Mayo Clinic Talks

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. 

Seasonal Allergies: It’s Not Easy To Be Sneezy

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

Guest: Mansi J. Kanuga, M.D.

Millions of Americans suffer from seasonal allergies causing a variety of symptoms which often force them to stay indoors and limit their activities. Allergic rhinitis carries a significant economic burden accounting for an estimated 2 million lost school days, and 6 million lost workdays per year. Fortunately, there are numerous treatment options available. The topic for today’s podcast is seasonal allergies and our guest is Mansi J. Kanuga, M.D., an allergist at the Mayo Clinic. We’ll discuss how to use the patient’s history to determine the patient’s allergies, when allergy tests are indicated and management of seasonal allergies.

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

Sleep Medicine Edition | Sleep Apnea & its Complications

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

Guest: Timothy I. Morgenthaler, M.D.

It’s estimated that about 30 million people in the U.S. have sleep apnea and most don’t even know they have it. Only 20% of those with sleep apnea have been diagnosed with the condition. Sleep apnea becomes more common with advancing age and is thought to be present in up to 80% of men over the age of 80. With an increased prevalence of obesity in our population, the numbers of those with sleep apnea has increased dramatically. We’re all aware of the daytime drowsiness that is so common in patients who are untreated, but there are other numerous and potentially serious complications that can also occur. In today’s podcast, we’ll discuss the common presenting symptoms of sleep apnea, how to diagnose the condition, and the potential consequences in those who remain untreated. Our guest is Timothy I. Morgenthaler, M.D., a sleep specialist from the Division of Pulmonary and Critical Care 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. 

Benign Scrotal Masses & Testicular Cancer Screening

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

Guest: Bradley C. Liebovich, M.D.

Testicular cancer accounts for only around 1% of all cancers in men and is most common in males from age 15 to 35. Around 10,000 new cases are diagnosed per year resulting in about 400 deaths. While testicular cancer is relatively uncommon, other abnormalities occur in the scrotum which are quite common and fortunately, relatively benign. Most of these conditions present as a scrotal mass and can be quite frightening to the patient if they discover them.  In today’s podcast, we’ll discuss scrotal masses including testicular cancer with our guest, Bradley C. Liebovich, M.D., from the Department of Urology 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. 

Sleep Medicine Edition | The Patient Who Cannot Tolerate CPAP: Alternative Approaches to Obstructive Sleep Apnea

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

Guest: Eric J. Olson, M.D.

It’s estimated that about 30 million people in the U.S. have sleep apnea and the worldwide prevalence is approaching 1 billion. The traditional treatment is continuous positive airway pressure or CPAP which is quite effective and used to enhance ventilation. Unfortunately, there are a significant number of patients with sleep apnea who can’t tolerate CPAP. This may result in an untreated patient, increasing their risks to a variety of potentially serious complications. How do we manage the CPAP-intolerant patient? What else is available for the patient with sleep apnea? Which patients are candidates for these alternative treatments and how effective are they? In this podcast, we’ll discuss these questions and more with our guest, sleep expert Eric J. Olson, M.D., from 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. 

Sleep Medicine Edition | The Sleepy or Fatigued Patient: Yawning for Relief

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

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

Depending on the patient, a complaint of feeling tired, fatigued or sleepy may all mean the same thing. In others they may not feel that sleepiness is the same as fatigue or tiredness. Once we sort out what the patient is actually describing, how do we evaluate the sleepy patient? How much sleep do we need per night and what’s an inadequate amount of sleep? How do we evaluate the quality of a patient’s sleep and what role does age play in the evaluation of a patient’s sleep? These are questions we’ll discuss with our guest for this podcast, Michael H. Silber, M.B., Ch.B., a neurologist and sleep expert 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. 

Liver Transplant Selection Criteria

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

Guest: Michael D. Leise, M.D.

The liver is the second-most transplanted organ; nearly 10,000 patients received a liver transplant in 2021. The major factor, which has limited the transplants performed, has been the availability of the donated organs and some patients have waited several years before an acceptable organ becomes available. Transplants can be performed for a variety of end-stage liver diseases, usually giving patients years of additional life. Who’s a candidate for a liver transplant and what criteria for selection are required? Our topic for this podcast is “Liver Transplant Selection Criteria” and we’ll discuss this topic with our guest, Michael D. Leise, M.D., from the Division of Gastroenterology and Hepatology 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. 

Post-Kidney Transplant Care for Primary Care Providers

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

Guest: Samy M. Riad, M.D.

Kidney transplants are quite common; over 20,000 transplants will have been performed by the end of 2022 and there are currently just under 90,000 individuals on the national transplant waiting list. They’ve been remarkably successful in giving patients with renal failure an improved quality of life. However, patients who have had kidney transplants have unique medical needs. Since most transplant patients will return to their primary care providers for the majority of their ongoing care, what important information do we need to successfully care for these patients? What unique medical needs do they have? And what potential health problems are more commonly seen in transplant patients? In this podcast, our guest, Samy M. Riad, M.D., a nephrologist at the Mayo Clinic will answer these questions and more as we discuss the management of the post-renal transplant patient.

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

Prostate Cancer & Men’s Health Edition | Primary Care Management of the Post-Prostate Cancer Patient

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

Guest: Scott M. Cheney, M.D.

Except for skin cancer, prostate cancer is the most common malignancy in males. 1 in 8 men will be diagnosed with prostate cancer during his lifetime, most over the age of 65. If diagnosed early, treatment is quite effective and results in a very favorable survival rate. Several very effective treatment options are now available for patients. In this podcast, we’ll discuss the various treatments and what patients can expect following each option. We’ll review how a post-prostate cancer patient should be followed by their primary care provider and when there might be reason for concern of a recurrence. The guest for this podcast is Scott M. Cheney, M.D., a urologist from the Mayo Clinic in Phoenix, Arizona.

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

Prostate Cancer & Men’s Health Edition | Updates in Advanced Prostate Cancer

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

Guest: Alan H. Bryce, M.D.

Prostate cancer is the second most common malignancy in men, second only to skin cancer and due to increased efforts in screening, most prostate cancers are found very early, and these men have an excellent survival rate. Unfortunately, a percentage of men develop an advanced prostate cancer and the disease becomes much more aggressive with significantly lower survival rates. Who’s at risk for advanced prostate cancer? How does the survival rate change with metastatic disease? Finally, what are the various treatment options and how effective are they? In this podcast, we’ll discuss these questions with our guest, Alan H. Bryce, M.D., from the Division of Hematology and Oncology at the Mayo Clinic.

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

Prostate Cancer & Men’s Health Edition | Prostate Cancer & Sexual Health

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

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

Issues related to the prostate can play a significant role in a man’s sexual function. We commonly use medications for benign prostate problems such as BPH which can produce adverse effects. It’s also very common for the treatment of prostate cancer, whether we use radiation therapy, surgical prostatectomy, or hormonal therapy to cause sexual dysfunction. In this podcast, we’ll review the important role the prostate plays in sexual function as we discuss the “Prostate and Sexual Health” with our guest, Nahid Punjani, M.D., M.P.H., a urologist at the Mayo Clinic.

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

Prostate Cancer & Men’s Health Edition | Treatment of Prostate Cancer

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

Guest: R. Jeffrey Karnes, M.D.

Prostate cancer is the most common solid organ malignancy in males, and it’s estimated that 1 in 8 men will develop prostate cancer during their lifetime.  When diagnosed early, it has an excellent survival rate with a variety of very effective treatment options. What are the advantages and disadvantages of each?  Why would one option be chosen over another and how do the adverse effects of the various treatments differ? In this podcast, I’ll be discussing these questions with our guest, R. Jeffrey Karnes, M.D., a urologist at the Mayo Clinic.

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

Prostate Cancer & Men’s Health Edition | Screening for Prostate Cancer

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

Guest: Daniel M. Frendl, M.D., Ph.D.

Prostate cancer is one of the most common malignancies in men, second only to skin cancer. It’s estimated that 1 in 8 men will develop prostate cancer during their lifetime. The predominant screening test for prostate cancer has been the prostate specific antigen or PSA.  However, there has been some controversy surrounding the use of PSA. It’s an easily administered test, it’s relatively inexpensive and it’s capable of identifying men with possible prostate cancer. So, what’s the controversy? Is the PSA an effective screening test? Who should be tested and how have urologists modified their practice to manage patients with an elevated PSA? We’ll discuss these questions in today’s podcast on “Screening for Prostate Cancer” with our guest, Daniel M. Frendl, M.D., Ph.D., a urologist at the Mayo Clinic.

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

 

Prostate Cancer & Men’s Health Edition | Benign Prostatic Hyperplasia (BPH)

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

Guest: Mitchell R. Humphreys, M.D.

Benign prostatic hyperplasia or BPH is quite common in middle-age and older men. It’s estimated that up to 70% of men over age 60 have symptoms from BPH. While BPH is not a life-threatening condition, it does produce symptoms which can negatively affect the lifestyle of our patients. Since most of the patients with BPH are managed by primary care providers, we should be comfortable with the variety of treatment options available. When should treatment be initiated? What’s available pharmacologically? And when should a urologist be consulted to consider a surgical option? In this podcast, we’ll discuss these questions and more with Mitchell R. Humphreys, M.D., from the Department of Urology at the Mayo Clinic. 

This episode is brought to you by: Astellas Oncology | https://astellasoncology.com/

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

 

Healthcare Professional Burnout: Contributors, Consequences & Solutions

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

Guest: Colin P. West, M.D., Ph.D.

The practice of medicine is often stressful and at times, even frustrating. Sometimes the stress and frustration can get out of hand and lead us to feeling overwhelmed and hopeless. This has been described as burnout. There’s good evidence to suggest that well over half of all physicians practicing in the U.S. have exhibited some symptoms of burnout at some time during their career. Healthcare professional burnout not only has negative consequences for the clinician, but also for patients, as patient care can often suffer. What are the symptoms of burnout, can we prevent them and how can we manage those who are experiencing professional burnout? We’ll discuss these questions and more with Colin P. West, M.D., Ph.D., an internist in 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. 

Nutrition History Taking: A Practical Approach

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

Guest: Tara Schmidt, MEd, RDN, LD

Nutrition is so important to our health. What and how much we eat can help keep us healthy or increase our risk of developing a number of health problems including cardiovascular disease, diabetes, malignancy or a variety of degenerative health conditions. Unfortunately, many of our patients obtain their information regarding nutrition from the media which is often very inaccurate. It’s our responsibility as primary care providers to assess our patients’ nutritional status and give them accurate recommendations regarding dietary changes they should make in order to remain healthy. This starts with a nutritional history. Yet very few of us have had any formal education in nutrition. How do we take a nutritional history? What are the important questions to ask? We’ll discuss this and other nutritional issues with our guest for this podcast, Tara Schmidt, MEd, RDN, LD, a registered dietician 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 BEST OF SEASON 1: Varicose Veins & Venous Insufficiency

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

Guest: Thom W. Rooke, M.D.

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

We’ll be discussing varicose veins and venous insufficiency with Thom W. Rooke, M.D., from Cardiovascular 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. 

Multiple Sclerosis: A Primary Care Perspective

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

Guest: Eoin Flanagan, M.B., B.Ch.

Nearly 1 million individuals in the U.S. have multiple sclerosis. Most acquire the disease between the ages of 20 and 50. It’s often difficult to establish a diagnosis as the symptoms can be vague and often vary significantly from one individual to another.  The disease can be very frightening, often debilitating, and progressive; up until recently, we’ve had very little to offer patients in the way of treatment.  However, in the past few years there have been numerous advances in treatment options which have given hope to the many patients with MS. We’ll be discussing multiple sclerosis in this podcast. Our guest is Eoin Flanagan, M.B., B.Ch., a neurologist from the Department of Neurology 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. 

Determining the Source of GI Blood Loss

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

Guest: Andrew C. Storm, M.D.

Determining the source of GI blood loss can be a challenging dilemma. On occasion, we have clues regarding where we should start looking, but in some cases, no such clues exist. It’s best to use a stepwise approach to determining the source and in most cases, this will give us the answer we need. When a cause is found, most tend to be from an upper GI source rather than the colon. Whereas an upper endoscopy and colonoscopy will determine the source in the majority, in some cases, more aggressive techniques are required. In this podcast, we’ll be discussing GI blood loss, and which approach we should use to determine the source. Our guest is Andrew C. Storm, M.D., a gastroenterologist from the Division of Gastroenterology and Hepatology 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.