Episodes
Tuesday Nov 14, 2023
Pain Management Beyond Opioids
Tuesday Nov 14, 2023
Tuesday 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.
Tuesday Jun 01, 2021
Watching Out for Loperamide Abuse
Tuesday Jun 01, 2021
Tuesday 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.
Tuesday Feb 26, 2019
What you Need to Know About Medical Cannabis
Tuesday Feb 26, 2019
Tuesday Feb 26, 2019
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.
Tuesday Apr 10, 2018
Opioid Edition 10: Side Effects Management
Tuesday Apr 10, 2018
Tuesday Apr 10, 2018
Guest: Molly A. Feely, M.D. (@mollyfeelymd)
Host: Tracy McCray
Episode 10 of 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects.
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/gt8znj/Ep_27-Opioid_Edition_10_Side_Effects_Management.pdf
Tuesday Apr 03, 2018
Opioid Edition 9: Monitoring and Considerations for Tapering
Tuesday Apr 03, 2018
Tuesday Apr 03, 2018
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)
Host: Tracy McCray
Episode 9 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education.
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/hu4nsg/Ep_26-Opioid_Edition_9_Monitoring_and_Considerations_for_Tapering.pdf
Thursday Jan 04, 2018
Opioid Edition 1: The Opioid Crisis and Pain Management
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)
Host: Tracy McCray
Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here?
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/5d7ztu/Ep_15-Opioid_Edition_1_The_Opioid_Crisis_and_Pain_Management.pdf
Thursday Jan 04, 2018
Opioid Edition 2: Managing Acute and Chronic Pain
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)
Host: Tracy McCray
Episode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/bkc6ac/Ep_16-Opioid_Edition_2_Managing_Acute_and_Chronic_Pain.pdf
Thursday Jan 04, 2018
Opioid Edition 3: Family Practitioners - Assessing the Patient
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: David C. Patchett, D.O.
Host: Tracy McCray
Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks?
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/vgd4rt/Ep_17-Opioid_Edition_3_Family_Practitioners-Assessing_the_Patient.pdf
Thursday Jan 04, 2018
Opioid Edition 4: Treating Special Populations & Situations
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: David C. Patchett, D.O.
Host: Tracy McCray
Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them?
Claim CME credit at ce.mayo.edu/opioidpc.
Episode transcript: https://mcdn.podbean.com/mf/web/pxsjez/Ep_18-Opioid_Edition_4_Treating_Special_Populations_Situations.pdf
Thursday Jan 04, 2018
Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)
Host: Tracy McCray
Episode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians?
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/z7mbxj/Ep_19-Opioid_Edition_5_Acute_Prescribing_Emergency_Room_Prescribing.pdf
Thursday Jan 04, 2018
Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)
Host: Tracy McCray
Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.
Claim CME credit at ce.mayo.edu/opioidpc.
Episode transcript: https://mcdn.podbean.com/mf/web/9rje3e/Ep_20-Opioid_Edition_6_Assessing_Treating_Opioid_Misuse_in_the_ED.pdf
Thursday Jan 04, 2018
Opioid Edition 7: Treating Opioid Addiction
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Holly L. Geyer, M.D.
Host: Tracy McCray
Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction?
Claim CME credit at ce.mayo.edu/opioidpc.
Episode transcript: https://mcdn.podbean.com/mf/web/xvt7i9/Ep_21-Opioid_Edition_7_Treating_Opioid_Addiction.pdf
Thursday Jan 04, 2018
Opioid Edition 8: Family & Patient Counseling
Thursday Jan 04, 2018
Thursday Jan 04, 2018
Guest: Holly L. Geyer, M.D.
Host: Tracy McCray
Episode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, internal medicine physician at Mayo Clinic in Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference.
Claim CME credit at ce.mayo.edu/opioidpc.
Episode transcript: https://mcdn.podbean.com/mf/web/jit3rx/Ep_22-Opioid_Edition_8_Family_Patient_Counseling.pdf