Mayo Clinic Talks

Inflammation and Cardiometabolic Disease Edition: Obesity - The Linking Pathology

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)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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)

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

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

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)

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

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.