Mayo Clinic Talks

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. 

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. 

Obesity Edition | Pediatric Obesity

Host: Ishna A. Sharma, M.D. (@IshnaSharmaMD)

Guest: Seema Kumar, M.D.

Guest: Todd A. Kellogg M.D.

The topic of concern that is currently growing in both the United States and around the world is the issue of childhood obesity. According to the CDC growth charts, the number of children and adolescents affected in the US is about 15 million, with the prevalence reaching nearly 20% between the years 2017 and 2020. This is characterized by having a BMI that is at or above the 95th percentile. In order to delve deeper into this issue, we are pleased to have Seema Kumar, M.D., a pediatric endocrinologist at Mayo Clinic, and Todd A. Kellogg, M.D., a metabolic and bariatric surgeon, joining us today.

Resources mentioned in the episode: American Academy of Pediatrics community resources

Mayo Clinic Talks Obesity Edition Online CME Course

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

Healthy Start: Nutrition in Early Childhood

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

Guest: Angela C. Mattke, M.D.

The early years of a child are extremely important for establishing growth, maturation, and development. Good nutrition is felt to be an important component for these benefits to take place.  Yet, there’s evidence that a substantial proportion of our children are not receiving the nutrition they should. Inadequate nutrition can lead to issues not only in later childhood but chronic health problems in adulthood as well. The topic for this podcast is “Nutrition in Early Childhood”. We’ll be discussing such issues as: What are the most common nutritional deficiencies our young children face? What are the potential long-term complications of inadequate nutrition in early childhood and what’s the solution to improving nutrition? My guest is Angela C. Mattke, M.D., a pediatrician from the Division of Community Pediatrics and Adolescent Medicine at the Mayo Clinic. 

https://www.usdairy.com/about-us/national-dairy-council

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

What You Need to Know About Eustachian Tubes and Tonsils

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.

Mayo Clinic Q&A: Vacation Travel, Vaccines for Teens and More COVID-19 News

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.

COVID-19 Miniseries Episode 63: Mayo Clinic Q&A - #AskTheMayoMom about Sports Participation During COVID-19

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. 

Want to Know About Pediatric Enuresis? Well, Urine Luck

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.

COVID-19 Miniseries Episode 58: Mayo Clinic Q&A - #AskTheMayoMom about COVID-19 and School Children

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. 

Mayo Clinic Q&A: #AskTheMayoMom about COVID-19 and School Children

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. 

A Public Health Emergency – The State of Sleep in Children

Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd) 

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

Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? 

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

Deeper Dive: 

• BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015 
• American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866 

Perception of Risk in Adolescent Substance Use Disorder

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

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

What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.

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

Things to Look For in a Sports Physical

Guest: Daniel P. Montero, M.D. (@DanMonteroMD) 

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

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice.

To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. 

Deeper Dive: 

• American Academy of Pediatrics – Pre-Participation Evaluation: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/PPE.aspx 

Sports-Related Concussions: When in Doubt, Sit Them Out

Guest: Cara C. Prideaux, M.D. 

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

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. 

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

Deeper Dive:

• American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338 

Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society

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

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

The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations.

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

Deeper Dive:

• Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594. https://www.nejm.org/doi/10.1056/NEJMp1010594 
• Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502. https://doi.org/10.1080/14760584.2018.1484284 
• Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. https://doi.org/10.1016/j.vaccine.2011.07.131 

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/

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.

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.

Truthful and Fearless

Today’s talk, Truthful and Fearless - Talking Through Vaccine Hesitancy, was presented by Nicole K. Callahan, Certified Nurse Practitioner and Dr. Derek L. Weyhrauch. It was given at the Internal Medicine Review Conference in September, 2015 in Rochester, Minnesota. ©2016 Mayo Foundation of Medical Education and Research