Mayo Clinic Talks

Rheumatology Edition | When Are Rheumatology Lab Tests Indicated?

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

Guest: Ashima Makol, M.B.B.S.

Guest: Matthew J. Koster, M.D.

Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu.

We have multiple laboratory tests available to help us diagnose rheumatologic conditions; rheumatoid factor, ANA, ESR, CRP and more. It’s gotten quite confusing trying to decide which tests to order when we suspect a specific rheumatologic problem. When are these tests helpful? How specific are these tests for the condition we’re trying to diagnose and what does it mean when we have a positive but low titer test in an asymptomatic patient? In today’s podcast, we’ll answer these questions and more with our guests, Ashima Makol, M.B.B.S., and Matthew J. Koster, M.D., both from the Division of Rheumatology 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. 

Rheumatology Edition | What Everyone Should Know About Gout

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

Guest: Lynne S. Peterson, M.D.

Guest: Clement J. Michet JR, M.D.

Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is the first of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please stayed tuned in future weeks for the next six episodes!

Gout is the most common inflammatory arthritis and is a result of the deposition of monosodium urate crystals in and around the joints. It’s typically a mono-articular arthritis and is more common in men. Many patients who have had an acute attack of gout say it’s the worst pain they have ever experienced. Management consists of both treating acute episodes as well as preventing future attacks. The topic of this podcast is “What Everyone Should Know About Gout” and our guests include Lynne S. Peterson, M.D., and Clement J. Michet JR, M.D., both rheumatologists from the Mayo Clinic. We’ll discuss the pathophysiology of gout, its typical presentation, how to establish a diagnosis and management tips.

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

THE BEST OF SEASON 1: Exercise is Medicine ”Adding Years to Life and Life to Years”

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

Guest: Robert Scales, Ph.D., M.S.

As we bid farewell to the year 2023 and embrace the possibilities for 2024, what better time to refocus on both us and our patient’s well-being? In today's episode, we’re going to revisit an episode from Season One, “Exercise is Medicine: Adding Years to Life and Life to Years”. During the annual intersection of the new year and new exercise routines, this is a very fitting topic!

Let’s take a listen to how exercise can truly play a role in our overall health and well-being from our featured guest speaker, Robert Scales, Ph.D., M.S.

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

THE BEST OF SEASON 1: Microaggressions in Medicine

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

Guests: Catherine Njathi-Ori, M.D. | Erin O'Brien, M.D. | Nafisseh Warner, M.D.

Today we’re excited to bring back a special lecture by popular demand from Season 1 of Mayo Clinic Talks Podcast.

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

Assessing the Older Patient with New Cognitive Symptoms

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

Guest: Ericka E. Tung, M.D., M.P.H.

If we see older patients, we commonly see Alzheimer’s Disease and other dementias in our practice. At times, the presenting symptoms can be quite subtle and it’s not uncommon for the diagnosis to take several years to establish. Very often, any early symptoms which are noticed are attributed to the aging process. Although we don’t have very effective options for treating dementia, it’s still important to diagnose the condition as early as possible. In this podcast, we’ll be discussing “Assessing the Older Patient with New Cognitive Symptoms.” We’ll review the usefulness of a mental status exam, recommended lab tests, whether a brain imaging study is indicated and more with our guest, Ericka E. Tung, M.D., M.P.H., an internist, and geriatrician from the Division of Community Internal Medicine 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. 

Functional Bowel Disorders: Identification & Treatment Updates

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

Guest: Tisha N. Lunsford, M.D.

Functional bowel disorders are very common, most often tend to affect those under the age of 50 and can cause symptoms ranging from a mild inconvenience to severe debilitation. Symptoms can vary significantly from patient to patient and the treatment varies with the predominant symptoms. While the exact cause isn’t known, there are a few interesting associations with other health conditions. In this podcast, we’ll discuss functional bowel disorders with gastroenterologist, Tisha N. Lunsford, M.D., from the Mayo Clinic. We’ll review common symptoms, the recommended evaluation, and the available management options for functional bowel disorders. 

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

Taking Care of Your Personal Well-Being “In Their Own Words”

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D.

Guests: Brian T. Carlsen, M.D.| Sharonne N. Hayes, M.D.

Health care professionals often struggle with personal well-being due to career demands. There are simple and straightforward ways to improve well-being despite a demanding profession. We welcome you to learn from two Mayo Clinic physicians who share their personal journeys and suggestions for well-being.

Watch the full episode here: https://ce.mayo.edu/internal-medicine/content/taking-care-your-personal-well-being-their-own-words 

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

Taking Care of Your Personal Well-Being “From the Experts”

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D.

Guests: Donald D. Hensrud, M.D., M.S.| Shanda Blackmon, M.D., M.P.H. | Colin P. West, M.D., Ph.D.

Well-being is a timely and important topic for patients and health care professionals alike. Physicians and allied health staff must take care of themselves to optimally serve others. We welcome you to learn about health care professional well-being from three Mayo Clinic physicians who are nationally recognized experts in the field.

Watch the full-length video here

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

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. 

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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.

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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.

 

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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.