Mayo Clinic Talks

Diagnostic Uncertainty & Undiagnosed Illness

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

Guest: Liz A. Gilman, M.D.

Guest: Chris R. Stephenson, M.D., M.H.P.E.

As clinicians, we’re used to obtaining health information from our patients through a medical history, performing a physical exam and ordering a variety of lab tests or imaging studies. We then formulate a differential diagnosis and eventually a diagnosis to explain the patient’s health problem. But what happens when a diagnosis isn’t obvious or we’re uncertain what may be causing the patient’s problems. What if a patient asks us a question and we don’t know the answer? How do we express our uncertainty to our patients and how do our patients react to our uncertainty? In this podcast, we’ll discuss diagnostic uncertainty and how to approach our patients when we can’t find a specific diagnosis to explain their symptoms. Our guests include Liz A. Gilman, M.D., and Chris R. Stephenson, M.D., M.H.P.E., both from the Division of General 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. 

Psychiatric Issues Stemming From COVID-19

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

Guest: Teresa A. Rummans, M.D.

The COVID-19 pandemic has caused innumerable health complications. One complication which hasn’t received a lot of attention has been the effect seen on mental health. Since the pandemic, the incidence of mental illness has increased dramatically, both in patients who have been infected as well as those suffering the social consequences of the pandemic. This has led to mental health disorders representing a major cause of disability. What can we learn from a historical perspective as a result of previous pandemics? How does the COVID-19 virus produce the variety of neuropsychiatric disorders commonly seen? And most importantly, how can we help our patients with their mental health disorders associated with the pandemic? This podcast will review “Psychiatric Issues Stemming From COVID-19” with our guest, Teresa A. Rummans, M.D., a psychiatrist from the Department of Psychiatry and Psychology 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. 

“Lettuce Eat” Plant-Based Diets: Healthy & Non-Healthy

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

Guest: Lisa Lammert, R.D.N., L.D.

Cardiovascular disease is the leading cause of death to individuals in the U.S. Many feel that our typical American diet with its high saturated fat content is a major contributor to this. There’s good evidence that shows plant-based diets are cost-effective in lowering the risk factors for cardiovascular disease including obesity, hyperlipidemia, hypertension, and diabetes. They may also lower the number of medications an individual needs to take to manage their chronic diseases. So, are there any disadvantages to a plant-based diet? Are all plant-based diets healthy and what are the nutritional challenges for a patient on a plant-based diet? We’ll discuss these questions in this podcast on “Plant-Based Diets”. Our guest is Lisa Lammert, a registered dietician and nutritionist 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. 

Obesity Edition | Post Bariatric Patient: Common Issues & Weight Regain

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

Guest: Julia A. Jurgensen, APRN, C.N.P., D.N.P.

The issue of obesity has become a significant public health concern not only in the United States but across the globe. Bariatric surgery was performed on almost 200,000 patients in the U.S. alone in 2020. Despite the recommendation for regular follow-up visits with bariatric providers, studies indicate a high rate of loss to follow-up among these patients. Consequently, they may seek assistance from a primary care physician years later, presenting concerns such as malnutrition or weight gain. Today, we are fortunate to have Julia A. Jurgensen, APRN, C.N.P., D.N.P. , a Mayo Clinic nurse practitioner who specializes in obesity and has vast experience managing patients who have undergone bariatric surgery.

Link to weight loss blog referenced in the episode:

https://connect.mayoclinic.org/blog/weight-management-1/tab/newsfeed/#ch-tab-navigation

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.

Alopecia: Handling Our Patients with Hair Loss

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

Guest: Jason C. Sluzevich, M.D.

Hair loss is quite common and although it occurs more commonly in men, it can also occur in women. It’s estimated that up to 80% of men and nearly 50% of women experience hair loss. While it’s not a life-or-death health issue, it can have a negative effect on confidence and self-esteem and a significant amount of money is spent on hair regrowth products and restoration procedures. Did you know that about 95% of our total skin area is covered in hair and you can lose up to 50% of your hair before it’s noticeable to others? How does hair loss differ in males and females? Why do some men go bald? And how effective is the pharmacologic treatment that’s available in producing hair regrowth? We’ll discuss these questions and more with our guest, Jason C. Sluzevich, M.D., a dermatologist at the Mayo Clinic. The topic for this podcast is “Handling Our Patients with Hair Loss”.

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.

Vestibular Schwannomas (aka Acoustic Neuromas)

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

Guest: Michael J. Link, M.D.

Guest: Matthew L. Carlson, M.D.

Hearing loss is a commonly seen symptom in a primary care office practice, as is tinnitus and vertigo. Fortunately, they’re almost always due to a benign cause. However, these symptoms may represent something more ominous, an acoustic neuroma, also known as a vestibular schwannoma. It’s important to consider this diagnosis when we see them in our patients, as there is the potential for serious consequences to develop if this remains untreated. What type of hearing loss is associated with a vestibular schwannoma? What are the other associated symptoms? How do we go about evaluating these patients and how are they best treated? I’ll be asking these questions of our guests Michael J. Link, M.D., a neurosurgeon from the Department of Neurologic Surgery and Mathew L. Carlson, M.D., a head and neck surgeon from the Department of Otolaryngology, both at the Mayo Clinic in Rochester, Minnesota. Our topic for this podcast is vestibular schwannomas.

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

Obesity Edition | Surgical Weight Loss

Host: Ishna Sharma, MD (@IshnaSharmaMD)

Guest: Omar M. Ghanem, M.D.

Obesity has become a significant public health crisis worldwide, with the United States being no exception. A range of treatments is available, but metabolic and bariatric surgery is widely regarded as the most effective and sustainable option for managing obesity. In fact, this type of surgery can reduce the risk of premature death by 30% to 50%. Today's guest is Omar M. Ghanem, M.D., a prominent metabolic bariatric and foregut surgeon at Mayo Clinic. Dr. Ghanem is renowned for his extensive research work, which has resulted in over 75 peer-reviewed publications.

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.

Food Intolerance: When “Food Allergies” Aren’t Allergies

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

Guest: Imad Absah, M.D.

Food intolerance is relatively common. It represents a gut sensitivity to one or more foods, usually resulting in various GI symptoms. A food intolerance is not the same as a food allergy, although our patients often consider their symptoms an allergy to a specific food. Food intolerance doesn’t result in any significant health disorder or serious complications and is usually more of a nuisance to the patient. The treatment varies depending on the food involved. The topic for this podcast is food intolerance and our guest is Imad Absah, M.D., a pediatric gastroenterologist from the Mayo Clinic. We’ll discuss how we determine if a patient is experiencing a food intolerance or a food allergy, the most common offending foods, the mechanisms for food intolerance and how we manage the condition.

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. 

Obesity Edition | Endoscopic Weight Loss

Host: Dr. Ishna Sharma, MD (@IshnaSharmaMD)

Guest: Barham K. Abu Dayyeh, M.D., M.P.H.

The problem of obesity is a major public health concern both in the U.S. and globally. Despite the roughly 250,000 bariatric procedures performed in the U.S. annually, only 4% of them are endoscopic procedures. It's noteworthy that the use of endoscopy for managing obesity is still in its developmental stage. Today, we are privileged to have Barham K. Abu Dayyeh, M.D., M.P.H., a bariatric endoscopy specialist and gastroenterologist at Mayo Clinic, to share his valuable insights.

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.

Functional Dyspepsia: BOOM! BANG! Burning & Pain!

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

Guest: David J. Cangemi, M.D.

Functional dyspepsia, also known as non-ulcer dyspepsia, represents chronic upper GI symptoms of indigestion and not infrequently abdominal discomfort. Diagnosing functional dyspepsia can be challenging since there are no definitive diagnostic tests. This often results in patients seeking multiple medical opinions searching for a specific cause and treatment for their symptoms. What are the common presenting symptoms of functional dyspepsia? What’s an appropriate evaluation and how do we treat our patients who have it? In this podcast, we’ll discuss these questions and more with David J. Cangemi, M.D., 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. 

Obesity Edition | Medical Weight Loss

Host: Ishna Sharma, M.D. https://twitter.com/IshnaSharmaMD

Guest: Maria Collazo-Clavell, M.D.

An escalating public health concern on a global scale is the growing prevalence of obesity, which is also a cause for concern within the United States. Statistical data reveals that approximately 15% of American adults make an attempt to shed off excess weight at some stage in their lives using supplements. Currently, there are a range of supplements and pharmaceuticals that have received approval from the FDA for weight loss purposes. Our esteemed guest today is Maria L. Collazo-Clavell, M.D., an authority in the fields of obesity and endocrinology, who is affiliated with the Mayo Clinic.

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.

HIV & Attitudes Towards PrEP

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

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

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

As primary care providers, evaluating patients with a virus is a common part of our practice. This ranges from colds, a painful shingles outbreak, COVID-19, RSV bronchiolitis, influenza, and many more.

Oftentimes, after a detailed physical exam, we tell our patients the cause of their symptoms are due to a virus and that their symptoms should improve in a couple days to weeks. However, we know that sometimes the symptoms of a viral infection can be a harbinger of more severe disease.

In today’s talk, we will be discussing a virus. Acute infection with this virus can present with fever, fatigue, myalgias, arthralgias, lymphadenopathy, sore throat, headache, diarrhea, weight loss, and rash.

This constellation of symptoms, especially when they persist for a prolonged duration of time can be representative of an acute HIV infection.

Tune in to this episode to learn more about the pathophysiology of HIV, how a patient can contract HIV, the tests to perform when an acute HIV infection is suspected, how to prevent an HIV infection, and to learn a bit more about anal Pap smears.

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

Obesity Edition | Obese Adult Patient Presents to Primary Care Provider

Host: Ishna A. Sharma, M.D. https://twitter.com/IshnaSharmaMD

Guest: Meera Shah, M.B., Ch.B.

Obesity has become a significant public health crisis in both the U.S. and around the world. Globally, over 1.9 million people are overweight, and 650 million people are obese. In the U.S., 39.8% of the adult population is obese. Obesity leads to hypertension, hyperlipidemia, coronary artery disease, diabetes, sleep apnea and even certain cancers. Outside of the morbidity and mortality associated with this, obesity also leads to almost $200 billion annually in healthcare costs. Obesity is a complex medical issue, and one of the first settings a patient may receive care for this is at the PCP office.

This episode is the first episode in our Obesity Edition focused on how a primary care physician can help an obese adult patient who visits them in clinic. This episode will concentrate on the basics: How to approach the conversation with a patient; How to guide their next steps; How to continue caring for an obese patient once they are underway in their management. Today, we’re joined by Meera Shah, M.B., Ch.B., a Mayo Clinic endocrinologist specializing in obesity, who will help guide us in answering these questions and more. 

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. 

LGBTQIA+ Health for Primary Care

Host: Joshua D. Luciew, MPAS, P.A.-C.

 

Guest: Juliana (Jewel) M. Kling, M.D., M.P.H.

 

Individuals who belong to the LGBTQIA+ population are a part of the communities we provide care. Every member of this group is unique, and recognizing how sexual orientation and gender identity influences each person, including how these concepts may evolve and change over a life span, can help us provide more inclusive and whole person care. Many members of the LGBTQIA+ population either do not have access to, or do not seek quality medical care due to stigma and discrimination, which then leads to many disparities. By learning how to provide culturally sensitive care, we can help reduce healthcare disparities for LGBTQIA+ folks. Tune in to this episode to learn more about the LGBTQIA+ community, some of the disparities the community faces, and learn about some special considerations that may arise in your care of the LGBTQIA+ patient.

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

Testosterone Supplementation in Men: Risks, Benefits & Best Practices

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

Guest: Nahid Punjani, M.D., M.P.H

Testosterone has a variety of health benefits. It helps maintain bone density, muscle mass, red blood cell production and sexual function. Testosterone levels in men tend to peak between age 30 to 40 then gradually decline and it’s not unusual to find low testosterone levels in men over the age of 50. It’s also known that in men with hypogonadism, testosterone supplementation can improve libido, bone density and muscle mass. Should we be checking testosterone levels in our middle-age male patients? How do we determine who should receive testosterone supplementation and finally what are the risks of supplementation? In this podcast, these are all questions I’ll be asking our guest, Nahid Punjani, M.D., M.P.H, a urologist at the Mayo Clinic as we discuss “Testosterone Supplementation in Men”.

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

Celiac Disease & Gluten Sensitivity: “No Loafing Matter”

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

Guest: Amy S. Oxentenko, M.D.

It’s estimated that less than 1/3 of individuals with celiac disease have been properly diagnosed. When those with celiac disease ingest gluten, an immune response develops which attacks the small intestine leading to inadequate absorption of nutrients. If left untreated, celiac disease can lead to a variety of nutritional deficiencies as well as other serious consequences. Those with celiac disease are also at increased risk for coronary disease and small bowel cancers. In this podcast we’ll review celiac disease and gluten sensitivity with our guest, Amy S. Oxentenko, M.D., a gastroenterologist at the Mayo Clinic. We’ll discuss the symptoms of celiac disease, how to diagnose the condition and how patients with celiac disease should be managed.

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

Sleep Medicine Edition | Violent Dreams, Sleepwalking & Other Strange Nighttime Events

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

Guests: Robin M. Lloyd, M.D., & Michael Silber, M.B. Ch.B.

In most people, sleep is a peaceful activity. Dreaming is a normal component of our sleep and represents activity of the brain at a time the rest of our body is inactive. However, for some individuals sleep is not a peaceful activity. Some can experience very violent dreams, often associated with physical movements. Sleepwalking is another nighttime activity which some experience.  Violent dreams and sleepwalking can place the patient as well as others at risk for injury. How common are these behaviors? What causes them and how can these patients be treated. In this podcast, we’ll discuss violent dreams, sleep walking and other strange nighttime events with Mayo Clinic sleep specialists, Robin M. Lloyd, M.D., from the Department of Pediatrics and Adolescent Medicine and Michael Silber, M.B. Ch.B., from the Department of Neurology.

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

Food Allergy: Common Causes, Diagnosis & Treatment

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

Guest: Gerald W. Volcheck, M.D.

Food allergy is an immune reaction that develops following ingestion of sometimes even a very small amount of the offending food product. It’s thought to occur in up to 4% of adults and is not to be confused with a food intolerance, which is much more common. It’s important to recognize patients who develop a food allergy as they can develop not only relatively benign problems such as GI symptoms or hives, but also more severe and potentially life-threatening conditions such as bronchospasm or even anaphylaxis. What are the most common foods that produce allergies? How should these patients be evaluated and how do we manage them? Our topic for this podcast is “Food Allergy” and these are some of the questions I’ll be asking our guest, Gerald W. Volcheck, M.D., from the Division of Allergic Diseases 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. 

Sleep Medicine Edition | Restless Leg Syndrome (RLS)

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

Guest: Michael Silber, M.B. Ch.B.

It’s estimated that up to 10% of the U.S. population has restless leg syndrome, with most patients middle aged or older. Since it tends to occur in the latter part of the day, it commonly interferes with an individual’s ability to sleep and is one of several known sleep disorders. Unfortunately, there is no cure, however there are a variety of treatment options available. The topic for this podcast is restless leg syndrome and my guest is sleep specialist and neurologist, Michael Silber, M.B. Ch.B., from the Mayo Clinic. We’ll discuss the symptoms and pathophysiology of restless leg syndrome, other medical conditions often confused with it as well as the various treatment options.

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

Women in Medicine

Hosts: Dawn Marie R. Davis, M.D. and Sanjeev (Sanj) Kakar, M.D.

Guest: Erin K. O'Brien, M.D.

Guest: Bobbi S. Pritt, M.D.

Guest: Sandhya Pruthi, M.D.

Our society is changing with women assuming more prominent roles. We have a female Vice President and recent books by Sheryl Sandberg (Lean In) and Michelle Obama (The Light We Carry), have highlighted the importance in inequities women have, and continue to have, on a daily basis. Mayo Clinic continues to evolve and lead this change in healthcare with female leaders incorporated throughout the practice. To celebrate this, we invited three dynamic physicians at Mayo Clinic’s Rochester campus, Erin K. O’Brien, M.D., Bobbi S. Pritt, M.D., and Sandhya Pruthi, M.D., to share their stories and perspectives in this week’s podcast.

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

Sleep Medicine Edition | Medications for Insomnia: What Works?

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

Guest: Bhanuprakash (Bhanu) Kolla, M.D.

A common question we get from patients is “What can you give me to help me sleep?”. Explaining how our sleep changes with age; becoming less efficient, more fragmented with multiple reasons for nighttime awakenings is met with understanding from the patient but is always followed by the question “So, what are you going to give me to help me sleep?”.  How does sleep change with aging? Why do we often have difficulty falling and staying asleep, and does the ideal pharmacologic agent exist that can be taken nightly, helps us fall asleep, remain asleep throughout the night and allow us to wake up feeling refreshed in the morning? In this podcast, we’ll discuss these questions with our guest, Bhanuprakash (Bhanu) Kolla, M.D., a psychiatrist from the Department of Psychiatry and Psychology 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. 

The Tick Talk of Lyme Disease: How to Diagnose & When to Treat

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

Guest: Elitza S. Theel, Ph.D.

Lyme disease is quite common with more than 400,000 new cases per year in the United States alone. It’s associated with a constellation of typical symptoms, but it can also produce symptoms which are very unusual and vague. As a result, it can mimic a variety of other diseases. An accurate diagnosis of Lyme disease can be challenging, often resulting in a delay or even lack of treatment. In this podcast, we’ll discuss the typical presentation of Lyme disease as well as some of its more unusual presenting symptoms. We’ll also cover how to establish a diagnosis and its current treatment recommendations. Our guest is Elitza S. Theel, Ph.D., a clinical microbiologist 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. 

Sleep Medicine Edition | Cognitive Behavioral Therapy for Treatment of Insomnia

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

Guest: Michael H. Silber, M.B.Ch.B.

Difficulty initiating and maintaining sleep is a common problem for many patients. Over-the-counter sleeping aids are used by many and we commonly get asked for prescription medications to help with their sleep. Unfortunately, the ideal sleeping medication doesn’t exist and many have potentially worrisome adverse effects, some produce daytime somnolence and others may have the potential to produce dependence. Cognitive behavioral therapy is an alternative treatment option to pharmacologic therapy and is safe, can be easily taught, and offers an alternative to the many with chronic insomnia. In this podcast, we’ll discuss this innovative treatment option with sleep expert, Michael H. Silber, M.B.Ch.B., a neurologist 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.