dr. Poland expands on why people need that second COVID-19 vaccine dose and he talks about whether people should mix and match the different COVID-19 vaccines for their second dose. He also speaks about the status of COVID-19 vaccines for young people, and he addresses listener questions about traveling, being together after vaccination, and the latest rise of additional COVID-19 variants.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Fact or Fiction: Erectile Dysfunction Treatments Apr 27, 2021

Guest: Tobias S. Kohler, M.D., M.P.H.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Erectile dysfunction not only causes lifestyle changes, but it may also be the first symptom of peripheral vascular disease. Since many men are reluctant to mention erectile dysfunction to their healthcare provider, it’s important for us to ask our patients whether it is a problem and be knowledgeable in the appropriate evaluation of patients who have it. This reluctance may cause many to seek out readily available but ineffective treatments from questionable sources, even though there are a variety of proven, effective treatments that can be prescribed. Tobias S. Kohler, M.D., M.P.H., a Mayo Clinic Urologist, joins us to discuss the impact of erectile dysfunction, the currently available effective treatments, as well as the unproven, ineffective products currently being used.

Specific topics discussed:

The first historical appearance of treatments for erectile dysfunction
Most common causes of dysfunction
Appropriate evaluation of patients who present with erectile dysfunction
Review of the currently available effective treatment options
Reasons men are reluctant to mention the topic of erectile dysfunction to their provider
Review of some ineffective treatments currently being promoted

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 70: Mayo Clinic Q&A - Breakthrough COVID-19 Infections and Booster Vaccines Apr 22, 2021

This episode is shared from Mayo Clinic Q&A and was recorded on April 19, 2021.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group says COVID-19mutations and the virus spread are happening because of people who don't wear masks, who don't get vaccinated and who don't adhere to safety recommendations.

"I believe that we should be radically transparent and honest," says Dr. Poland. "The more time this virus passes through one person after another, the more likely it continues to mutate. As a result of those mutations, two things are happening. Some of the mutations are making vaccines and plasma monoclonal antibodies less effective. The other thing is that the virus will likely become something that we have to live with for the rest of our lives."

Dr. Poland reminds people that vaccine protection is not 100%. Breakthrough infections can occur.

"Remember that in the clinical trials, 95% means that compared to unvaccinated people, your risk is reduced by 95% — not 100%," he says. "You might have a mild case of COVID-19,but you can still spread it to others, including those who are immune compromised, such as cancer patients. That's why we continue to wear masks until we get very widespread immunization."

In this Mayo Clinic Q&A podcast, Dr. Poland talks more about breakthrough infections and the Johnson & Johnson COVID-19 vaccine pause, and he answers listeners' questions.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: On the Verge of Another COVID-19 Surge Apr 21, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

As spring break travelers return home and the highly transmissible U.K. COVID-19 variant is discovered in all 50 U.S. states, the country is on the verge of a fourth COVID-19 pandemic surge. That's according to a number of health experts, including Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

However, Dr. Poland says there is some good news related to the transmission of COVID-19 on surfaces.

"Wisdom resides in changing your mind and your recommendations as new data and science becomes available," says Dr. Poland. "What the Centers for Disease Control and Prevention is doing is modifying those guidelines, saying that the risk of touching a contaminated surface and then getting infected is very low."

In this Mayo Clinic Q&A podcast Dr. Poland explains more about the CDC guidelines and he addresses other COVID-19 topics in the news, including recent data that says men are more vaccine-hesitant than women.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Utilizing Artificial Intelligence to Evaluate Dizziness Apr 20, 2021

Guest: Devin L. McCaslin, Ph.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Being dizzy means different things to different patients and most patients find dizziness difficult to describe. Providers find it difficult to evaluate patients with dizziness and also which specialties can be asked for help in managing the dizzy patient. Dr. Devin McCaslin is the Director of the Vestibular and Balance Laboratory at the Mayo Clinic and an expert in evaluating the dizzy patient. He will discuss such topics as the role of vestibular balance laboratory testing in assessing patients, the most common findings from these evaluations, the multi-disciplinary approach to evaluating patients with dizziness, and how artificial intelligence is being used in the evaluation of a patient complaining of dizziness.

Specific Topics Discussed:

The multi-disciplinary approach to evaluating patients complaining of dizziness.
Most common findings in the evaluation of a patient with dizziness.
The role of vestibular balance laboratory testing in assessing patients who are candidates for these tests.
How artificial intelligence is being used in the evaluation of patients with dizziness.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Vacation Travel, Vaccines for Teens and More COVID-19 News Apr 19, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

If you're fully vaccinated for COVID-19 you can travel domestically and where travel is allowed internationally, according to new interim travel guidelines from the Centers for Disease Control and Prevention (CDC). Even with those recommendations the CDC continues to recommend not traveling unless it is essential. Regardless, the CDC strongly recommends people continue to wear a face mask, practice social distancing and sanitize their hands.

Meanwhile, COVID-19 vaccine research is continuing in teenagers. "The early data show equal safety in young people aged 12 to 16," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "I think this is going to imply that, somewhere between this fall and Christmas, we're going to be able to offer the (COVID-19) vaccine to every age group."

In this Mayo Clinic Q&A podcast, Dr. Poland answers a number of listener questions, including how long the COVID-19 vaccines are predicted to last and if the current transmission research still supports wiping down household items. Dr. Poland also explains why someone who has had COVID-19 should still get a COVID-19 vaccine.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This Podcast Will Make Your Head Spin Apr 13, 2021

Guest: Scott D. Eggers, M.D. (@sdze)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The complaint of dizziness is a common symptom our patients experience. It has a variety of causes; fortunately, most of them are benign. Despite the fact we frequently see patients with this medical concern, we still struggle evaluating them. Part of the difficulty is that dizziness means different things to different people and the cause of dizziness can be caused by disorders in one of several organ systems. To help us evaluate dizziness, Dr. Scott Eggers, a neurologist at the Mayo Clinic, reviews why dizziness is so difficult to evaluate and how we should evaluate a patient who complains of dizziness. We also explore the most common causes of dizziness including benign positional vertigo and vestibular neuritis. Finally, Dr. Eggers reviews symptoms that are suspicious for an ominous cause of dizziness.

Specific topics discussed:

Why dizziness is difficult to evaluate
How to evaluate the complaint of dizziness
Most common causes of dizziness
Dizziness symptoms which are ominous for serious disease
Description of benign positional vertigo
Description of vestibular neuritis
Description of vestibular migraines

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 69: Post-Acute COVID-19 and Central Sensitization Apr 06, 2021

Central sensitization (CS) describes pathophysiologic changes in the central nervous system, including alterations in neurochemistry, CNS receptors, endogenous opioid system hyperactivity, cytokine and HPA axis dysregulation, and sympathetic hyperactivity. Collectively, these changes result in amplification of pain and sensory signals, leading to widespread pain, fatigue and other sensory sensitivities. Fibromyalgia and Chronic Fatigue Syndrome are established diagnoses/manifestations of central sensitization. In the era of the COVID-19 pandemic, we continue to learn about Post-Acute COVID-19 Syndrome, a manifestation of central sensitization similar to other post-infectious forms of CS, which underlies the persistent symptoms that many people experience after initial recovery from COVID-19. Elizabeth C. Wight, M.D. joins us to talk about Mayo Clinic’s treatment approach to central sensitization, which is rooted in empowering patients with education and a framework for a self-management program. This includes stress management, moderation, positive thinking, decreasing focus on symptoms, sleep hygiene, and Cognitive Behavioral Therapy among others.

Additional resources:

Post-COVID Recovery on Mayo Clinic Connect: https://connect.mayoclinic.org/page/post-covid-recovery/

Mayo Clinic’s “A Systematic Approach to Medically Unexplained Symptoms 2021” course can be found at https://ce.mayo.edu/internal-medicine/content/systematic-approach-medically-unexplained-symptoms-2021#group-tabs-node-course-default1
Clauw DJ. Fibromyalgia: A clinical review. JAMA. 2014;311(15):1547-1555. doi:1001/jama.2014.3266
Clauw DJ. Fibromyalgia and related conditions. Mayo Clin Proc. 2015 May;90(5):680-92. https://doi.org/10.1016/j.mayocp.2015.03.014
Harte, SE, Harris, RE, Clauw, DJ. The neurobiology of central sensitization. J Appl Behav Res. 2018; 23(2): e12137. https://doi.org/10.1111/jabr.12137

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Your Patient Has a Thyroid Nodule – What Now? Mar 30, 2021

Guest: Jan L. Kasperbauer, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Thyroid nodules are commonly found in patients by primary care providers, either by physical exam or incidentally by a variety of imaging studies. Fortunately, the vast majority of thyroid nodules are benign, however as primary care providers we need to be comfortable in evaluating them to rule out the possibility that they represent a thyroid cancer. Joining us is Dr. Jan Kasperbauer, an otolaryngologist at the Mayo Clinic. We discuss risk factors for thyroid cancer, how a primary care provider should evaluate and manage patients with thyroid nodules, various types of thyroid cancer, and treatment options as well as the recommended follow-up for patients with thyroid cancer.

Specific topics discussed:

Risk factors for thyroid cancer
Detecting thyroid cancers
How primary care provider should evaluate and manage patients with thyroid nodules
Review of the various types of thyroid cancer
Treatment options for thyroid cancer
Recommendations for primary care providers in following patients with treated thyroid cancer

Additional resources:

Classification for risk stratification and follow up recommendations: Grant, EG, et al. Thyroid ultrasound reporting lexicon: white paper of the ACR thyroid imaging, reporting and data system (TIRADS) committee. J Am Coll Radiol. 2015 Dec; 12(12): 1272-1279. doi: https://doi.org/10.1016/j.jacr.2015.07.011

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Viruses Cannot Mutate If They Cannot Replicate Mar 26, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in March, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The COVID-19 virus mutates and replicates when people let down their guard and don't follow safety protocols, such as practicing social distancing and wearing a mask.

"I think most of us expect a major surge because of spring break travel and the relaxation of restrictions," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "And the sort of COVID fatigue that all of us feel, in one way or another."

In this Mayo Clinic Q&A podcast, Dr. Poland addresses the potential of a fourth COVID-19 surge, new information regarding the COVID-19 vaccines for pregnant women and he discusses research for next generation vaccines for COVID-19 variants.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 68: Skin Integrity in Patients with COVID-19 Mar 23, 2021

Guest: Jennifer L. Elmer, APRN, CNS, D.N.P.; Brianna M. Skrukrud, APRN, C.N.P.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Pressure injuries in bedridden patients present significant challenges, which are compounded in the patient with a COVID-19 diagnosis. In this episode we discuss the problems encountered in preventing, diagnosing, and managing skin alterations in patients with COVID-19. Jennifer L. Elmer, APRN, CNS, D.N.P. and Brianna M. Skrukrud, APRN, C.N.P., two wound care experts at Mayo Clinic, discuss situations in which, despite best efforts, pressure injuries are unavoidable and why COVID-19 poses a great risk for skin alterations in hospitalized patients. They also discuss the 2020 position statement of National Pressure Injury Advisory Panel (NPIAP) on the management of skin alterations during the COVID-19 crisis.

Additional resources:

Unavoidable Pressure Injury during COVID-19 Pandemic: A Position Paper from the National Pressure Injury Advisory Panel https://cdn.ymaws.com/npiap.com/resource/resmgr/white_papers/Unavoidable_in_COVID_Pandemi.pdf
Skin Manifestations with COVID-19: The Purple Skin and Toes that you are seeing may not be Deep Tissue Pressure Injury https://cdn.ymaws.com/npiap.com/resource/resmgr/white_papers/COVID_Skin_Manifestations_An.pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Rapid Pace of COVID-19 Vaccinations Mar 19, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in March 2021.

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: DeeDee Stiepan (@deedeestiepan)

Millions of people in the U.S. are being vaccinated for COVID-19. However, discussion is ongoing as to whether people who are immunocompromised, such as patients undergoing cancer treatment, or people who have autoimmune diseases, should be vaccinated for COVID-19.

"Both of those categories (of people) should be vaccinated," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "Those are not contraindications. Those are indications to get the vaccine." He adds that research is ongoing, but current information demonstrates the benefits far outweigh the theoretical risks.

In this Mayo Clinic Q&A podcast, Dr. Poland talks about vaccine hesitancy, and patients who are immunocompromised or have autoimmune conditions. Also, he discusses next steps in the journey to vaccinate children for COVID-19. And he reviews recent guidance from the Centers for Disease Control and Prevention Control about in-person gatherings.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Can We Prevent Suicide? Mar 18, 2021

* WARNING: This episode discusses suicide and suicidal ideation. *

Guest: J. Michael Bostwick, M.D.(@DrBostwick)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

In this episode, professor of psychiatry and international authority on suicide risk and challenges in suicide prevention, J. Michael Bostwick, M.D. from Mayo Clinic in Rochester joins us. He’ll discuss epidemiological-based research looking at the utilization patterns of medical care by individuals who have contemplated or committed suicide. Dr. Bostwick will describe the concept of suicide crisis including risk factors, current events/warning signs, and mental status/agitation. He’ll also explain self-agency, stigma of discussing mental illness, potential value-based societal approach to individuals in distress and despair, and potential solutions to the suicide prevention.

Additional resources:

Suicide Prevention in Primary Care Medicine; Huguet, Nathalie et al.; Mayo Clinic Proceedings, Volume 90, Issue 11, 1459 – 1461; https://doi.org/10.1016/j.mayocp.2015.09.011
Grappling With Suicide Risk; Sublette, M. Elizabeth; Mayo Clinic Proceedings, Volume 93, Issue 6, 682 – 683; https://doi.org/10.1016/j.mayocp.2018.04.006
Suicide Attempt as a Risk Factor for Completed Suicide: Even More Lethal Than We Knew; Bostwick, J. Michael et al.; Amer Journal of Psychiatry; Volume 173, Issue 11, November 01, 2016, 1094-1100; https://doi.org/10.1176/appi.ajp.2016.15070854

If you're feeling overwhelmed by thoughts of not wanting to live or you're having urges to attempt suicide, get help now.

Call 911 or your local emergency number immediately.
Call a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-8255 any time of day — press "1" to reach the Veterans Crisis Line or use Lifeline Chat.
For a list of suicide hotline numbers outside of the U.S., visit: https://www.opencounseling.com/suicide-hotlines

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: “Brain Fog” is a Lingering Condition for Many COVID-19 Long-Haulers Mar 17, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in March, 2021.

Guest: Billie A. Schultz, M.D.

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Fatigue and what's being called "brain fog" are turning out to be some of the most common issues for long-hauler patients recovering from COVID-19. The National Institutes of Health calls these and other symptoms, which can last for several months, post-acute sequelae of SARS-CoV-2, or PASC.

Those suffering from brain fog may experience short-term memory loss, confusion, difficulty concentrating, or just feeling different than they did before they had COVID-19, even if it was a mild case of the infection.

And Dr. Billie Schultz, a Mayo Clinic physical medicine and rehabilitation expert, says, though older patients more often to have these symptoms more often, younger people are also showing up with brain fog.

In this Mayo Clinic Q&A podcast, Dr. Schultz says brain fog seems to be more inflammatory than infection, but there are more questions than answers about this neurological concern. Meanwhile, efforts are underway to develop rehabilitation programs to help patients recover.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 67: Finding a Solution for Every Long-Hauler Mar 16, 2021

Guest: Ravindra Ganesh, M.B.B.S., M.D.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

It has been estimated that as many as 10-30% of patients who have recovered from COVID-19 have an array of symptoms, ranging from minor to disabling, that persist more than four weeks post-COVID infection. These symptoms have not only been identified in patients who had severe symptoms of COVID-19 requiring intensive care unit treatment, but also those who only experienced mild-to-moderate symptoms.

The exact cause of this state, most popularly called post-COVID long hauler syndrome, is still under investigation. The symptoms range from mild to disabling fatigue, body aches, atypical chest pain, loss of sense of taste and smell, brain fog, among others and many of these patients need additional evaluation and management to deal with their disabling symptoms.

In this podcast Dr. Ravindra Ganesh, the consultant in General Internal Medicine who leads the COVID Frontline Care Team (CFCT) efforts, as well as the Post-COVID Clinic, at Mayo Clinic Rochester, discusses the array of symptoms, management strategies, and research possibilities, as well as opening of an upcoming clinic in Mayo Clinic Rochester that would address the concern of the patient's and deal with the post COVID long hauler symptoms

Additional Resources:

Post-COVID Syndrome on Ask Mayo Expert: https://askmayoexpert.mayoclinic.org/
To refer a patient to or request an appointment at Mayo Clinic, visit: https://www.mayoclinic.org/appointments
Post-COVID Recovery on Mayo Clinic Connect: https://connect.mayoclinic.org/page/post-covid-recovery/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Clostridium Difficile Infection: You Want to Transplant What?! Mar 09, 2021

Guest: Maria I. Vazquez Roque, M.D. (@MVazquezRoqueMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Clostridium difficile is a toxin-producing bacterium that can result in a severe form of antibiotic-associated diarrhea known as clostridium difficile infection or CDI. Cases can vary from mild diarrhea to severe colitis that at times can be fatal. There’s been a dramatic increase in the number as well as severity of CDIs in the U.S. over the past 20 years. Although CDI typically occurs following the use of antibiotics, it can also be spread from one individual to another, especially in hospitals and skilled nursing facilities. Antibiotics have been the traditional treatment for patients with CDI, however recurrent symptoms have been a problem. There’s now a new treatment for CDI, felt to be effective in over 90% of patients with the illness. Our guest to discuss this topic is Dr. Maria Vazquez Roque, a gastroenterologist at the Mayo Clinic. We’ll review the common presenting symptoms, laboratory tests needed to establish a diagnosis, and the current recommendations for treatment including the latest of fecal transplantation.

Additional resources:

Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA): https://doi.org/10.1093/cid/cix1085

Specific topics discussed:

The typical presentation of C. difficile infection
Patients who are at increased risk for a C. difficile infection
Laboratory tests to order to confirm a case of C. difficile infection
Treatment options for C. difficile infection including fecal transplantation
Potential benefit of probiotics for preventing a C. difficile infection

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Q & A: COVID-19 Variants and the Evolving Science Mar 03, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

People may be curious, confused or critical of what seem to be changing messages related to the COVID-19 pandemic.

Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, reminds folks that messages change because data changes and the science evolves.

"As we learn new science, we use that science to modify our recommendations," says Dr. Poland. "It's not that scientists are flip-flopping. It is that new data allows us to begin expanding those recommendations."

For instance, COVID-19 cases and deaths in the U.S. are currently declining. But, Dr. Poland says, there are new data predicting the possibility of another surge of COVID-19 infections in March because of U.K. variant transmission.

In this Mayo Clinic Q&A podcast Dr. Poland talks about several issues, including the U.K. variant, vaccine development and the public’s COVID-19 fatigue.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 66: Monoclonal Antibody Treatment for COVID-19 Mar 02, 2021

Guest: Ravindra Ganesh, M.B.B.S., M.D. and Raymund R. Razonable, M.D.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

In this episode, Ravindra Ganesh, M.B.B.S., M.D. and Raymund R. Razonable, M.D. join Amit K. Ghosh, M.D. to review the use of monoclonal antibody as a new antiviral agent in the treatment of COVID-19 infection.

Who is most likely to benefit from monoclonal antibody infusions? Drs. Ganesh and Razonable, discuss recent studies on monoclonal antibody infusions in patients with mild to moderate COVID-19 infections. Also discussed are the logistical challenges faced and the innovative solutions that were implemented while administering this therapy, particularly navigating the acceptance of treatment, its real and perceived side effects, and lack of awareness due to inequity and poverty. Research on the development of subcutaneous or intramuscular administration for prophylaxis against COVID-19 in patients at high risk for complications or at high risk for being exposed to SARS-CoV-2 is also discussed in this episode.

Additional resources:

AskMayoExpert COVID-19 Navigator: https://askmayoexpert.mayoclinic.org/navigator/COVID-19
Weinreich DM, Sivapalasingam S, Norton T, et al. REGN-COV2, a neutralizing antibody cocktail, in outpatients with Covid-19. N Engl J Med 2021;384:238-251.
Chen P, Nirula A, Heller B, et al. SARS-CoV-2 neutralizing antibody LY-CoV555 in outpatients with Covid-19. N Engl J Med 2021;384:229-237.
Gottlieb RL, Nirula A, Chen P, et al. Effect of Bamlanivimab as Monotherapy or in Combination With Etesevimab on Viral Load in Patients With Mild to Moderate COVID-19: A Randomized Clinical Trial.JAMA. Published online January 21, 2021. doi:10.1001/jama.2021.0202
An EUA for Bamlanivimab—A Monoclonal Antibody for COVID-19. JAMA. Published online December 11, 2020. doi:10.1001/jama.2020.24415
Monoclonal Antibodies: Update on this COVID-19 Experimental Therapy https://discoverysedge.mayo.edu/2021/02/17/monoclonal-antibodies-update-on-this-covid-19-experimental-therapy/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 65: Restoring Function for Long-Haulers Feb 16, 2021

Guest: Greg Vanichkachorn, M.D., M.P.H.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

For some patients who have had COVID-19, symptoms of the disease may last long after the infection is over. Long-haulers syndrome due to COVID-19 could include profound fatigue, shortness of breath, and long-term neurological complaints, including headache, dizziness, or weakness. Mayo Clinic has launched the COVID Activity Rehabilitation Program, or CARP, to help these patients return to daily life and work. CARP is not just for folks who are trying to get back to work, but for anyone trying to get back to their baseline life.

In this episode, Dr. Greg Vanichkachorn, a Mayo Clinic preventive, occupational and aerospace medicine specialist who leads the CARP program, gives an overview of COVID long haulers and how post-COVID symptoms affects patients. He also shares the goals and results of Mayo Clinic CARP program.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Answers From the Lab: The Impact of COVID-19 Variants Feb 09, 2021

This episode is shared from Answers from the Lab and was originally published February 2, 2021.

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)

Host: William G. Morice, II M.D., Ph.D. (@moricemdphd)

Matthew Binnicker, Ph.D., vice chair of practice for Mayo Clinic's Department of Laboratory Medicine and Pathology, joins William Morice II, M.D., Ph.D., president of Mayo Clinic Laboratories, for this week's "Answers From the Lab" leadership update. In this episode, Dr. Binnicker and Dr. Morice discuss the impact that emerging COVID-19 variants could have on virus testing, vaccine and spread.

For more, follow the Mayo Clinic Labs on Twitter @mayocliniclabs or visit https://news.mayocliniclabs.com/podcast/answers-from-the-lab/ to check out all of their episodes.

COVID-19 Miniseries Episode 64: Leveraging Community Care for Scalable Outpatient Management of COVID-19 Feb 09, 2021

Guest: Ravindra Ganesh, M.B.B.S., M.D.

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

The Mayo Clinic COVID Frontline Healthcare Team (CFCT) is an integrated team comprised of doctors and support staff, including nurses, remote monitoring technicians, medical assistants, and desk staff. These teams are responsible for evidence-based management of all newly diagnosed COVID-19 patients. We’re joined by CFCT Codirector Ravindra Ganesh, M.B.B.S., M.D., to discuss the essential roles of CFCT’s during the pandemic.

Topics include how they:

Notify all patients who receive a COVID positive test result in Mayo/Mayo Clinic Health service in the Midwest region through phone call or portal messaging with attached questionnaire
Conduct outpatient monitoring and follow-up as well as identify patient at high risk for decompensation
Prevent COVID positive patients from coming to the Mayo Clinic facilities by remote monitoring and risk assessment
Reinforce social isolation recommendations from public health to all COVID positive patients and assess safety to come off isolation

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 63: Mayo Clinic Q&A - #AskTheMayoMom about Sports Participation During COVID-19 Feb 08, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: David B. Soma, M.D. (@DrDaveSoma); Talha Niaz, M.B.B.S.

Host: Angela C. Mattke, M.D. (@DrAngelaMattke)

There are many benefits to sports participation for children and adolescents. However, during the COVID-19 pandemic, activities such as youth sports have been put on hold or modified to decrease the spread of COVID-19. Also, the scientific community is learning about when it is safe to return to sports participation following COVID-19 infection.

On the Mayo Clinic Q&A podcast, "Ask the Mayo Mom" host and Mayo Clinic pediatrician, Dr. Angela Mattke is joined by Dr. David Soma, a pediatric sports medicine physician at Mayo Clinic Children's Center, to discuss sports participation during the COVID-19 pandemic and what you need to know about return to play after COVID-19 infection. Also joining Drs. Mattke and Soma is Dr. Talha Niaz, a pediatric cardiologist at Mayo Clinic.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 62: Mayo Clinic Q&A: COVID-19 Virus, Variants and Vaccines Update Feb 04, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@DrGregPoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

When it comes to the COVID-19 pandemic, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, says there's some good news. "Case numbers are falling, masking and distancing do work, and we can control this if we do it right."

However, the not so good news is that variants are showing up in over 30 countries and are reportedly more transmissible. There also seems to be a reduction in vaccine efficacy against the new variants.

"This is a desperate race between vaccine and virus, between time and opportunity, and we dare not lose that opportunity," emphasizes Dr. Poland.

In this Mayo Clinic Q&A podcast, Dr. Poland discusses how COVID-19 viruses mutate into new variants. He also discusses recent COVID-19 research conducted by the NFL, plus he touches on the future of individualized vaccines. "I can see the development of a coronavirus vaccine against multiple types of coronavirus, including the one that causes the common cold, and very likely combine that with the influenza vaccine."

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 61: Mayo Clinic Q&A: Picking Up the Pace With Rollout of COVID-19 Vaccines Feb 04, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in January, 2021.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The distribution kinks for COVID-19 vaccines are getting ironed out, says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

"It's a logistics nightmare, but now you're seeing a plan to administer 1 million doses a day and I think that's very achievable," says Dr. Poland. "And the production of the vaccine is just going to accelerate."

Dr. Poland also repeats the reminders about preventing transmission of COVID-19:

Wear a mask.
Wash your hands.
Keep your social distance.

"The current estimates are that in the next four weeks, we'll probably have about another 100,000 deaths," adds Dr. Poland. "It's stunning when you think about 1 out of every 860 Americans has now died of this."

In this Mayo Clinic Q&A podcast, Dr. Poland talks more about the rollout, transmission and herd immunity, as well as fertility issues related to COVID-19, survivor brain fog and more.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Want to Know About Pediatric Enuresis? Well, Urine Luck Feb 02, 2021

Guest: Patricio Gargollo, M.D. (@pgargollo)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Enuresis is relatively common in children, estimated to be present in as many as 5 to 10% of 7-year-olds. This represents up to 7 million children in the United States. As you can imagine, it carries significant social implications for the child. Our guest for this podcast is Dr. Patricio Gargollo, a pediatric urologist at Mayo Clinic in Rochester, Minnesota. Dr. Gargollo will address the natural history of enuresis, how to evaluate the child with enuresis, how often it represents a structural urologic problem and how often a treatable cause is found. Practical advice for parents of children with enuresis is also discussed.

Specific topics:

Potential for children with enuresis to have bladder control problems when they develop into adulthood.
Social impact of enuresis on a child.
Potential risk factors and causes of enuresis.
The role of genetics and enuresis.
The natural history of enuresis.
How often a structural urologic problem is found to explain enuresis.
Pharmacologic treatment options.
The evaluation of a child with enuresis.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Answers From the Lab: National COVID-19 Strategy Jan 28, 2021

This episode is shared from Answers from the Lab and was originally published January 28, 2021.

Guest: William G. Morice, II M.D., Ph.D. (@moricemdphd)

Host: Bobbi S. Pritt, M.D. (@ParasiteGal)

William Morice II, M.D., Ph.D., chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic and president of Mayo Clinic Laboratories, joins the "Answers From the Lab" podcast for his weekly leadership update. In this episode, Dr. Morice and Bobbi Pritt, M.D., discuss the new nationwide strategy that the Biden administration is rolling out to combat COVID-19.

For more, follow the Mayo Clinic Labs on Twitter @mayocliniclabs or visit https://news.mayocliniclabs.com/podcast/answers-from-the-lab/ to check out all of their episodes.

COVID-19 Miniseries Episode 60: Restoring Joy to Healthcare Jan 26, 2021

Guest: Eric J. Cleveland; Danielle M. Teal (@dteal)

Host: Amit K. Ghosh, M.D. (@AmitGhosh006)

Joy has been defined as a human emotion — a state created as we experience positive, poignant, reflective and connective moments. It is transient, never persisting but imparting ripples that impact us long after the moment.

Now more than ever there is a need to develop mindful initiatives that brings joy in our personal lives and in the workplace. In this episode we speak with Eric Cleveland and Danielle Teal, two leaders of the Joy at Mayo Clinic (J@M) initiative. We will discuss the joy equation, the Institute of Health Improvement’s (IHI) Framework for Improving Joy in Work and discuss examples of pragmatic initiatives that can bring joy at both the individual and team levels.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 59: Mayo Clinic Q&A - Expert Updates on COVID-19 Vaccines Jan 21, 2021

This episode is shared from Mayo Clinic Q&A and was recorded on January 11, 2021.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The U.S. rollout of COVID-19 vaccines is reportedly ramping up with news that nearly all available doses will soon be released to the American public.

"The new COVID-19 variants are traveling quickly, and this is a warning that we need to take precautions," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group.

Dr. Poland says these new variants are a consequence of an RNA virus being transmitted from human to human. "Even after we get our vaccines, we still need to wear masks out in public. We still need to maintain physical distancing. And we still need to wash our hands until about 80% of people get their COVID-19 vaccines," Dr. Poland emphasizes.In this Mayo Clinic Q&A podcast, Dr. Poland goes into detail about the COVID-19 vaccines, including "sterilizing immunity," testing for antibodies after receiving the vaccine, the possibility of booster doses in the future and much more.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Adult Eating Disorders Jan 19, 2021

Guest: Leslie A. Sim, Ph.D., L.P. (@DrLeslieSim)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

A variety of eating disorders can occur in adults and they are associated with multiple potential health complications, including an increased risk of death. Some studies report that up to 20% of those with Anorexia Nervosa will die as a result of the condition. Would you recognize an eating disorder in the patients you see? What clues should you look for? In this week’s Mayo Clinic Talks, we’ll speak with Dr. Leslie Sim, a psychologist at the Mayo Clinic. We’ll discuss who is most likely to develop an eating disorder, important “red flag” symptoms, questions you should ask patients to help confirm a diagnosis, and how we should approach a patient we suspect has an eating disorder.

Topics discussed:

Definition of an eating disorder
Important “red flag” symptoms that may indicate an eating disorder
Health complications that can occur as a result of an eating disorder
Who is most likely to have an eating disorder
The genetic component to eating disorders
Clues from their childhood that suggest patients may have an eating disorder as an adult
Events which can trigger an eating disorder
When we should suspect an eating disorder
How we should approach a patient we suspect has an eating disorder
Management of eating disorders
Effectiveness of treatment

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 58: Mayo Clinic Q&A - #AskTheMayoMom about COVID-19 and School Children Jan 14, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in January, 2021.

Guests: Emily R. Levy, M.D. (@EmilyLevy797); Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)

Host: Angela C. Mattke, M.D. (@DrAngelaMattke)

Around the world, COVID-19 vaccinations are underway, but only in adults. Pfizer's vaccine has been authorized for ages 16 and up, while Moderna's vaccine is currently authorized for ages 18 and up. Vaccines are generally tested in adults first to ensure they are safe for pediatric trials. Both Pfizer and Moderna now have clinical trials underway to study the safety and effectiveness of COVID-19 vaccines in children.

This edition of the Mayo Clinic Q&A podcast features an #AskMayoMom episode hosted by Dr. Angela Mattke, a pediatrician at Mayo Clinic Children's Center. Joining Dr. Mattke to discuss COVID-19, vaccines and children are Dr. Nipunie Rajapakse, a Mayo Clinic pediatric infectious diseases physician, and Dr. Emily Levy, a Mayo Clinic pediatric critical care and infectious diseases expert. Dr. Levy also discusses multisystem inflammatory syndrome in children, also known as MIS-C.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Motion is Lotion: Staying Healthy While Working Remote Jan 12, 2021

Guest: Corey M. Kunzer, P.T., D.P.T., SCS, (@KunzerCorey) and Edward R. Laskowski, M.D. (@DrEdSportsMed)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Over the past decade more individuals have begun working remotely; the numbers have increased dramatically this past year with the COVID-19 pandemic. While there are some advantages to working remotely, there are also some potential problems associated with it. Those working from home often develop a variety of musculoskeletal problems including low back and neck pain, as well as shoulder and extremity discomfort. Drs. Edward Laskowski, a physician and Corey Kunzer, a physical therapist, both in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic will discuss some of the musculoskeletal problems associated with working remotely.

Specific topics discussed:

Frequency of musculoskeletal problems associated with working from home
Differences between working at home vs. the traditional office
Issues to consider when selecting a desk and chair
Recommended positions of the monitor, keyboard and mouse
Benefits of a standing workstation or working while walking on a treadmill

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Can Nutritional Supplements Turn You into an All-Star? Jan 05, 2021

Guest: Andrew Jagim, Ph.D. (@AJagim)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Billions of dollars per year are spent in the U.S. on nutritional supplements to enhance performance. Multiple nutritional supplements are commercially available and are marketed for enhancing endurance, building muscle strength, improving exercise efficiency, and decreasing the potential for injury. Do these supplements actually deliver the benefits they claim? Are they safe? What age athletes are taking these supplements? We’ll discuss these topics and more with Dr. Andrew Jagim, the director of sports medicine research at the Mayo Clinic.

Specific topics:

Recommended approach to the athlete who wants to improve their performance
Potential benefits of nutritional supplements for athlete's
Age of athletes taking nutritional supplements
Selecting a high-quality nutritional supplement
Reliable web sites reviewing the available nutritional supplements including potential benefits and safety
Review of commonly taken nutritional supplements
Nutritional supplements which have potential harm

Additional Resources:

Mayo Clinic Proceedings Article: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30363-3/fulltext
NIH – Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/
International Society of Sports Nutrition (ISSN): https://www.sportsnutritionsociety.org/
Third-Party Testing Information: https://examine.com/

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Opioid Crisis Worsens During COVID-19 Pandemic Jan 04, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020.

Guest: Tyler Oesterle, M.D., M.P.H. (@OesterleMD)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Stress, isolation and limited access to resources are fueling rising rates of substance abuse and overdoses during the COVID-19 pandemic. While coronavirus has been the focus of so much attention this year, the opioid crisis has continued unabated and has even worsened. More than 40 states have reported increases in opioid related deaths, according to the American Medical Association.

On the Mayo Clinic Q&A podcast, Dr. Tyler Oesterle, a psychiatrist and addiction expert at Mayo Clinic, discusses opioid use disorders and treatment options, including virtual medicine available during the pandemic.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: COVID-19 Mortality Study Shows Effectiveness of Team-Based Care Jan 01, 2021

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020.

Guest: John (Jack) C. O'Horo, M.D., M.P.H. (@jcohoro)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

A recent Mayo Clinic study published in Mayo Clinic Proceedingsfound that patients with COVID-19 who received care at Mayo Clinic had lower mortality rates than the national average. Mayo Clinic patients were treated using an integrated, team-based approach for patient monitoring and treatment.

On the Mayo Clinic Q&A podcast, Dr. John O'Horo, a Mayo Clinic infectious diseases physician and the study's first author, discusses the study results and explains how the Mayo Clinic Model of Care improves outcomes for patients.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Addressing the Burdens of Family Caregivers Dec 29, 2020

Guest: Alisha Morgan, D.O. (@AAMORGAN_DO)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

It’s estimated that there may be over 30 million individuals in the U.S. who provide ongoing care to older adults, half of these to family members with some form of dementia. The majority of these caregivers are female and a significant percentage of these caregivers have their own major health problems. This has become a major social and economic issue in the care of our geriatric patients. Dr. Alisha Morgan, a family medicine and hospice physician at the Mayo Clinic joins us to address the challenges associated with being a caregiver, how healthcare providers should assess caregiver burden, potential financial resources available to assist caregivers, and interventions to reduce the impact of stress on caregivers.

Specific topics:

Morbidity and mortality of care givers
The amount of time caregivers devote to assisting older adults
Financial burden of providing chronic care to older adults
How primary care providers should acknowledge caregivers
How primary care providers should evaluate
How caregiver stress should be provided
Available financial resources for caregivers

Caregiver Resources: https://www.aarp.org/content/dam/aarp/entertainment/books/2015-04/Caregivers_Excerpt.pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 57: Transcending the Valley of Death - COVID-19 mRNA Vaccine Update Dec 21, 2020

This episode was recorded on December 18, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

It is projected that by March of 2021 1:700 Americans will have died of COVID-19. The historic pace of COVID-19 vaccine development was made possible by the countless sacrifices of many individuals across healthcare, research, health and human services, the Department of Defense, and other key sectors. This interprofessional collaboration required many to set life aside and work tirelessly to bring an effective vaccine to market, quickly. While mRNA vaccines have been in development since the 1990s, the COVID-19 vaccine efficacy rate of 95-100% across studied ages, race and ethnicities, and comorbidities is unprecedented. The questions left to answer are, how long will the efficacy last? In larger population studies, what is the safety/allergy/hypersensitivity profile? What impact does the vaccine have on asymptomatic carrier spread? Who shouldn’t get the vaccine? Dr. Greg Poland breaks down everything you need to know about the mRNA COVID-19 vaccines.

Additional Resources:

Mayo Clinic Vaccine Research Page
https://www.mayo.edu/research/labs/vaccine-research-group/overview
Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education
https://www.sciencedirect.com/science/article/pii/S0264410X11011881
AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Sensorineural Hearing Loss Dec 15, 2020

Guest: Matthew L. Carlson, M.D. (@MatthewLCarlso1)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Issues surrounding hearing loss are discussed with Dr. Matthew Carlson, an ENT physician from the Mayo Clinic. Specific topics discussed include the following:

Types of hearing loss (conductive vs. sensorineural)
Social impact of hearing loss
Symptoms patients notice with gradually progressive hearing loss
Tinnitus and it’s management
Causes of sensorineural hearing loss
High frequency tone loss and problems with speech discrimination associated with sensorineural hearing loss
Hearing loss associated with loud noise exposure (acoustic injury and chronic noise exposure)
Hearing loss associated with the use of firearms
Common everyday activities which may result in hearing loss
Management of sensorineural hearing loss (hearing aids, cochlear implants)
Recent advances and improvements in hearing aids

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Immunizations: Let’s Get to the Point Dec 08, 2020

This episode was recorded on October 23, 2020.

Guest: Robert M. Jacobson, M.D. (@RobertJMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

It’s estimated that immunizations have saved more lives and prevented more disabilities than any other medical intervention. They’re also extremely cost effective and their benefits far outweigh the very small risks they carry. Yet there are individuals who choose to believe that immunizations are potentially harmful. Our guest for this podcast is Dr. Robert Jacobson, a Mayo Clinic pediatrician and expert in the field of immunizations. We cover topics including an update on the COVID-19 vaccine and when it will realistically be available on a large scale for the population. Other important issues discussed include which vaccines are important for children and adults and whether it’s safe to administer multiple vaccines at one time. Finally, many of the concern promoted by the anti-vaccine movement are discussed and dispelled.

Specific topics discussed:

Variety of vaccines in development for COVID-19
Novel techniques being use in the development of the COVID-19 vaccine
Timing on the availability of the COVID-19 vaccine
Important immunizations for children
Important immunizations for adults
Anti-vaccine concerns and myths surrounding vaccines
Updates on the age recommendations for the HPV vaccine

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 56: Mayo Clinic Q&A - How Messenger RNA Vaccines Work Dec 03, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The first COVID-19 vaccines to reach the market are likely to be messenger RNA vaccines, or mRNA. According to the Centers for Disease Control and Prevention, mRNA vaccines work by teaching cells in the body how to make a protein that triggers an immune response. Unlike many vaccines that use a weakened or inactivated form of a virus, mRNA vaccines do not use the live virus that causes COVID-19.

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how mRNA vaccines work, gives a status update on the pandemic and answers listener questions.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 55: Mayo Clinic Q&A - Managing the COVID-19 Surge Dec 03, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Elie F. Berbari, M.D.

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

The current COVID-19 surge numbers could worsen in coming days as experts prepare for a post-Thanksgiving holiday increase in cases. Increased positivity rates lead to more people needing hospitalization, straining the health care system and medical staff.

On the Mayo Clinic Q&A podcast, Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic, explains how Mayo Clinic is managing staff, supplies and space during the COVID-19 surge.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Be Safe Not Sorry: Teaching Patients Proper Handwashing Technique Dec 01, 2020

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Many of us learned how to wash our hands at a very early age and have relearned the importance and proper technique periodically along the way. Research suggests that many people may not be doing it correctly. Dr. Greg Poland a Professor of Medicine in Infectious Disease at the Mayo Clinic joins us for National Hand Washing Awareness Week to discuss some tips and tricks to share with your patients to ensure they’re reaching the full potential of this life-saving technique. He’ll also answer questions like does it matter if the water is hot? Is handwashing with soap more effective than anti-bacterial gel or lotions? And, when should we be washing our hands?

Additional resources mentioned (not an endorsement or affiliation):

Glo Germ: Visual Tool for Handwashing

https://www.glogerm.com/

Jimmy Kimmel and Guillermo Learn How to Wash Their Hands

https://youtu.be/sJfsyhQ0oBs

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 54: The Enigma of COVID-19 Long Haulers Nov 25, 2020

This episode was recorded on November 17th, 2020.

Guest: Raymund R. Razonable, M.D. (@RazonableMD)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

What causes some patients to develop Long Haul COVID-19? Dr. Raymund Razonable discusses what the current data is showing and what we’re hoping to learn from future research.

Deeper dive:
As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts
https://jamanetwork.com/journals/jama/fullarticle/2771111

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Celiac Disease Nov 24, 2020

Guest: Joseph A. Murray, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The diagnosis and management of Celiac Disease is discussed with Dr. Joseph Murray, a gastroenterologist from the Mayo Clinic. Specific topics discussed include:

Typical presentations of Celiac Disease in children and adults
Difficulties encountered in establishing a diagnosis
Small bowel pathology seen in Celiac Disease
Mechanism for malabsorption in Celiac Disease
Risk factors for Celiac Disease
Celiac Disease and pregnancy
How to confirm a diagnosis of Celiac Disease
- Laboratory tests
- Necessity of a small bowel biopsy
Management of Celiac Disease
Challenges in maintaining a gluten-free diet
Potential long-term complications of Celiac Disease

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hepatits C Nov 17, 2020

Guest: John J. Poterucha, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The topic of Hepatitis C, including risk factors, evaluation and management was discussed with Dr. John Poterucha, a gastroenterologist from the Division of Gastroenterology and Hepatology. Specific topics discussed include:

Serologic testing for hepatitis C
Symptoms of hepatitis C
Risk factors for hepatitis C
Transmission of hepatitis C during pregnancy
Risk of hepatitis C transmission following a needle-stick exposure
Identifying which patients should be tested for hepatitis C
Natural history of hepatitis C
Potential complications of hepatitis C
Available pharmacologic treatment
Potential for reinfection with hepatitis C
Hepatitis C and liver transplantation
Potential for an effective hepatitis C vaccine

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Fighting COVID-19 with Mayo Clinic Laboratories Nov 12, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2020.

Guest: William G. Morice, II, M.D., Ph.D. (@moricemdph)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

When the COVID-19 pandemic began, one of the areas of science and research most affected was laboratory medicine. From developing tests that detect the virus, to testing for antibodies in patients who have recovered, Mayo Clinic Laboratories has been at the forefront of COVID-19 testing and research.

On the Mayo Clinic Q&A podcast, Dr. William Morice II, president of Mayo Clinic Laboratories and chair of the department of Laboratory Medicine and Pathology at Mayo Clinic, explains how a reference lab works and how Mayo Clinic Laboratories quickly ramped up its testing capability to meet pandemic testing needs.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Influenza Vaccine: Nurses Call the Shots Nov 10, 2020

Guest: Robert M. Jacobson, M.D. (@RobertJMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

It is extremely important that our patients receive the influenza vaccine this year. In previous years, less than half of the population has received it. Dr. Robert Jacobson, a pediatrician and vaccine specialist at the Mayo Clinic, joins us to discuss the reasons it’s so important for our patients to receive the influenza vaccine this season. He’ll share tips for discussing common concerns from vaccine-hesitant patients and how you can increase your patient vaccination rates.

Specific topics discussed:

Importance of the influenza vaccine for our patients in 2020/2021
How and when the influenza vaccine is developed for the next influenza season
Why we need an influenza vaccine on an annual basis
The best time of the year to receive the influenza vaccine
Whether we lose some immunity to influenza if we receive the vaccine too early in the year
Which vaccine should be given to those 65 years and older
Common myths surrounding the influenza vaccine
Predictions for the severity of influenza for 2020/2021

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Caring for Patients with Dementia Nov 03, 2020

Guest: Ericka E. Tung, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The topic of Alzheimer’s Disease and other dementias was discussed along with the importance of providing care of the patient’s care-givers by Dr. Ericka Tung, a geriatrician in the Division of Community Internal Medicine at the Mayo Clinic. Specific topics discussed include:

Common symptoms seen in early dementia.
Mild cognitive impairment and its progression to dementia.
Importance of stability of lifestyle in the life of patients with dementia.
Discussing the diagnosis of dementia with the patient and family.
Using a mental status exam in the evaluation of patients with suspected dementia.
Establishing a diagnosis in patients with early dementia.
The role of formal psychological testing in patients with suspected dementia.
The needs of care-givers of dementia patients.
Importance of respite care for the care-givers of dementia patients.
Evaluating driving skills in patients with early dementia.
Advanced care planning for dementia patients.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 53: Mayo Clinic Q&A - CDC Updates Close Contact Guidelines Oct 28, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The Centers for Disease Control and Prevention (CDC) has updated its guidelines for defining close contact with a person who is positive for COVID-19. Previously, close contact was defined as occurring when someone was within 6 feet of an infectious person for 15 consecutive minutes. Now close contact includes people who were within 6 feet for a total of 15 minutes over a 24-hour period, as the CDC now advises that repeated, brief encounters also carry a risk of transmission.

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, discusses the updated information from the CDC and the latest information from the Food and Drug Administration on COVID-19 treatments and vaccines.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Chronic Obstructive Pulmonary Disease (COPD) Oct 27, 2020

Guest: Lewis J. Wesselius, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The topic of COPD including risk factors, evaluation and management is discussed with Dr. Lewis Wesselius, a pulmonologist in the Division of Thoracic Disease at the Mayo Clinic. Specific topics discussed include the following:

Review of the various types of COPD.
Similarities and differences between emphysema and chronic bronchitis.
Financial complications of COPD.
Risk factors for COPD.
Appropriate tests to order when evaluating patients suspected of having COPD.
Determining the severity of COPD.
Management of patients with COPD including the role of bronchodilators, inhaled corticosteroids, antibiotics and oxygen.
COPD and the risk of lung cancer.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Allergies and Anaphylaxis Oct 20, 2020

Guest: James T C Li, M.D., Ph.D. (@jameslimd)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The topic of anaphylaxis is reviewed including its causes, management and potential complications by James T C Li, M.D., Ph.D., an allergist from the Division of Allergic Disease from the Mayo Clinic. Specific topics discussed include the following:

Truths vs. myths regarding anaphylaxis
Common manifestations and presentations of anaphylaxis
Triggers which more commonly produce an anaphylactic reaction
Anaphylaxis in patients without a history of allergies
When to use antihistamines in treating an allergic reaction
When and how to prescribe epinephrine in treating patients with a history of allergic reactions
Issues related to epinephrine auto-injectors
Natural history of allergies over time
Developments in peanut allergies
Management of an anaphylactic reaction

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Differentiating Common Causes of Shoulder Pain Oct 13, 2020

Guest: Christopher Camp, M.D. (@ChrisCampMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

The shoulder is unique in both structure and function. Injuries can occur acutely or overtime from wear and tear. If a patient presents with shoulder pain, when do you order imaging? What is role of steroid injections? When should a patient apply ice or apply heat? Dr. Christopher Camp, an orthopedist from Orthopedics and Sports Medicine at the Mayo Clinic joins us to discuss common injuries broken down by age demographic, treatment options, and when you may need to refer to a surgeon.

The following topics are discussed:

Anatomy of the shoulder joint and what makes it a unique joint.
Injuries which commonly occur in both younger and older patients.
Review of common pathologic conditions of the shoulder:
- Rotator cuff injuries
- Impingement syndrome
- Bursitis of the shoulder
- “Frozen shoulder”
When a steroid injection of the shoulder is of benefit.
When an X-ray or MRI of the shoulder is of benefit in the evaluation of shoulder pain.
Benefits of physical therapy in patients with shoulder pain/injuries.
The use of heat or cold in treating shoulder pain.
When patients should be referred to an orthopedist for evaluation of shoulder pain.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 52: Mayo Clinic Q&A - How Do Antiviral Drugs Work? Oct 07, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

Antiviral drugs are medicines that fight against viruses in the human body by impeding the infection process. Antivirals are commonly used to treat HIV/AIDS, influenza, herpes, and hepatitis B and C. The antiviral, Remdesivir, which was originally developed to fight Ebola, is now being used to treat COVID-19.

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how antivirals work to shorten the course of the disease.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

The Evolution of Pharmacogenomics Oct 06, 2020

Guest: Richard Weinshilboum, M.D.

Host: Darryl S. Chutka, M.D.

In a similar way to how anesthesia changed the practice of surgery, pharmacogenomics will produce a similar change in how we prescribe medications. Listen in to world-renowned expert Dr. Richard Weinshilboum discuss the evolution of the field and how advances are accelerating its application at the bedside.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: Transplant Surgeries and COVID-19 Sep 30, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Patrick G. Dean, M.D.

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

Transplants are identified as nonelective surgeries, and transplant patients have faced urgent medical needs during the COVID-19 pandemic.

"Our practice, like many others across the country, did slow down in March and April of this year," says Dr. Patrick Dean, a Mayo Clinic transplant surgeon. "Patients and providers were concerned ― appropriately so ― about what would happen with this pandemic and whether it would be safe to have a transplant or for that matter any health care that wasn't absolutely emergent."

In this Mayo Clinic Q&A podcast, Dr. Dean talks about taking care of transplant patients; overcoming surgery challenges during the pandemic; the increased risks transplant patients have of developing SARS-CoV-2, the virus that causes COVID-19, because of compromised immune systems; and the important need for COVID-19 testing.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Updates in the Evaluation and Treatment of Multiple Sclerosis Sep 29, 2020

Guest: Eoin Flanagan, M.B., B.Ch. (@EoinFlanagan14)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

This episode will review the following topics regarding Multiple Sclerosis (MS):

Common presenting symptoms
Risk factors, including the association of MS and vitamin D
Typical pathologic changes found in patients
The difference between the relapsing and progressive forms of MS
Laboratory and imaging studies which are helpful in confirming a diagnosis
Established and new treatment options available

Available useful resources for patients with MS:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A: #AskTheMayoMom about COVID-19 and School Children Sep 22, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020.

Guest: Angela C. Mattke, M.D. (@DrAngelaMattke)

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

The COVID-19 pandemic continues to create challenges, including returning to school with hybrid learning modules for children. There are also anxieties and uncertainties to navigate, while trying to follow COVID-19 guidelines.

In this "Mayo Clinic Q&A" podcast, Dr. Angela Mattke, a Mayo Clinic pediatrician and host of #AskTheMayoMom, talks about the concerns her patients have, and what important things parents and caregivers should take into consideration when helping children stay healthy.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 51: Mayo Clinic Q&A - Bringing COVID-19 Vaccines to the Public Sep 17, 2020

This episode is shared from Mayo Clinic Q&A and was recorded on September 14, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Danielle Stiepan

Once a vaccine to prevent COVID-19 is approved, there will be logistics to consider. For example, who will receive the vaccine first, and how can the supply chain safely deliver the vaccine to 330 million Americans and potentially more than 7 billion people worldwide? In addition, multiple vaccines may be brought to market within weeks to months of each other, confusing consumers.

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains the challenges of rolling out a COVID-19 vaccine.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Updates for Diabetes Treatment and Monitoring Sep 15, 2020

Guest: Bithika M. Thompson, M.D.

Host: Darryl S. Chutka, M.D.

Dr. Bithika Thompson discusses the recognition and treatment of pre-diabetes, individualizing glycemic control goals for patients based on a series of variables, and recent advances in technology for monitoring that help to decrease the burden of care.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

An Essential Update in Preventative Cardiology in the Time of COVID-19 Sep 08, 2020

To register for notification when the 94th Annual Clinical Reviews Course opens visit: https://mayocl.in/2GvecAd

Guest: Stephen L. Kopecky, M.D.

With underlying cardiovascular disease as the most lethal comorbidity to have in association with COVID-19, what have we learned about how SARS-CoV-2 affects the heart and what correlation is seen between patients with cardiometabolic disorders and preventative health measures? Dr. Stephen Kopecky shares lessons learned for all cardiologists, all caregivers, and all patients.

“The cardiovascular risk profile that we use from the American College of Cardiology, from the American Heart Association, looks at hypertension, looks at smoking, looks at diabetes, and looks at lipids. That risk profile predicts cardiovascular complications. So it not only predicts disease but it predicts the complications of COVID infection.”

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 50: Mayo Clinic Q&A - COVID-19 - Essential Updates with Dr. Poland Sep 04, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020.

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, covers the latest news on the COVID-19 pandemic.

Dr. Poland gives an update on progress towards a vaccine for COVID-19, discusses therapies for treating the virus and shares research on how effective face masks and physical distancing are in fighting the spread of the disease.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mayo Clinic Q&A - A Healthy Mindset to Start the School Year Sep 02, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Craig N. Sawchuk, Ph.D., L.P. (@CraigSawchukPhD)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

The start of a new school year is always a time that’s filled with excitement and anxiety. This year, COVID-19 is making back to school even more challenging for kids, teachers and parents. Whether in person, online or a hybrid approach, this school year will be different for students and staff. How can you and your child have a healthy mindset for this school year?

On the Mayo Clinic Q&A podcast, Dr. Craig Sawchuk, chair of the Division of Integrated Behavioral Health at Mayo Clinic, shares helpful tips and strategies to be resilient and handle the challenges of a school year during the COVID-19 pandemic.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 49: Mayo Clinic Q & A - COVID-19 Back-To-School Recommendations Aug 31, 2020

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

Whether in person, online or a hybrid model of education, families and school districts are planning for how to safely teach students during the COVID-19 pandemic. No matter which plan is chosen by communities, this school year will be challenging.

On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious disease specialist at Mayo Clinic, discusses how students, teachers and staff can use public health measures already in place to minimize the risk of exposure to the virus and reduce community spread of COVID-19.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Regenerative Medicine Takes on Hair Loss Aug 25, 2020

Guest: Alison J. Bruce, M.B., Ch.B. & Shane A. Shapiro, M.D.

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

Androgenic alopecia can have a significant impact on women across a spectrum of age. The psychological and social impact of hair thinning and hair loss can significantly decrease quality of life. Dr. Alison Bruce breaks down different types of hair loss, who’s a candidate, and new therapies on the horizon. Dr. Shane Shapiro will discuss the application of regenerative medicine to this condition and how platelet rich plasma has demonstrated efficacy at regrowing hair.

Deeper Dive:

A Randomized, Controlled Pilot Trial Comparing Platelet-Rich Plasma to Topical Minoxidil Foam for Treatment of Androgenic Alopecia in Women doi: 10.1097/DSS.0000000000002168

Episode transcript: https://mcdn.podbean.com/mf/web/d545pv/Ep_185-Regenerative_Medicine_Takes_on_Hair_Loss.pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 48: Answers from the Lab - Neutralizing Antibody Assay, Explained Aug 21, 2020

This episode is shared from Answers from the Lab and was originally published June 30, 2020.

Guest: John R. Mills, Ph.D.

Host: Bobbi S. Pritt, M.D. (@ParasiteGal)

John Mills, Ph.D., is the co-director of the Neuroimmunology Laboratory at Mayo Clinic and the scientist who oversaw the development and validation of the new neutralizing antibody assay. Today he joins us to explain what the neutralizing antibody assay is, why it is different than other COVID-19 tests, and the science and innovation behind these efforts.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Answers from the Lab: Future of COVID-19 Laboratory Testing Aug 19, 2020

This episode is shared from Answers from the Lab and was originally published June 25, 2020.

Guest: William G. Morice, II M.D., Ph.D. (@moricemdphd)

Host: Bobbi S. Pritt, M.D. (@ParasiteGal)

William Morice, II, M.D., Ph.D., Chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic and President of Mayo Clinic Laboratories, joins the Answers from the Lab podcast for his weekly leadership update. In this episode, Dr. Morice discusses the future of testing for COVID-19, predicting who would be at the highest risk for severe disease, and challenges with existing diagnostics.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Sorting Out Knee Pain and Treatment Opportunities Aug 18, 2020

Guest: Daniel B. Saris, M.D., Ph.D. (@sarisnl)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

With over 12 million outpatient visits annually in association with knee pain, it’s a common presentation in primary care. Dr. Daniel Saris discusses what questions we should be asking our patients, when to order imaging studies, and the common causes of pain broken down by age demographic. He’ll also discuss stem cell therapy, who is a good candidate, and who isn’t.

Episode transcript: https://mcdn.podbean.com/mf/web/cjj292/Ep_183-Sorting_Out_Knee_Pain_and_Treatment_Opportunities.pdf

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

COVID-19 Miniseries Episode 47: Answers from the Lab - Serology Testing for COVID-19 Aug 17, 2020

This episode is shared from Answers from the Lab and was originally published June 16, 2020.

Guest: Elitza Theel, Ph.D. (@ElliTheelPhD)

Host: Bobbi S. Pritt, M.D. (@ParasiteGal)

Elitza Theel, Ph.D., Laboratory Director of the Infectious Diseases Serology Laboratory at Mayo Clinic, led the efforts to evaluate and implement the serologic antibody test for COVID-19. She gives an overview of Mayo Clinic’s COVID-19 antibody test, as well as the role of antibody testing during the pandemic, and how sensitivity, specificity, and prevalence play a large role in the positive predictive value of a test.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

COVID-19 Miniseries Episode 46: Physician Leaders and the Science of Health Care Delivery Aug 11, 2020

This episode was recorded August 6, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Lisa A. McGee, M.D.

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

What are population centered care and health? How do we best use rationed resources within our health care system to most effectively meet these needs? Dr. Lisa McGee discusses the Science of Health Care Delivery, the impact mass media messages have had on the current COVID-19 pandemic, and how we can use the information we have about population centered health to address key influential components of SARS-CoV-2’s continual spread.

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