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Mayo Clinic Talks

Timely consultations relevant for family medicine, primary care, and general internal medicine topics for physicians, nurse practitioners, physician assistants, and residents. Offering CME credit for most episodes at https://ce.mayo.edu/podcast. Produced by @MayoMedEd.

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Dementia: Things You Shouldn’t Forget

Guest: Richard J. Caselli, M.D.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research.  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

26mins

2 Apr 2019

Rank #1

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Dermatologic Conditions for the Primary Care Provider

Guest: Mark Denis P. Davis, M.D.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it?  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

25mins

27 Aug 2019

Rank #2

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Fad Diets

Guest: Donald D. Hensrud, M.D., M.S., M.P.H. (@DonaldHensrudMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD)  It’s estimated that approximately 70% of Americans are either overweight or obese. Obesity in the United States is a major health issue, resulting in an increased risk of coronary artery disease, type 2 diabetes, and stroke. It also carries significant economic costs. As a result, the diet industry is booming. It’s thought that the weight loss industry has over $20 billion in annual revenue. Some diets are legitimate, while others are not only ineffective but may be dangerous to one’s health. To help us sort out diets and weight loss, we’re joined by nutrition expert Dr. Donald Hensrud, a Mayo Clinic physician in Preventative Medicine. He is also the medical director for the Mayo Clinic Healthy Living Program here in Rochester and editor in chief of two books on dieting, The Mayo Clinic Diet and The Mayo Clinic Diabetes Diet. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

24mins

2 Oct 2018

Rank #3

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COVID-19 Miniseries Episode 1: How to Respond and What the Numbers Really Mean

Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine Conference Speaker: Pritish K. Tosh, M.D. (@DrPritishTosh) Dr. Pritish Tosh, a Mayo Clinic infectious disease, emergency preparedness, pandemic planning, and biodefense expert; gives a concise overview of the 2019 novel coronavirus (2019-nCoV) and what the numbers really mean. Want to attend live next year? https://ce.mayo.edu/internal-medicine/content/33rd-annual-selected-topics-internal-medicine-2021 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Click here to claim credit: https://ce.mayo.edu/covid19podcast Deeper Dive: For the most Up-To-Date COVID-19 information visit: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

10mins

31 Jan 2020

Rank #4

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Exercise is Medicine, But Are We Taking It?

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old; N Engl J Med 2006; 355:763-778 DOI: 10.1056/NEJMoa055643 https://www.nejm.org/doi/full/10.1056/NEJMoa055643?query=recirc_curatedRelated_article Physical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019 http://dx.doi.org/10.1136/bjsports-2018-099254

27mins

31 Dec 2019

Rank #5

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COVID-19 Miniseries Episode 2: 2019 Novel Coronavirus (2019-nCoV): What You Need to Know

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Justin D. Kreuter, M.D. (@KreuterMD) In a special crossover episode from Mayo Clinic Lab Medicine Rounds, Dr. Justin Kreuter discusses what we know so far, what clinicians should be looking for, and what this means for lab testing with Dr. Matthew Binnicker. Time Stamps 00:00 Podcast Intro 00:41 What do we know so far about the novel coronavirus? 02:35 How does this novel coronavirus stack up to influenza? 04:35 Is there still value in getting your flu shot now (this year) if you haven’t gotten it yet? 05:08 Where should people go to get the latest and best information related to the novel coronavirus? 06:36 What should the health care provider be looking for related to the novel coronavirus? 08:18 I’m glad you mentioned the incubation period, is that something we know with this novel coronavirus? 09:15 What do the laboratorians need to have in mind and what does this mean for the hospital clinical labs? 10:50 So, people can test positive for the coronavirus without having this specific novel coronavirus strain? 12:02 So if somebody sent a sample down to a clinical lab, and I was truly positive for the novel coronavirus, I could have a negative result? 12:45 Can you elaborate on when a physician should pick up the phone relative to the new novel coronavirus outbreak? 14:43 Is there a risk to laboratory personnel for the infection to spread when they are handling the samples? 15:20 When should we be suspecting this novel coronavirus? 16:03 What should someone do if they suspect their patient has novel coronavirus? 16:33 As this is an evolving outbreak, where should folks go for the latest information? WHAT IS LAB MEDICINE ROUNDS? A Mayo Clinic curated podcast for physicians, laboratory professionals, and students; hosted by Dr. Justin Kreuter (the Bow Tie Bandit of Blood) and featuring trending topics from subject-matter experts. Subscribe to Lab Medicine Rounds at: https://podcasts.apple.com/us/podcast/lab-medicine-rounds/id1478310691 For feedback and suggestions email MCLEducation@mayo.edu Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To claim credit click here: https://ce.mayo.edu/covid19podcast Deeper Dive: For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

18mins

31 Jan 2020

Rank #6

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Varicose Veins and Venous Insufficiency

Guest: Thom W. Rooke, M.D.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Varicose veins are common, and become more common with advance in age. Fortunately, in most cases they’re asymptomatic, but in some cases can cause symptoms and occasionally serious health problems. Today we’re joined by Dr. Thom Rooke, a vascular specialist at Mayo Clinic’s Vascular Center and specialist in peripheral artery disease, varicose veins, and sclerotherapy. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

22mins

9 Oct 2018

Rank #7

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Recent Updates in the Management of Hyperlipidemia

Guest: Stephen L. Kopecky, M.D.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia.  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  Deeper Dive: 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines http://www.onlinejacc.org/content/early/2018/11/02/j.jacc.2018.11.003 Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia https://www.nejm.org/doi/full/10.1056/NEJMoa1812792

22mins

25 Jun 2019

Rank #8

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Mayo Clinic Q&A: Inflection Point

This episode is shared from Mayo Clinic Q&A and was recorded on March 19, 2020. Guest: Greg Poland, MD Host: Tom Shives, MD and Tracy McCray Have we acted sufficiently to flatten the curve? When will we know? What does effective safe isolation look like? Infectious diseases expert Dr. Gregory Poland, a Mayo Clinic infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, answers new questions on COVID-19. How are we as a nation faring? What do you do when someone in your house is sick?  Dr. Poland discusses preventive measures to stop the spread of the virus, what to do if you do get sick, and the potential for effective treatments and a vaccine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

21mins

20 Mar 2020

Rank #9

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Risks and Benefits of Coffee

Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester and Dr. Donald Hensrud, a physician in Preventative Medicine and the medical director for the Mayo Clinic Healthy Living Program in Rochester, Minnesota discuss the risks and benefits of drinking coffee.

11mins

17 Apr 2018

Rank #10

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COVID-19 Miniseries Episode 3: Inside an Outbreak – Expert Perspective

Guest: Colin M. Bucks, M.D. Host: Amit K. Ghosh, M.D. “I think that fear can be valuable…we’re at a time when it’s just fine to be fearful if it provokes you to vigilance and discipline…You’re disciplined because you’re afraid, that keeps you sharp, but panic is dangerous. I don’t mind fear, panic is dangerous.” - Colin M. Bucks, M.D. What is it like in the field during an outbreak? What global response lessons have we learned from SARS and Ebola? Dr. Colin Bucks discusses how access to information accelerates response time in present day outbreaks and the role public education, infrastructure, disparities, and access to supplies, plays in helping to contain one. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. To claim credit click here: https://ce.mayo.edu/covid19podcast For the most up to date COVID-19 (Novel 2019 Coronavirus) information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 Other Resources mentioned in the episode: Ontario The SARS Commission: Spring of Fear http://www.archives.gov.on.ca/en/e_records/sars/report/index.html Lancet Infectious Diseases - Immunogenicity of chimeric haemagglutinin-based, universal influenza virus vaccine candidates: interim results of a randomised, placebo-controlled, phase 1 clinical trial https://doi.org/10.1016/S1473-3099(19)30393-7

39mins

31 Jan 2020

Rank #11

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Treating Musculoskeletal Pain: The Role of Platelet-Rich Plasma Injections and Stem Cell Therapy

Guest: Jacob L. Sellon, M.D. (@jlsellon) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Jacob Sellon discusses advances in treatment of musculoskeletal pain and osteoarthritis, covering common questions about platelet-rich plasma and stem cell injections. Do they work? What’s the efficacy demonstrated in literature so far? What are the benefits and risks we need to discuss with our patients? What is FDA compliant versus FDA approved treatment and how does this influence insurance coverage and care management? Where does regenerative medicine research need to go? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

21mins

29 Jan 2019

Rank #12

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Insomnia and Best Practices for Management: A Sleep Specialist's Approach

Guest: Michael H. Silber, M.B., Ch.B.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. Insomnia is common and medications to help us sleep are extremely popular, but are they effective and are they safe? To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

16mins

18 Dec 2018

Rank #13

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Exercise is Medicine: Adding Years to Life and Life to Years

Guest: Robert Scales, Ph.D., M.S.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  We’ve all heard this many times “Exercise is good for you.” We know we should all participate in some form of exercise and we commonly recommend exercise to our patients. We’re very busy, our patients are very busy. So how do we develop a regular exercise program that we can adhere to and how do we get our patients to realize the benefits they can achieve with exercise? To help answer these questions, we have with us today Dr. Robert Scales, an exercise physiologist and director of Cardiac Rehabilitation & Wellness at Mayo Clinic, Arizona. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

24mins

1 Jan 2019

Rank #14

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Mayo Clinic Q&A: The Critical Role of Respiratory Therapists

This episode was recorded in April, 2020. Guest: Daniel A. Diedrich, M.D. Host: Halena M. Gazelka, M.D. (@hmgazelkamd) COVID-19 was first identified late last year with a cluster of pneumonia cases caused by a new coronavirus. The COVID-19 disease process heavily affects the respiratory system, and patients often need oxygen support. The respiratory therapist plays a critical role in managing oxygen levels, placing breathing tubes, and managing the mechanical ventilator, when necessary. On the Mayo Clinic Q&A podcast, Dr. Daniel Diedrich, a Mayo Clinic anesthesiologist and critical care physician, discusses the role of the respiratory therapist from the time a patient presents with COVID-19 all the way through that patient's discharge. AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

16mins

29 Apr 2020

Rank #15

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COVID-19 Miniseries Episode 14: An Overview of Pulmonary Critical Care for COVID-19 Patients

This episode was recorded on April 15, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest:  Alexander S. Niven, M.D. (@niven_alex)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)  When a patient presents with dyspnea how can we reliably predict who will progress to respiratory failure? How can phenotypes of disease progression be utilized for optimizing selection of treatment modalities? Dr. Alex Niven discusses Fleischner Society recommendations for imaging as a COVID-19 screening tool, cytokine storm, ventilator-associated lung injury, post-ICU care syndrome, and humanity in critical care. Deeper Dive: Mayo Clinic COVID-19 Resources for Providers https://www.mayoclinic.org/medical-professionals/provider-relations/covid-19-resources-for-providers Fleischner Society GuidelinesRubin G, Haramati L, Kanne J, et al. The role of chest imaging in patient management during the COVID-19 pandemic: A multinational consensus statement from the Fleischner Society. Radiology. 2020 April 07; p.201365. https://doi.org/10.1148/radiol.2020201365 The Berlin DefinitionThe ARDS Definition Task Force. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):2526–2533. doi:10.1001/jama.2012.5669 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

53mins

16 Apr 2020

Rank #16

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Mayo Clinic Q&A: How Does SARS-CoV-2 Make People Sick?

This episode is shared from Mayo Clinic Q&A and was recorded on March 31, 2020. Guest:  Gregory Poland, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) A novel coronavirus is a new strain that has not been seen before in humans. SARS-Co-V2 is a novel virus, causing the disease COVID-19. Because COVID-19 is a new disease, much is still being learned about how it spreads and the severity of illness it causes.  On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, infectious disease expert and head of Mayo Clinic’s Vaccine Research Group, explains the science behind how the virus makes people sick, and what the virus does to the body. Dr. Poland will also discuss the latest information on clinical trials and vaccine research to fight the disease outbreak. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

19mins

31 Mar 2020

Rank #17

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Thrombotic Disease and Its Treatment

Guest: Matthew A. Bartlett, M.B., B.Ch., B.A.O.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease.  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

21mins

9 Jul 2019

Rank #18

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Opioid Edition 10: Side Effects Management

Guest: Molly A. Feely, M.D. (@mollyfeelymd) Host: Tracy McCray Episode 10 of 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects.  Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota. Episode transcript: https://mcdn.podbean.com/mf/web/gt8znj/Ep_27-Opioid_Edition_10_Side_Effects_Management.pdf

26mins

10 Apr 2018

Rank #19

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How to Lower Lipids Without a Prescription Pad

Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses non-pharmacological treatment of hyperlipidemia, and which diets can improve the lipid profile. Dr. Kopecky also explains how nutritional supplements, exercise, and weight loss can help lower LDL cholesterol levels.

18mins

31 Jul 2018

Rank #20