Mayo Clinic Talks

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. 

Genes and Your Health Edition | Antisense Oligonucleotide (ASO) Therapeutics for Rare Genetic Disease

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Margot A. Cousin, Ph.D.

This episode of Genes & Your Health provides a comprehensive look at how ASO (Antisense Oligonucleotide) therapy is paving the way for personalized medicine and offering new hope for patients with previously untreatable conditions. Margot A. Cousin, Ph.D., an Assistant Professor of Medical Genetics in the Department of Molecular Medicine and Director of the N-or-1 Therapeutics Program in the Center for Individualized Medicine, walks us through an overview of what antisense oligonucleotides are and how they work.  We then discuss clinical applications, success stories, and potential new applications to transform treatment approaches. 

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

Weight Changes Associated with Antidepressants

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

Guest: Mark A. Frye, M.D.

We have a variety of antidepressant medications available to us including SSRI’s, SNRI’s and others, and for the most part they’re very well tolerated by our patients. They are much better tolerated compared to some of our older options such as the tricyclic antidepressants and MAO inhibitors. These older products often produced cardiovascular and anticholinergic adverse effects, not commonly seen with our newer medications.  However, our newer antidepressants do have a relatively common adverse effect. They tend to produce weight changes, usually a weight increase. Which antidepressants tend to produce the most weight gain? How much weight does the typical patient gain from these medications? Is the weight gained typically maintained or lost when the medication is stopped? In this podcast, I’ll be discussing these questions and more with Mark A. Frye, M.D., a psychiatrist at the Mayo Clinic.

To learn more about this topic: https://pubmed.ncbi.nlm.nih.gov/38950403/

Join us at the Swissotel in Chicago for two days of learning, networking, and advancing patient care. Seats are limited, so visit our website to register now!

National Network of Depression Centers Best Practices for Mood Disorders in Collaboration with Mayo Clinic 2024 | Mayo Clinic School of Continuous Professional Development | CME Course Conference

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

Genes & Your Health Edition | Microbiome and Ovarian Cancer

Host: Denise M. Dupras, M.D., Ph.D. 

Guest: Marina Walther-Antonio, Ph.D.

Can microbe populations affect women’s health in areas like ovarian cancer or predicting pre-term delivery? Tune into this episode of Genes & Your Health with Marina Walther-Antonio, Ph.D., a microbiome researcher within Mayo Clinic's Center for Individualized Medicine, to learn what recent research studies suggest about the interaction of the microbiome, the environment, and the genome. 

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

Obesity Pharmacotherapy Management

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

Guest: Kristina M. Thurber, Pharm D., R.PH.

Obesity in the U.S. is reaching epidemic proportions. Managing our overweight patients has been challenging, with few being able to adopt and adhere to a healthy diet and exercise program. There is a class of medications that improves blood glucose in type 2 diabetics and in most cases also results in significant weight loss. These medications are known as glucagon-like peptide 1 or GLP-1 agonists. A substantial number of patients are taking these medications, some for management of diabetes but for many others, the weight loss they produce. How do these medications work to produce weight loss? How much weight loss can patients expect? How much do they cost and most importantly, are these medications the solution to obesity as a health problem? In this podcast, I’ll be discussing these questions with my guest, Kristina M. Thurber, Pharm D., R.P.H., a pharmacist at the Mayo Clinic as we review “Obesity Pharmacotherapy Management”.

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 | Legal Aspects of Genetic Testing

Host: Denise M. Dupras, M.D., Ph.D. 

Guest: Jessica Kelly, JD

Join our expert hosts as they delve into the intersection of genetic science and the legal landscape in this episode of Genes & Your Health. 

Jessica Kelly, J.D., and Denise M. Dupras, M.D., Ph.D., discuss the latest advancements in genetic research, personalized medicine, and how these innovations are shaping the future of healthcare. They also explore the legal implications, from privacy concerns and ethical considerations to the policies governing genetic data usage and patient rights. 

Whether you're a healthcare professional, a legal expert, or simply curious about the future of genetics, this episode offers valuable insights and thought-provoking discussions. Tune in to stay informed about the cutting-edge developments at the nexus of genetics and the law. 

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

Sarcomas

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

Guests: Steven I. Robinson, M.B.B.S., and Brittany L. Siontis, M.D.

When you think of malignancies, sarcomas don’t usually come to mind. They are very uncommon and can occur in numerous locations. In addition, they can be very difficult to diagnose as the symptoms they produce are often very subtle. Approximately 15,000 cases of sarcoma are diagnosed each year in the U.S. and because July is Sarcoma Awareness Month, we’re going to do our part to raise awareness of sarcomas. My guests for this podcast include Steven I. Robinson, M.B.B.S. and Brittany L. Siontis, M.D., both from the Department of Oncology 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. 

Genes and Your Health Edition | AI in Cardiology and Primary Care

Host: Denise M. Dupras, M.D., Ph.D. 

Guest: Peter A. Noseworthy, M.D., M.B.A.

Rapid advances in artificial intelligence, or AI, are changing everyday medical practice. In this episode of Genes & Your Health, explore the transformative role of AI in cardiology and primary care practices.  Don’t miss this fascinating episode of Genes & Your Health with Peter A. Noseworthy, M.D., M.B.A., Professor of Medicine and Chair of the Division of Heart Rhythm Services at the Mayo Clinic.  We’ll discuss the power of AI in early detection of heart disease, streamlined workflows for better patient outcomes, and ethical considerations of using AI in healthcare. 

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

 

From Head to Toe: How to Perform a Skin Exam

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

Guest: Emma F. Johnson, M.D.

For both men and women, skin cancer is the most common malignancy and unlike colon, breast and lung cancer, skin cancers should be visible as they exist on the exterior of our bodies. Primary care providers need to be proficient in examining the skin of our patients and recognizing suspicious skin lesions. It’s just not possible to send all patients to a dermatologist for a skin exam. In this podcast, we’ll explore what questions we should ask our patients before we perform an exam of their skin, how we fit a skin exam into our busy schedules, and when a photograph of a skin lesion might be of benefit. Our guest for this podcast is Emma F. Johnson, M.D., a dermatologist from the Mayo Clinic. 

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 | Answers from the Lab: Cell Free DNA and Testing for Cancer

Host: Denise M. Dupras, M.D., Ph.D.

Guest: Aaron S. Mansfield, M.D.

Can a simple blood draw diagnose cancer?  Join this episode of Genes & Your Health with Aaron Mansfield, M.D., a Mayo Clinic medical oncologist whose focus is on thoracic malignancies and early therapeutics, as we discuss the science behind non-invasive cancer screening, how cell-free DNA tests can help diagnose some cancers earlier than ever before, what limitations exist, and what promise the future holds. 

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

Artificial Intelligence (AI) in Medicine: Part 2

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

Guest: Jason D. Greenwood, M.D., M.S.

Artificial intelligence is currently one of the most commonly discussed topics, but how does it relate to the practice of medicine? According to a recent publication in the Journal of the American Board of Family Medicine, “AI has the potential to fundamentally change the way society thinks about medicine, the way medicine is practiced, and the way medicine is taught.” That’s a pretty all-encompassing statement regarding the effect AI will have on what we do. Is AI beneficial to us as clinicians? Are there challenges associated with it? What are its shortcomings? In this podcast, I’ll be asking my guest, Jason D. Greenwood, M.D., M.S., a family physician at the Mayo Clinic these questions and as we discuss Artificial Intelligence in Medicine in this two-part release on July 9 and July 11!

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

Artificial Intelligence (AI) in Medicine: Part 1

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

Guest: Jason D. Greenwood, M.D., M.S.

Artificial intelligence is currently one of the most commonly discussed topics, but how does it relate to the practice of medicine? According to a recent publication in the Journal of the American Board of Family Medicine, “AI has the potential to fundamentally change the way society thinks about medicine, the way medicine is practiced, and the way medicine is taught.” That’s a pretty all-encompassing statement regarding the effect AI will have on what we do. Is AI beneficial to us as clinicians? Are there challenges associated with it? What are its shortcomings? In this podcast, I’ll be asking my guest, Jason D. Greenwood, M.D., M.S., a family physician at the Mayo Clinic these questions and as we discuss Artificial Intelligence in Medicine in this two-part release on July 9 and July 11 this week!

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

Management of Varicose Veins

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

Guest: Newton B. Neidert, M.D.

Varicose veins are quite common and for most, they’re a minor nuisance. However, for some individuals, they have the potential to be much more than a cosmetic health problem. They can lead to a variety of symptoms including skin discoloration, discomfort, extremity swelling and occasionally skin ulceration. Fortunately, there have been numerous advances in the management of varicose veins and in this podcast, I’ll discuss these advances with interventional radiologist, Newton B. Neidert, M.D., from the Mayo Clinic. We’ll discuss who’s at risk for varicose veins, typical symptoms patients experience and the conservative as well as more invasive treatment options.

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

Healthcare of the Transgender Patient

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

Guest: Natalie C. Erbs, M.D.

There is abundant research that indicates there are healthcare inequities experienced by transgender individuals. Transgender patients have the same basic health care needs as any patient. However, in addition, they might also have gender-related healthcare needs and concerns. It’s important for us to meet these healthcare needs, and this requires some special knowledge. The special needs of the transgender patient may be related to gender-affirming hormonal therapy or surgery, or it may relate to gender-specific preventive healthcare. This podcast will explore transgender health care. We’ll discuss the difficulties experienced by transgender patients, the specific healthcare needs they have and how we can become more educated in providing healthcare to transgender patients. My guest is Natalie C. Erbs, M.D., from the Department of Family Medicine at the Mayo Clinic.

Mayo Clinic Minute: Coming out as LGBTQ to your health care provider - Mayo Clinic News Network

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

Handle with Care to Giving Bad News

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

Guest: Amanda K. Lorenz, M.D.

Giving our patients bad or unexpected news is one of the most difficult, but also one of the most important responsibilities we have as health care clinicians. This is when our patients need us the most and we need to do this with compassion and empathy. This is best done face to face and ideally once we have established a good relationship with our patient. Unfortunately, this isn’t always possible. A clinician in the emergency department telling a patient they’ve suffered an MI or a radiologist explaining a worrisome finding on mammogram may have just recently met the patient. What’s the best way to give our patients bad news? Can we become better at this? What can we expect from our patients after they hear the news? And how much information should we share with them? These are all topics we’ll discuss with our guest, Amanda K. Lorenz, M.D., a palliative medicine physician. Our topic for this podcast is “Giving Bad News”.

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

Infertility

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

Guest: Ali J. Ainsworth, M.D.

A successful pregnancy is a complicated process. It involves a combination of precise timing as well as anatomic and physiologic conditions which need to be intact and functioning normally. When pregnancy is unable to be achieved, it can be due to a problem in the female, the male, or both. It’s relatively common and can result in significant frustration. Psychological problems also commonly result. The topic for today’s podcast is infertility; it’s causes, evaluation and management. My guest is Ali J. Ainsworth, M.D., a specialist in reproductive endocrinology and infertility from the Department of Obstetrics and Gynecology at the Mayo Clinic.

June is Infertility Awareness Month

Connect with the Mayo Clinic’s School of Continuous Professional Development online at

https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Update in Immunizations 2024

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

Guest: Robert M. Jacobson, M.D.

Immunizations are one of the greatest success stories in modern medicine and it’s estimated that they’ve saved more lives and prevented more disabilities than any other medical intervention. They’re probably responsible, more than any other medical advance in contributing to our increased longevity as a population. They’re also extremely cost-effective and their benefits far outweigh the very small risks they carry. This podcast will review new information regarding immunizations and how we as clinicians can increase our patients’ immunization rates. Our guest is Robert M. Jacobson, M.D., a pediatrician, and expert in immunizations from the Department of Pediatrics 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. 

Inhalation Injuries in First Responders

Host: Joshua D. Luciew, MPAS, P.A.-C.

Guest: Brittany A. Strelow, DMSc, P.A.-C., M.S.

Air pollution is a pervasive issue that surrounds us every day, with varying degrees of severity depending on our environment. As we go about our daily lives, we unknowingly inhale harmful substances that are present in the air. But what happens when this exposure is magnified, and individuals such as first responders are continuously exposed to severe air pollutants, like fire smoke?

In the United States alone, fire departments respond to a fire every 21 seconds, exposing numerous individuals to the dangers of smoke inhalation. 

Tune in as we delve into smoke inhalation injury, exploring who is most at risk, and how this silent killer can have long-term effects on our health.

National EMS Week is May 19 – May 25

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

Lab Medicine Edition | CBC: Platelets (Thrombocytosis, Thrombocytopenia)

HOST: Andy Herber, P.A.-C.

GUEST: Ronald S. Go, M.D.

Join our host, Andy J. Herber, P.A.-C., as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting. Providers are frequently tasked with evaluating all aspects of the CBC. A keen understanding of this laboratory test is essential to providing quality care for patients. Ronald S. Go, M.D. returns as a guest to discuss abnormal platelet test results and its implication on patient management.

Learn more about our Lab Medicine Edition here

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

Prenatal Care

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

Guest: Michele A. Hanson, M.D.

There are a variety of things a woman can do to increase the odds of successful pregnancy. One of the most important is receiving regular prenatal care. It provides major benefits to both the mother and the unborn child. It’s been shown to reduce the risk of pregnancy complications as well as the risk of complications to the fetus. It’s one of the best ways to increase the likelihood of a healthy pregnancy. When should prenatal care begin? What does good prenatal care consist of? How often should a woman be seen for prenatal care?  In this podcast, we’ll be covering these topics and more as we discuss “Prenatal Care” with my guest, Michele A. Hanson, M.D., a family medicine physician 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. 

Lab Medicine Edition | CBC: White Blood Cell Count (WBC) (Leukocytosis, Leukopenia)

HOST: Andy Herber, P.A.-C.

GUEST: Ronald S. Go, M.D.

Join our host, Andy J. Herber, P.A.-C. as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting. Providers are frequently tasked with evaluating all aspects of the CBC.  A keen understanding of this laboratory test is essential to providing quality care for patients.  Joining us again to discuss white blood cell count abnormalities is renown Mayo Clinic Hematologist, Ronald S. Go, M.D.

Learn more about our Lab Medicine Edition here

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

Esophageal Cancer Diagnosis and Care for the Primary Care Provider

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

Guest: Tanios S. Bekaii-Saab, M.D.

Although esophageal cancer is not a common malignancy, when found it often has a poor prognosis. It’s about four times more likely to occur in a male than a female. Although a variety of malignancies can develop in the esophagus, most tend to be either squamous cell or adenocarcinoma. Fortunately, the rates of esophageal cancer have been decreasing slightly over the past decade. Despite the fact that esophageal cancer often produces symptoms, the survival rate has not been very good, although due to new and improved treatments it has been improving. The topic for today’s podcast is esophageal cancer and my guest is Tanios S. Bekaii-Saab, M.D., the division chair for Hematology/Oncology at the Mayo Clinic in Phoenix, Arizona. We’ll discuss the risk factors for esophageal cancer, its common presenting symptoms, how to establish a diagnosis and the various treatment options available.

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

Lab Medicine Edition | CBC: Hemoglobin/Anemia (Micro, Macro, Hemolytic)

HOST: Andy Herber, P.A.-C.

GUEST: Ronald S. Go, M.D.

Join our host, Andy J. Herber, P.A.-C., as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting.  Providers are frequently tasked with evaluating all aspects of the CBC. A keen understanding of this laboratory test is essential to providing quality care for patients. Joining the first episode of this series is renown Mayo Clinic Hematologist, Ronald S. Go, M.D., who will be discussing evaluating abnormalities, hemoglobin and differing types of anemia.

Learn more about our Lab Medicine Edition here

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