Mayo Clinic Talks

Understanding Stress Traps in the Human Brain

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

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

How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses. 

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

Turning the Tables: Getting to Know the Host

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

Host:  Thomas C. Shives, M.D. (@DrTomShives) 

The tables turn as Thomas Shives, M.D., long-time host of Mayo Clinic Radio, interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast.

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

What you Need to Know About Medical Cannabis

Guest: Thomas P. Pittelkow, D.O., M.P.H. 

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

Does medical marijuana have proven benefits? Who can prescribe it? What are the potential harms in using it? Dr. Thomas Pittelkow, a Mayo Clinic anesthesiologist specializing in pain management for cancer patients and advanced interventions in end of life care, discusses the differences between recreational and medical marijuana. Listen in for more on hopes and limitations in cannabis research, best practices for patient conversations, state vs. federal regulations, and the importance of communication with dispensaries. 

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

Deeper Dive: 

• Detailed information about Medical Cannabis, visit https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/medical-marijuana/art-20137855. 
• State-to-state regulations, visit http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx. 

Communicating with Humility: Lessons Learned

Guest: Katherine W. Arendt, M.D. (@arendt_katie)

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

We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference.

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

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

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

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

Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor.

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

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

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

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

Prostate cancer is a very common malignancy in men, second only to skin cancer. Despite the fact that it’s one of the more treatable malignancies, it remains the 2nd leading cause of cancer death in men. When diagnosed early, it has an excellent prognosis. The 5-year survival rate approaches 100% in those with local or regional disease. Although screening for prostate cancer is available, the use of screening tests has been controversial and recommendations regarding its use, confusing. Listen in to get a urologist’s perspective.

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

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

Guest: Jacob L. Sellon, M.D. (@jlsellon)

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

Dr. Jacob Sellon discusses advances in treatment of musculoskeletal pain and osteoarthritis, covering common questions about platelet-rich plasma and stem cell injections. Do they work? What’s the efficacy demonstrated in literature so far? What are the benefits and risks we need to discuss with our patients? What is FDA compliant versus FDA approved treatment and how does this influence insurance coverage and care management? Where does regenerative medicine research need to go?

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

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

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes) 

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

Dr. Sharonne Hayes discusses the impact of unconscious bias in medicine and how providers can take steps to acknowledge, address, and mitigate these cultural imprints on our automatic thought processes. She then turns the tables discussing patient bias and how health systems and providers can protect and support staff who have been harassed, along with processes that can be put in place to systematically address existing practices that fosters bias. 

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

Deeper Dive: 

• Project implicit can be found at: https://implicit.harvard.edu/implicit/takeatest.html

Pediatric Traumatic Brain Injury and Concussion

Guest: Sherilyn W. Driscoll, M.D. 

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

Traumatic brain injury in children represents a significant public health problem and they account for over one-half million emergency department visits per year. It’s estimated that traumatic brain injuries affect as many as one in five children by the age of 15. These brain injuries can have lifelong effects on a child’s development, including their ability to learn and participate effectively in social activities. Today we’re joined by Dr. Sherilyn Driscoll, a consultant in Pediatric Physical Medicine and Rehabilitation at the Mayo Clinic Children’s Center in Rochester. Her areas of interest include brain and spinal cord injury, cerebral palsy, and spina bifida.

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

Deeper Dive: 

• For the CDC’s Heads Up program, visit https://www.cdc.gov/headsup/

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

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

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

Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.

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

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

Guest: Robert Scales, Ph.D., M.S. 

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

We’ve all heard this many times “Exercise is good for you.” We know we should all participate in some form of exercise and we commonly recommend exercise to our patients. We’re very busy, our patients are very busy. So how do we develop a regular exercise program that we can adhere to and how do we get our patients to realize the benefits they can achieve with exercise? To help answer these questions, we have with us today Dr. Robert Scales, an exercise physiologist and director of Cardiac Rehabilitation & Wellness at Mayo Clinic, Arizona.

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

 

You Did What? Uncovering What Kids Are Ingesting

Speaker: Charlotte S. Van Dorn, M.D. 

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

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

Guest: Michael H. Silber, M.B., Ch.B. 

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

We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. Insomnia is common and medications to help us sleep are extremely popular, but are they effective and are they safe? To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester.

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

Pediatric Abuse: Recognition, Assessment, and Downstream Impact

Guest: Arne H. Graff, M.D. (@arne_graff)

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

Child abuse is a serious problem, both within the U.S. and around the world. In 2012, Child Protective Services agencies estimated that approximately 9 out of 1000 children in the U.S. were victims of child maltreatment and this was felt to underestimate the true scope of the problem. A recent study by the CDC estimated that one in four children experience some form of maltreatment in their lifetimes. Today we’re joined by Dr. Arne Graff, a family physician and Division Chair of Child Abuse and Pediatrics, practicing at Mayo Clinic, Rochester, Minnesota.

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

Handling Difficult Conversations: Pearls from Palliative Medicine

Speaker: Elise C. Carey, M.D. (@elisecarey) 

Today’s episode is an excerpt from the 2018 Mayo Clinic Principles of Pain Management & Palliative Care conference. Today’s selected presentation, “Help! My Patient is Crying! Addressing Emotion in Patient Interactions,” is presented by Dr. Elise Carey, Mayo Clinic general internist and palliative care physician. 

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

 

Benefits and Risks of Hormone Therapy in Women

Guest: Ekta Kapoor, M.B.B.S. (@Ektasinghkapoor)

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

For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic.

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

The Dangers of Distraction and Balancing Connectivity

Guest: Robin G. Molella, M.D., M.P.H. (@rmolella) 

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

The percentage of the US population that uses a cell phone is increasing every year. Currently, it is estimated that over 95% of the population own a cell phone and over 75% own some type of smartphone. This is up from 35% compared to statistics from 2011. While these devices certainly make our life more interesting, they can also serve as a major distraction. Studies suggest that drivers using a mobile phone are four times more likely to be involved in a motor vehicle accident. Nearly half of all adults who text say they have either sent or read a text message while driving. Today we are joined by Dr. Robin Molella, a Mayo Clinic physician in the Division of Preventative, Occupational and Aerospace Medicine, and an expert in public health issues.

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

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

Guest: Kurt A. Kennel, M.D. (@KurtKennel) 

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

Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism. 

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

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

Guest: Kurt A. Kennel, M.D. (@KurtKennel) 

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

Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism. 

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

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

Guest: Jacqueline M. Thielen, M.D. (@JacquelineThie5)

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

Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester.

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

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

Guest: Michael H. Silber, M.B., Ch.B. 

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

We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. As a result, many individuals suffer from daytime sleepiness. For some, such as truck or bus drivers this can place many at risk for serious injury or death due to accident. To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. 

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

Erectile Dysfunction and Cardiovascular Disease

Guest: Stephen L. Kopecky, M.D. 

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

About 35% of men ages 40 to 70 years have moderate-to-complete erectile dysfunction (ED), and 15% of men aged 70 have complete ED. Of those with ED, it’s estimated that 50-70% are due to cardiovascular disease. Until recently, only urologists were interested in patients with erectile dysfunction. Now with the knowledge of the relationship between ED and cardiovascular disease, cardiologists are taking an interest in these patients as well. Today we’re joined by Dr. Stephen Kopecky, a Mayo Clinic Preventative Cardiologist. 

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

Varicose Veins and Venous Insufficiency

Guest: Thom W. Rooke, M.D. 

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

Varicose veins are common, and become more common with advance in age. Fortunately, in most cases they’re asymptomatic, but in some cases can cause symptoms and occasionally serious health problems. Today we’re joined by Dr. Thom Rooke, a vascular specialist at Mayo Clinic’s Vascular Center and specialist in peripheral artery disease, varicose veins, and sclerotherapy.

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

 

Fad Diets

Guest: Donald D. Hensrud, M.D., M.S., M.P.H. (@DonaldHensrudMD)

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

It’s estimated that approximately 70% of Americans are either overweight or obese. Obesity in the United States is a major health issue, resulting in an increased risk of coronary artery disease, type 2 diabetes, and stroke. It also carries significant economic costs. As a result, the diet industry is booming. It’s thought that the weight loss industry has over $20 billion in annual revenue. Some diets are legitimate, while others are not only ineffective but may be dangerous to one’s health. To help us sort out diets and weight loss, we’re joined by nutrition expert Dr. Donald Hensrud, a Mayo Clinic physician in Preventative Medicine. He is also the medical director for the Mayo Clinic Healthy Living Program here in Rochester and editor in chief of two books on dieting, The Mayo Clinic Diet and The Mayo Clinic Diabetes Diet.

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

Transgender Patient Care

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