Mayo Clinic Talks

Welcome to Season 2 of Mayo Clinic’s RISE for Equity Podcast

Brought to you by: Mayo Clinic Talks Podcast

RISE cofounders Anjali Bhagra, M.D., M.B.A., and Barbara L. Jordan, M.A., discuss the crucial role of equity in healthcare, and how Mayo Clinic is building an ecosystem of equity to create a more inclusive environment for staff and patients. In reflecting on season 1 of the RISE for Equity podcast, Dr. Bhagra shared, “I think in this space, it is incredibly important for us to learn from and disseminate stories. I'm very, very proud of the fact that we got to learn from amazing colleagues, collaborators, and innovators through this platform.” 

“We're in this together. We're in very troubled times across the globe and now more than ever is the right time for us to come united with our differences and use this platform, if it works for you, to understand the nuances of different identities and also to understand the power of community in problem-solving.” – Dr. Anjali Bhagra

“All of us have to put on that equity lens and ensure that we are not harming others who may not be at the table. That we are not, without intention, creating systemic issues that are impacting the care of our patients, that are impacting the longevity, the retention of employees. We see it one step at a time, one policy at a time, one practice at a time, with the goal in the end to provide equitable care.” – Barbara Jordan

Learn more at https://mcpress.mayoclinic.org/rise-for-equity/

Genes & Your Health | Respiratory Disease and Health Disparities

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

Guest: Victor E. Ortega, M.D., Ph.D.

Common respiratory diseases such as asthma and chronic obstructive pulmonary disease (COPD) often present differently in individuals.  What is the genetic basis for this difference and how can we use knowledge of genetic factors to support patient care? Additionally, the implications of applying genetics across diverse populations are explored. Listen in to hear about this and more in Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Victor E. Ortega, M.D., Ph.D.

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

Pain Management Beyond Opioids

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. 

Osteoporosis, Fragility & Bone Health Edition | “Hip Hip Hooray” The Surgical Management of Hip & Knee Arthritis

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

Guest: Matthew P. Abdel, M.D.

Arthritis of the hip or knee is a common cause of pain and disability. It can cause significant limitations in mobility and a reduced quality of life. Hip and knee replacements have the potential to change all that. They’re safe, have a high success rate and can allow the patient to get back to a healthy, active lifestyle. Who’s a candidate for a hip or knee replacement? What’s the optimal timing of the procedure? What’s important in obtaining an optimal outcome from surgery and what are the complications of a hip or knee replacement? Our guest for today’s podcast is Matthew P. Abdel, M.D., an orthopedic surgeon at the Mayo Clinic. He’ll be answering these questions and more as we discuss the surgical management of hip and knee arthritis. 

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. 

 

Genes & Your Health Edition | Genetic Informed Risk Assessments

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

Guest: Kullo, Iftikhar J., M.D.

While genetic conditions and risk for disease have traditionally been focused on monogenetic causes, it is now recognized that multiple genetic changes are often involved in risk for disease. What conditions are polygenetic and what should we be looking for to help identify these risks for our patients? Find out more in the latest episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Iftikhar J. Kullo.

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

Attention-Deficit / Hyperactivity Disorder (ADHD) in Adults

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

Guest: Mohit Chauhan, M.B.B.S.

Attention-deficit / hyperactivity disorder (ADHD) has the potential to impact and impair multiple aspects of life, including underachievement in education, difficulty with employment and challenging social relationships. ADHD has long been felt to be a disorder of childhood that gradually diminishes as one approaches adulthood, however it’s now being questioned whether ADHD can develop in adulthood. It’s thought that around 4% of adults have ADHD and that the majority are undiagnosed and untreated. In this podcast, we’ll discuss ADHD in adults, its effects on those who have it, and how it can be managed. Our guest is Mohit Chauhan, M.B.B.S., a psychiatrist 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. 

Osteoporosis, Fragility & Bone Health Edition | “Sticks & Stones May Break My Bones” Common Fractures Associated with Osteoporosis

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

Guest: Krystin A. Hidden, M.D.

Guest: Jad Sfeir, M.D., M.S.

Osteoporosis is responsible for approximately two million fractures per year. It’s estimated that 50% of all women and 25% of all men over age 50 will suffer an osteoporosis-related fracture.  Bone fractures, especially of the spine and hip are the most serious complications of osteoporosis. While vertebral compression fractures can cause chronic back pain, hip fractures can result in chronic disability and even death. Yet nearly 80% of older Americans who suffer fractures have not been tested or treated for osteoporosis and it is a very treatable condition. Today’s podcast is about common fractures associated with osteoporosis and my guests include Krystin A. Hidden, M.D., from the Department of Orthopedic Surgery and Jad Sfeir, M.D., M.S., from the Division of Endocrinology and Metabolism.

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. 

Genes & Your Health Edition | Spotlight on PGx: Pain

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

Guest: Wayne Nicholson, M.D., Pharm.D.

Guest: Eric T. T. Matey, Pharm.D., R.Ph.

Do you know the correlation between pharmacogenomics (PGx), or the interaction between a patient’s genes and their response to medications, and pain management? How could you incorporate PGx into your pain management toolbox? And how can you use PGx to help inform appropriate medication and dosage? Tune into this episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health miniseries, “Spotlight on PGx: Pain,” featuring Nick T. Nicholson, M.D., Pharm.D. and Eric T. Matey, Pharm.D., R.Ph. to find out!

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

Intimate Partner Violence

Host: Joshua D. Luciew, MPAS, PA-C

Guest: Cesar A. Gonzalez, Ph.D., L.P.

Guest: Maryam Mahmood, M.B., Ch.B.

As primary care providers, we are charged with ensuring our patients are healthy.  According to the World Health Organization, “health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”  However, sometimes our patients will not inform us of what problems or difficulties that they may be facing in their lives, which makes it difficult to help in these situations.

As result, we must screen or ask patients specific questions in attempts to make sure they are okay. One such example that we may screen for in these instances is intimate partner violence.

This condition has many presentations and can affect anyone. Intimate partner violence or domestic violence is reported to be a serious, preventable, public health concern as it affects more than 32 million Americans.

Tune in to this episode to learn more about what intimate partner violence looks like, the psychology behind intimate partner violence perpetrators, how we should be screening for this, and what we can do to help our patients in these situations.

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

Osteoporosis, Fragility & Bone Health Edition | “Stiffen Up” Management of Osteoporosis

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

Guest: Kurt A. Kennel, M.D.

According to the Bone Health and Osteoporosis Foundation, over 50 million Americans have osteoporosis. Up to one in two women and one in four men will experience a bone fracture due to the disease. Osteoporosis is a common cause of hip, wrist and vertebral fractures and can result in significant complications including chronic pain, disability and even death. When detected early, these complications need not occur and we now have a variety of very effective treatments for osteoporosis, some relatively new. In this podcast, we’ll discuss the treatment options for osteoporosis with Kurt A. Kennel, M.D., an endocrinologist 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. 

Genes & Your Health Edition | Navigating the Genetic Testing World - The Role of a Genetic Counselor

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

Guest: Jennifer L. Kemppainen, M.S., CGC

With increased availability and accessibility of genetic testing, genetic counselors are playing a critical role in helping patients understand family and medical histories and genetic indications and conditions that may impact them or their loved ones. How do genetic counselors help patients to feel comfortable and understand the often-confusing world of genetic testing? Learn more in this episode of Mayo Clinic's Center for Individualized Medicine Genes & Your Health podcast miniseries featuring Jennifer L. Kemppainen, M.S., CGC, Supervisor of Genetic Counselors and Assistant Professor in Medical Genetics at Mayo Clinic in Minnesota.

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

Nutrition & Cardiovascular Health

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

Guests: Stephen Kopecky, M.D.

Guest: Tara Schmidt, M. ED, RDN, LD

It’s a well-accepted fact that diet plays a significant role in the development as well as prevention of cardiovascular disease, a major cause of morbidity and mortality in the U.S. The typical U.S. diet results in a predisposition to obesity, hypertension, and hyperlipidemia; all risk factors for cardiovascular disease.  Fortunately, diet is a potentially reversible risk factor. As health care clinicians, its our responsibility to assess our patients’ diet and make recommendations for a healthy food intake to reduce their risk of cardiovascular disease. The topic for this podcast is nutrition and cardiovascular health and my guests include preventive cardiologist Stephen Kopecky, M.D., and registered dietician and nutritionist Tara Schmidt, both from 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. 

Osteoporosis, Fragility & Bone Health Edition | Osteoporosis “Getting to the Core”

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

Guest: Jad Sfeir, M.D., M.S.

80% of those with osteoporosis are women and many have no idea they have it. While a variety of bone fractures can result from osteoporosis, hip fractures are the most serious complication. They represent a significant economic burden and often result in major changes to an individual’s lifestyle. The good news is osteoporosis can be detected with relatively simple screening tests and we now have a variety of treatment options available to manage the condition and reduce the risk of fracture. The topic for this podcast is osteoporosis, and our guest is Jad Sfeir, M.D., M.S., an endocrinologist at the Mayo Clinic. We’ll discuss the pathophysiology of osteoporosis, who and when to screen and the latest management options. 

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. 

Genes & Your Health Edition | Ethical Considerations

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

Guest: Karen Meagher, Ph.D.

In today’s world, primary care physicians have a variety of genetic and genomic testing available for patients. But what ethical considerations should be kept in mind during patient visits to ensure the needs of the patient always come first? Find out in this episode of Mayo Clinic Center for Individualized Medicine’s Genes & Your Health podcast miniseries featuring Karen Meagher, Ph.D, assistant professor in the Biomedical Ethics Research Program at Mayo Clinic in Minnesota.

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

“Hacking” The Unexplained Chronic Cough

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

Guest: Sumedh S. Hoskote, M.B.B.S.

A patient with an unexplained cough is commonly seen in an outpatient primary care practice. While there are several potential causes, fortunately, most are relatively benign. However, determining the cause can be challenging and its best to use an organized approach in the evaluation. Using the patient’s history, chest imaging studies, pulmonary function and occasionally laboratory tests, we’re usually able to determine the cause. What are the most common causes of a persistent cough? What approach is recommended in the evaluation? And what should we do when no cause is apparent? We’ll discuss “The Unexplained Chronic Cough” in this podcast with our guest, Sumedh S. Hoskote, M.B.B.S., a pulmonologist in the Division of Pulmonary and Critical Care 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. 

Osteoporosis, Fragility & Bone Health Edition | Calcium & Vitamin D “When Enough is Enough”

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

Guest: Daniel L. Hurley, M.D.

Calcium and vitamin D are essential in building healthy bone; they’re especially important early in life as our bone mineral density increases. Yet many individuals are not receiving adequate amounts of calcium or vitamin D. What are the most common dietary sources of calcium? Is dietary calcium superior to calcium supplements? Should our patients be taking supplemental calcium and/or vitamin D? In this podcast, we’ll review the importance of calcium and vitamin D and I’ll be discussing these questions with our guest, endocrinologist and bone specialist, Daniel L. Hurley, M.D., from the Division of Endocrinology and Metabolism 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. 

Genes & Your Health Edition | All in the Family

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

Guest: Richard Presutti, D.O.

With the rapid changing field of genetic testing, a common question we receive from primary care providers is, “where do I start”? Well, it’s all in the family… history, that is. During this episode of Genes & Your Health, learn more about the importance of family history, what it can tell us, and different criteria to look for. This episode features Richard Presutti, D.O., an assistant professor and chair of the Department of Family Medicine for Mayo Clinic in Florida, and a co-director of Genomics in Action for Mayo Clinic’s Center for Individualized Medicine.

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

Osteoporosis, Fragility & Bone Health Edition | Bone Basics & Tips for Good Bone Health

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

Guest: Daniel L. Hurley, M.D.

We now have a variety of pharmacologic options for treating osteoporosis which are effective in increasing bone density, but more importantly decreasing the risk of fractures. However, rather than treating osteoporosis, what advice can we give our patients that will help prevent loss of bone mass and hopefully prevent osteoporosis. Do we know what it takes to build strong, healthy bones? Which nutrients are important for bone development? What role does exercise play and what type of exercise should we be recommending? I’ll be asking these questions and more to our guest, Daniel L. Hurley, M.D., an endocrinologist at the Mayo Clinic as we discuss “Bone Basics and Tips for Good Bone Health”.

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. 

Valvular Heart Disease: The Mitral Valve

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

Guest: Rekha Mankad, M.D.

Mitral valve disorders are extremely common, one of the most common is mitral valve prolapse. The majority of these patients live their life without symptoms, but some go on to develop significant mitral regurgitation or less likely, mitral stenosis. How can we recognize mitral valve disease and what’s recommended to confirm a diagnosis? How should these patients be followed? Do they need a lifetime of cardiac imaging? When is a cardiologist needed to help manage these patients? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., a cardiologist 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. 

Valvular Heart Disease: The Aortic Valve

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

Guest: Rekha Mankad, M.D.

It’s estimated that between 2% and 3% of the population has some form of valvular heart disease and this increases with age. Most of these patients are initially cared for by primary care providers. Most valvular disease deaths are due to disease of the aortic valve and it’s important to recognize these patients early in order to assess for progression and the need for surgical intervention. What are the presenting symptoms of aortic valve disease? What’s the best way to manage and follow these patients and when should a cardiologist and cardiac surgeon become involved in the care of the patient? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., 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. 

Thyroid Hormone & Brain Development in Children

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

Guest: Siobhan Pittock, M.B., B. Ch

Thyroid hormone plays an important role in metabolism of adults. It plays an even more important role in children. Undiagnosed hypothyroidism in children not only impairs metabolism but can result in stunted physical growth and impaired cognitive development. Congenital hypothyroidism is one of the most common causes of intellectual disability. This may present as poor performance or behavior problems in school. It can also be associated with hearing and language development. The topic for this podcast is “Thyroid Hormone and Brain Development in Children” and my guest is Siobhan Pittock, M.B., B. Ch, a pediatric endocrinologist from the Mayo Clinic. We’ll discuss how thyroid hormone affects brain development, the causes of hypothyroidism in a fetus or newborn and whether brain damage from hypothyroidism in childhood is reversible.

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. 

Tired Teens: Chronic Fatigue in Adolescents

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

Guest: Philip R. Fischer, M.D.

Among adolescents, complaints regarding fatigue are relatively common and it’s been assumed to be associated with the hormonal changes of puberty, the various social conflicts common in adolescence and a variety of educational expectations. At times, fatigue becomes chronic and may be accompanied by other physical symptoms including mood disorders, headaches, musculoskeletal pains, and various GI symptoms. When chronic fatigue in adolescence has been investigated, no single causal factor has been found and its likely to be multi-factorial. The topic for this podcast is “Chronic Fatigue in Adolescents” and we’ll discuss this with our guest Philip R. Fischer, M.D., a pediatrician from the Department of Pediatrics at the Mayo Clinic.

https://mcpress.mayoclinic.org/product/tired-teens/

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

”The Heat is On” Heat-Related Conditions

Host: Sanj Kakar, M.D. @sanjkakar 

Guest: Neha P. Raukar, M.D., M.S

We’ve all been experiencing the intense heat and humidity, and did you know that this past July was one of the hottest months on record. Exposure to heat poses a major threat to high-risk populations by substantially contributing to increased morbidity and mortality. Our podcast today is tackling the most common heat-related conditions with Neha P. Raukar, M.D., M.S., Associate Professor of Emergency Medicine.

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

What’s New with C. Difficile?

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

Guest: Sahil Khanna, M.B.B.S., M.S.

It’s estimated that C. difficile causes about a half million infections each year in the U.S. and 1 in 6 of those will have a recurrence within a couple months. Although C. difficile typically occurs following the use of antibiotics, it can also be spread from one individual to another, especially in hospitals and skilled nursing facilities. What are the common symptoms of an infection with C. difficile? How do we test for it? How should an infection be treated and what do we do with patients who have one or more recurrences. In this podcast, we’ll be discussing “What’s New with C. Difficile?” and these are some of the questions I’ll be asking our guest, Sahil Khanna, M.B.B.S., M.S., a gastroenterologist 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. 

The Role of Nutrition in Lowering the Risk of Chronic Disease

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

Guest: Katherine A. Zeratsky, R.D.N., L.D.

Chronic disease is creating a tremendous financial impact on our healthcare system. Cardiovascular disease alone accounts for approximately 18 million deaths globally, annually. Most often, we think of pharmacologic therapy in managing chronic disease, yet there’s good evidence that shows adults who eat a healthy diet have a lower risk of suffering from a variety of chronic diseases. Diet can play an extremely important role in preventing and managing such conditions as hypertension, hyperlipidemia, osteoporosis, and malignancy. Today’s podcast will review the role of nutrition in lowering the risk of chronic disease and our guest is registered dietician and nutritionist, Katherine A. Zeratsky, R.D.N., L.D., from the Division of Endocrinology 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.