Mayo Clinic Talks

Year 3 of COVID-19: Harsh Truths, Brutal Realities & Glimmers of Hope

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

Guest: Greg A. Poland, M.D. [@drgregpoland]

Severe acute respiratory syndrome coronavirus 2, also known as COVID-19, is a novel virus with a rapidly changing genotype. It’s responsible for over a million deaths so far. One of every 300 Americans have died as a result of the virus and infection with COVID-19, and it has been responsible for a reduction in life expectancy in the U.S. for both 2021 and 2022. There are 4 widely available, approved vaccines in the United States, yet an inadequate number of individuals have been immunized and very few are still wearing protective masks. The consequences of this include continued excess morbidity and mortality as well as the development of a variety of new variants of the virus. Our guest for this podcast is Greg A. Poland, M.D., an internist, and the director of vaccine research at the Mayo Clinic. He’s also the lead author of an article published in Mayo Clinic Proceedings in December 2022. The article is entitled “Year 3 of COVID-19: Harsh Truths, Brutal Realities and Glimmers of Hope”. We’ll be discussing some of the key points from this article.

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: Effective Communication Skills for a Time Strapped Practice

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

Guest: Daniel L. Hurley, M.D.

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

Today we’re joined by Daniel L. Hurley, M.D., a Mayo Clinic Endocrinologist and heavily awarded educator and practitioner.

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

How to Use Pulmonary Function Tests Effectively

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

Guest: Alexander S. Niven, M.D.

Pulmonary function tests are extremely useful in both diagnosing and managing patients with respiratory disease. In addition to a medical history, physical exam and imaging studies, they give us a great deal of information of the pulmonary physiology and help us understand why patients have various respiratory symptoms. However, there are quite a number of pulmonary function tests available to us and which tests we should order can be confusing. Do we know when spirometry, lung volumes or diffusion capacity will be useful for evaluating the various pulmonary conditions? Our guest for this podcast is Alexander S. Niven, M.D., from the Division of Pulmonary and Critical Care Medicine at the Mayo Clinic and he’ll provide answers to these questions and more as we discuss “How to Use Pulmonary Function Tests Effectively”.

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

Obesity Update in Women

Guest: Ekta Kapoor, M.B.B.S.

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

Obesity is becoming a serious epidemic in the United States, and it’s estimated that if current trends continue, by 2030 nearly half of all adults in the U.S. will be obese. Prevalence rates of obesity are steadily increasing in both men and women and some of the highest rates are seen in post-menopausal women. Obesity carries an increased risk for a variety of medical conditions and death rates of several types of cancer increase in obese women. The topic for this podcast is obesity in women and our guest is women’s health expert, Ekta Kapoor, M.B.B.S., from the Mayo Clinic. We’ll discuss reasons women tend to develop obesity in middle age, the risks associated with the type of obesity that occurs following menopause and effective strategies to manage weight gain with aging in women.

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: The Risks & Benefits of Coffee

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

Guest: Donald D. Hensrud, M.D., M.S.

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

Darryl S. Chutka, M.D., a general internist at Mayo Clinic in Rochester, Minnesota, and Donald D. Hensrud, M.D., M.S., a physician in Preventative Medicine & the Medical Director for the Mayo Clinic Healthy Living Program discusses the risks and benefits of drinking coffee.

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

Sudden Cardiac Arrest in Athletes

Host: Sanjeev (Sanj) Kakar, M.D., [@sanjkakar]

Guest: Michael J. Ackerman, M.D., Ph.D.

Guest: Thomas M. Munger, M.D.

Much attention has been paid to sudden cardiac arrest in athletes. Did you know the likelihood of sudden cardiac arrest in high school athletes is between 1 in 50,000 to 1 in 80,000 and for college-aged players, the risk is estimated at 1 in 13,426. Among National Collegiate Athletic Association (NCAA) athletes, there is an increased risk in those who are male, of black race and play basketball. In this podcast, we discuss what the causes of sudden cardiac arrest are, the role of screening protocols and what can be done in patients who experience this event with cardiology experts Tom M. Munger, M.D., and Michael J. Ackerman, M.D., Ph.D.

SPECIAL EPISODE: https://ce.mayo.edu/content/mayo-clinic-talks-podcasts-special-episode-sudden-cardiac-arrest-athletes

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

Management of Patients with Late-Stage Dementia: A Caring Hand

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

Guest: Mairead M. Bartley, M.B., B.Ch., B.A.O.

Dementia is a devastating health condition for patients, their families, and a challenging disease for primary care providers. Whereas the diagnosis is usually straightforward to establish, the pharmacologic treatment options have been, at best, disappointing. With little to nothing to offer our patients which would improve their cognitive status; our responsibility for their management doesn’t end there. We still have a responsibility to provide ongoing care to these patients as well as their caregivers as they progress into the later stages of dementia. This brings up numerous management challenges including maintaining our patient’s independence, as well as numerous safety and nutrition issues. This podcast will review the management of the patient with later stage dementia with our guest is Mairead M. Bartley, M.B., B.Ch., B.A.O., a geriatrician and internist in the Division of Community 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. 

Alternative Therapies for Hyperlipidemia: The Lipid-ome of Lowering Cholesterol

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

Guest: Stephen Kopecky, M.D. [@DrSteveKopecky]

Hyperlipidemia is extremely common in the U.S., and we have a variety of pharmacologic agents which are very effective in treating this condition and improving our patients’ lipid profile. Yet there are patients who have elevated lipids but may not meet the criteria for pharmacologic therapy and other patients who don’t tolerate the medications we commonly prescribe. What are the alternative treatments available for managing hyperlipidemia and how effective are they?  How do they compare with pharmacologic therapy? We’ll discuss these issues and more in this podcast with our guest, preventive cardiologist Stephen Kopecky, 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. 

Hand & Wrist Disorders: Lend Me a Hand (& Wrist)

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

Guest: Sanjeev (Sanj) Kakar, M.D. [@sanjkakar]

The hand and wrist are very complex parts of our anatomy and composed of multiple tendons, muscles, and nerves. The hand also contains over 30 bones. Hand or wrist complaints are some of the more common reasons patients come to their primary care provider, and at times, the cause can be quite elusive. We need to be able to accurately assess the patient’s symptoms, diagnose the various disorders and determine which ones need to be referred for specialty care and which ones we can manage on our own. In this podcast, we’ll discuss some of the most common hand and wrist disorders with Sanjeev Kakar, M.D., a hand specialist from the Department of Orthopedics 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. 

Chronic Kidney Disease: What Primary Care Providers Need to Know

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

Guest: Mira T. Keddis, M.D. [@keddis_mira]

Chronic kidney disease can have a major impact on a patient’s quality of life; reducing their energy level, impacting their diet and may limit medications or alter medication dosages we prescribe. It’s estimated that kidney disease affects nearly 40 million people in the U.S. or 15% of the population, and two out of five adults with severe kidney disease don’t even know they have it. As primary care providers, we need to know how to prevent kidney disease, how we assess renal function and how to manage those with moderate to severe renal impairment. Our guest for today’s podcast is Mira T. Keddis, M.D., a nephrologist at the Mayo Clinic in Scottsdale, Arizona.

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

Glaucoma: Not So Easy on the Eyes

Guest: Cheryl L. Khanna, M.D.

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

Glaucoma is a very common eye disease affecting more than 70 million people worldwide and it’s a leading cause of blindness, accounting for over 12% of blindness around the world. While it tends to be more common in older individuals, it can occur in younger patients as well. There are a variety of types of glaucoma as well as several new treatment options available. In this podcast, we’ll discuss the various types of glaucoma, its treatment options and what we should do as primary care providers to help patients get a proper diagnosis and prevent the vision loss which can be associated with glaucoma. Our guest is Cheryl L. Khanna, M.D., an ophthalmologic surgeon 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. 

Abortion: What the Primary Care Provider Should Know

Guest: Regan N. Theiler, M.D., Ph.D.

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

Abortion is a common procedure. three out of ten pregnancies and six out of ten unintended pregnancies end with an induced abortion. Overall, about one in four women in the U.S. will have an abortion by the age of 45 years. The U.S. Supreme Court’s June 2022 ruling to overturn Roe vs. Wade has shifted the legal battle over abortion to the states, resulting in some states prohibiting abortion and others moving to safeguard it. The topic for this podcast is abortion and what the primary care provider should know. Our guest is Regan N. Theiler, M.D., Ph.D., from the Department of Obstetrics and Gynecology 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.

Faculty Twitter: 

[@chutkaMD; https://twitter.com/ChutkaMD] 

Vaccine Recommendations: 2022 Important Updates

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

Guest: Robert M. Jacobson, M.D. [@RobertJMD]

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

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

Faculty Twitter: 

[@chutkaMD; https://twitter.com/ChutkaMD] 

[@RobertJMD; https://twitter.com/robertjmd]

What To Know About Home Genetic Testing

Guest: Matthew J. Ferber, Ph.D.

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

Over the past decade or so, we’ve learned a great deal about the human genome, and this has allowed us to determine which medical conditions our patients are at an increased risk of developing and which medications may be best suited for their medical problems. In addition to the clinical genetic tests we use in our practice, direct to consumer home genetic testing has become extremely popular. This podcast will review home genetic testing and what information patients can expect with these tests, whether the information they receive is accurate and how home genetic testing differs from the genetic tests we order. Our guest is Matthew J. Ferber, Ph.D., a clinical molecular geneticist 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. 

Evaluation & Management of Osteoporosis: Make No Bones About It

Host: Darryl S. Chutka, M.D. (@chutkaMD) https://twitter.com/ChutkaMD

Guest: Kurt A. Kennel, M.D.

Hip fractures have had a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, they’ll have an even greater impact in the future. In addition to the economic burden, hip fractures often result in major changes to one’s lifestyle. As a result, the detection, prevention and management of osteoporosis becomes an important health strategy. The topic for this podcast is osteoporosis and our guest is Kurt A. Kennel, MD., a Mayo Clinic Endocrinologist, and specialist in bone metabolism.

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

Reducing Medical Supply Chain Vulnerability: Now You See It, Now You Don’t

Guest: Pritish K. Tosh, M.D. (@DrPritishTosh)

Host: Darryl S. Chutka, M.D. (@chutkaMD)

The COVID-19 pandemic exposed the vulnerability of the medical product supply chain and its impact on providing optimal healthcare. The spread of the disease was accompanied by not only shortages of personal protective equipment but also medications and many other products we depend on every day in our clinical practice. We’ve learned that we cannot provide adequate or timely health care when there are shortages of important products. As a result, the health of our patients and healthcare providers has been endangered. It’s also resulted in a rationing of care and an increased risk of error as we’re forced to use sub-standard or replacement products. It’s caused us to look for new solutions to reduce our medical supply chain vulnerabilities. Our guest for this podcast is Pritish K. Tosh, M.D., an infectious disease 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. 

Twitter Handles:

(@chutkaMD); https://twitter.com/ChutkaMD 

(@DrPritishTosh); https://twitter.com/drpritishtosh

Colon Polyps: A Real Bum-mer

Guest: John B. Kisiel, M.D. (@DrJohnKisiel)

Host: Darryl S. Chutka, M.D. (@chutkaMD)

Colon polyps are relatively common in our population and, in most cases, are relatively easily found and removed, thereby reducing one's risk of developing colorectal cancer. What are the various types of colon polyps and which polyps have a greater tendency to become malignant? How long does it take a polyp to develop into colon cancer and how often does colonoscopy miss polyps?  These are just some of the topics we’ll discuss in today’s podcast. Our guest is John B. Kisiel, M.D., a gastroenterologist at the Mayo Clinic.

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

Genes & Your Health Edition: Precision Medicine for Obesity: From Phenotypes to Multi Omics

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

Guest: Andres J. Acosta, M.D., Ph.D. (@dr_aac)

The obesity epidemic continues to escalate in the United States and obesity rates are increasing around the world. It is estimated that by 2030, 50% of adults and 25% of children worldwide will be obese. Patients are the interaction of their genetics and environment; this episode explores the importance of understanding the mechanisms behind food intake regulation and weight to develop individualized therapies to treat obesity. Our guest for this episode is Andres J. Acosta, M.D., Ph.D., a physician-scientist at Mayo Clinic in Rochester, Minnesota. He is also an assistant professor of medicine at Mayo Clinic College of Medicine and Science, and principal investigator of the Precision Medicine for Obesity Laboratory.

Uterine Fibroids: Under Pressure

Guest: Elizabeth (Ebbie) A. Stewart, M.D.

Host: Darryl S. Chutka, M.D.

Uterine fibroids are the most common tumor of the female reproductive tract and women who are approaching menopause are at greatest risk for having them. In most cases, they don’t produce symptoms and only a minority of women require treatment. The topic for this podcast is uterine fibroids and we’ll discuss how fibroids can be diagnosed, their most common symptoms, who requires treatment and some of the latest treatment options with our guest, Elizabeth A. Stewart, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic.

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

Genes & Your Health Edition: Epigenomics Research – Understanding Genetics of Treatment Resistance

Guest:   Alexandre Gaspar Maia, Ph.D. (@gasparma1a)

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

Epigenomics is a fascinating field in which researchers chart the locations and understand the functions of all chemical tags that mark the genome. The epigenome is the first boundary from the exterior world to our DNA sequence, and it can change dramatically. This episode discusses the state of the art of epigenomics analysis and the epigenome in the context of specific cells. Additionally, it explores the future of epigenomics for individualized medicine and in better understanding genetics of treatment resistance. The guest for this episode is Alexandre Gaspar Maia, Ph.D., an assistant professor in the Functional Genomics Laboratory at Mayo Clinic.

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

Scoliosis: Around The Bend

Host: Edward R. Laskowski, M.D

Guest: Anthony A. Stans, M.D.

The evaluation and treatment of scoliosis is an area that has created some controversy over the years.  Should we be screening kids in school?  When do we brace kids with scoliosis?  And what are the indications for surgery? To help us answer these questions and more, I am delighted to welcome Anthony A. Stans, M.D., a consultant in the Division of Pediatric Orthopedic Surgery with special interest in the treatment of spinal deformity.  He is past Chair of the Mayo Clinic Division of Pediatric Orthopedic Surgery and past Surgeon in Chief for the Mayo Clinic Children’s Center.

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: Neurodegenerative Brain Disease

Guest: Bradley F. Boeve, M.D.

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

Family history is so important in deciphering genetic causes for neurodegenerative disorders. As we study polygenetic situations, we are learning that often it is not just one gene, but the contribution of multiple genes that lead to the presentation of a patient with cognitive or brain function deterioration that occurs at a variable rate. In this episode, we discuss genes and neurodegenerative brain disease, and our guest is Bradley F. Boeve, M.D., a consultant in the Department of Neurology and the Center for Sleep Medicine, as well as a professor of neurology at the Mayo Clinic in Rochester, Minnesota.

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

Psoriasis: Let’s Talk Rash-tionally

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

Guest: Jason C. Sluzevich, M.D.

Psoriasis is a somewhat atypical dermatologic condition which can come and go over time. In many, there may be seasonal effects and in some, psoriasis can have an associated arthritis. It has a characteristic distribution and while it has no cure, there are a variety of established and new treatment options. In this podcast, we’ll review how to diagnose psoriasis, its characteristic appearance, its associated arthritis, and management strategies with Jason C. Sluzevich, M.D., a dermatologist from the Mayo Clinic.

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

Genes & Your Health Edition: Breast Cancer & SNPs- What Are They & What Do We Know?

Guests: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

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

What is precision prevention? As providers, what can we do to best determine who is at high risk for breast cancer, and when to make appropriate decisions about interventions to reduce an individual’s risk for getting breast cancer? In this episode of our Genes & Your Health edition from the Center for Individualized Medicine, we will learn more about breast cancer, breast cancer genes and the role of single nucleotide polymorphisms (SNPs) in breast cancer risk assessment. Our guest is Sandhya Pruthi, M.D., a Mayo Clinic physician in breast disease and a consultant and Professor of Medicine in the Department of General Internal Medicine in Rochester, Minnesota.

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

Helping Your Patients Live Younger Longer

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

Guest: Stephen Kopecky, M.D.

Most of us want to live longer, but we want to live a healthy life and avoid the many health problems associated with growing older. Many of the health issues associated with aging have significant morbidity and have the potential to significantly affect our quality of life. Do we know how to avoid these health problems and stay healthy into our older ages? What should we be advising our patients to help them live younger longer? We’ll discuss these questions with our guest today, Stephen Kopecky, M.D., a preventive cardiologist 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.