Mayo Clinic Talks

Lipids - What Goes Up Must Come Down

Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Dr. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses pharmacological treatment of hyperlipidemia and the potential long-term risks of using statins. Dr. Kopecky also talks about how to treat the patient who develops myalgias from several different statins and discusses the gender differences in the benefits seen from statins.

What I Won’t Let My Kids Do

For physicians like Mark Mannenbach, trampoline injuries are “what they do in the summertime.” Today’s selected presentation, “What I Won’t Let my Kids Do” is presented by Mayo Clinic pediatrician and pediatric emergency medicine physician, Mark Mannenbach, MD. Dr. Mannenbach discusses the top three sport activities he sees the most injuries from and goes on to offer some potential strategies to mitigate these “far too common” injuries. Topics like these are discussed at the Mayo Clinic Pediatric Days conference. This annual conference provides an interdisciplinary update on the latest strategies for providing timely and effective evidence based diagnosis and management plans for multiple aspects of pediatric and young adult health. This year’s conference will be held in October at Chicago’s Westin Hotel on Michigan Avenue. We invite you to network with your colleagues and Mayo Clinic faculty by registering at http://ce.mayo.edu/pediatricdays2018.

The Case for Ethics

Medical ethics is not new, it actually dates back many centuries. In fact, there’s evidence that this topic dates back to medieval times. Dr. Darryl Chutka welcomes Dr. Jon Tilburt, to review cases where an ethical decision has to be made.

Hypertension and the New Hypertension Guidelines Part 2

Hypertension is extremely common in our society, affecting nearly 1 in every 3 individuals in the United States. The treatment of hypertension is the most common reason for office visits in non-pregnant adults to healthcare providers and the most common reason for use of prescription medications. Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester, along with Dr. Gary Schwartz, a consultant in the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, discuss the evaluation and management of hypertension and the new hypertension treatment guidelines.

Burned by Stress

Healthcare professionals are more prone to stress and professional burnout compared to many other occupations. Chronic exposure to stress can decrease a provider’s efficiency and could result in negative consequences on our health and family life. It can lead to mental health issues, alcoholism, and other substance abuse. Debbie Fuehrer is a Licensed Professional Clinical Counselor in the Mayo Clinic Mind Body Medicine program and is the coordinator of the Mayo Clinic Complementary and Integrative Mind Body Medicine program. Debbie discusses how stress affects us as well as techniques health care professionals can use to manage stress.

Hypertension and New Hypertension Guidelines Part 1

Despite the fact that we have a wide variety of antihypertensive medications available, it’s estimated that up to half of the patients with hypertension are not adequately controlled. Dr. Darryl Chutka welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.

Risks and Benefits of Coffee

Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester and Dr. Donald Hensrud, a physician in Preventative Medicine and the medical director for the Mayo Clinic Healthy Living Program in Rochester, Minnesota discuss the risks and benefits of drinking coffee.

Opioid Edition 10: Side Effects Management

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

Opioid Edition 9: Monitoring and Considerations for Tapering

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

Troponin Edition: Inpatient Care

Ep3 of 3: Which patients should be placed in monitored beds? Are there other factors to consider besides the troponin values when treating patients with ACS? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester share their insights on inpatient care, including pre- and post-surgery patients. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

Troponin Edition: Emergency Medicine

Ep2 of 3: Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Casey Clements, an emergency physician from Mayo Clinic-Rochester discuss how the new 5th generation assay for troponin will affect emergency medicine. What are the benefits and potential difficulties associated with the new test? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

Troponin Edition: The 5th Generation Assay

Ep1 of 3: How does the 5th generation assay differ from the 4th generation assay? Will a more sensitive assay improve clinical practice? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester walk us through the new 5th generation assay for troponin. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.

Opioid Edition 1: The Opioid Crisis and Pain Management

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

Opioid Edition 2: Managing Acute and Chronic Pain

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

Opioid Edition 3: Family Practitioners - Assessing the Patient

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

Opioid Edition 4: Treating Special Populations & Situations

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

Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing

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

Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED

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

Opioid Edition 7: Treating Opioid Addiction

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

Opioid Edition 8: Family & Patient Counseling

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

Common Curbsides from the Infectious Disease Clinic

What are some tips for interpreting common infectious diseases tests (Syphilis, Hepatitis B, Lyme, Quantiferon, etc.)? How do I treat common infections in patients with antimicrobial allergies? What are the major emerging infectious disease concerns that I need to be aware of?

Trouble Sleeping? Tips on Managing Insomnia

What are the key elements of effective sleep hygiene? How effective are over the counter agents in treating insomnia? How do I choose which pharmacologic therapy to recommend? For patients who require long-term pharmacologic therapy, what are the most appropriate options?

Updates in Atrial Fibrillation

Which patients should receive anticoagulation for atrial fibrillation? How do I choose which anticoagulant to use? What should be done when atrial fibrillation is detected incidentally? Do patients with transient atrial fibrillation after non-cardiac surgery need long term anticoagulation? Do patients need chronic anticoagulation after ablation?

Topical Steroids: How to Choose

How do I decide which topical steroid potency to use? What vehicles are suitable for different clinical situations? What quantity should be prescribed?

Frequently Asked Questions in Diabetes

When should I consider metformin in patients with impaired fasting glucose? What are the different types of insulin available and how do I choose the best agent for my patient with DM2? Which commonly used performance measures are least supported by evidence? What are some key take home points from the new guidelines?