Mayo Clinic Talks

Guest: Christopher Camp, M.D. (@ChrisCampMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) The shoulder is unique in both structure and function. Injuries can occur acutely or overtime from wear and tear. If a patient presents with shoulder pain, when do you order imaging? What is role of steroid injections? When should a patient apply ice or apply heat? Dr. Christopher Camp, an orthopedist from Orthopedics and Sports Medicine at the Mayo Clinic joins us to discuss common injuries broken down by age demographic, treatment options, and when you may need to refer to a surgeon. The following topics are discussed: Anatomy of the shoulder joint and what makes it a unique joint. Injuries which commonly occur in both younger and older patients. Review of common pathologic conditions of the shoulder: Rotator cuff injuries Impingement syndrome Bursitis of the shoulder “Frozen shoulder” When a steroid injection of the shoulder is of benefit. When an X-ray or MRI of the shoulder is of benefit in the evaluation of shoulder pain. Benefits of physical therapy in patients with shoulder pain/injuries. The use of heat or cold in treating shoulder pain. When patients should be referred to an orthopedist for evaluation of shoulder pain. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Mayo Clinic Q&A and was recorded in October, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Antiviral drugs are medicines that fight against viruses in the human body by impeding the infection process. Antivirals are commonly used to treat HIV/AIDS, influenza, herpes, and hepatitis B and C. The antiviral, Remdesivir, which was originally developed to fight Ebola, is now being used to treat COVID-19. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how antivirals work to shorten the course of the disease. 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.

Guest: Richard Weinshilboum, M.D. Host: Darryl S. Chutka, M.D. In a similar way to how anesthesia changed the practice of surgery, pharmacogenomics will produce a similar change in how we prescribe medications. Listen in to world-renowned expert Dr. Richard Weinshilboum discuss the evolution of the field and how advances are accelerating its application at the bedside. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Patrick G. Dean, M.D. Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Transplants are identified as nonelective surgeries, and transplant patients have faced urgent medical needs during the COVID-19 pandemic. "Our practice, like many others across the country, did slow down in March and April of this year," says Dr. Patrick Dean, a Mayo Clinic transplant surgeon. "Patients and providers were concerned ― appropriately so ― about what would happen with this pandemic and whether it would be safe to have a transplant or for that matter any health care that wasn't absolutely emergent." In this Mayo Clinic Q&A podcast, Dr. Dean talks about taking care of transplant patients; overcoming surgery challenges during the pandemic; the increased risks transplant patients have of developing SARS-CoV-2, the virus that causes COVID-19, because of compromised immune systems; and the important need for COVID-19 testing. 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.

Guest: Eoin Flanagan, M.B., B.Ch. (@EoinFlanagan14) Host: Darryl S. Chutka, M.D. (@ChutkaMD) This episode will review the following topics regarding Multiple Sclerosis (MS): Common presenting symptoms Risk factors, including the association of MS and vitamin D Typical pathologic changes found in patients The difference between the relapsing and progressive forms of MS Laboratory and imaging studies which are helpful in confirming a diagnosis Established and new treatment options available Available useful resources for patients with MS: Mayo Clinic website on Multiple Sclerosis National MS Society Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. Guest: Angela C. Mattke, M.D. (@DrAngelaMattke) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) The COVID-19 pandemic continues to create challenges, including returning to school with hybrid learning modules for children. There are also anxieties and uncertainties to navigate, while trying to follow COVID-19 guidelines. In this "Mayo Clinic Q&A" podcast, Dr. Angela Mattke, a Mayo Clinic pediatrician and host of #AskTheMayoMom, talks about the concerns her patients have, and what important things parents and caregivers should take into consideration when helping children stay healthy. 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.

This episode is shared from Mayo Clinic Q&A and was recorded on September 14, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Danielle Stiepan Once a vaccine to prevent COVID-19 is approved, there will be logistics to consider. For example, who will receive the vaccine first, and how can the supply chain safely deliver the vaccine to 330 million Americans and potentially more than 7 billion people worldwide? In addition, multiple vaccines may be brought to market within weeks to months of each other, confusing consumers. On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains the challenges of rolling out a COVID-19 vaccine. 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.

Guest: Bithika M. Thompson, M.D. Host: Darryl S. Chutka, M.D. Dr. Bithika Thompson discusses the recognition and treatment of pre-diabetes, individualizing glycemic control goals for patients based on a series of variables, and recent advances in technology for monitoring that help to decrease the burden of care. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To register for notification when the 94th Annual Clinical Reviews Course opens visit: https://mayocl.in/2GvecAd Guest: Stephen L. Kopecky, M.D. With underlying cardiovascular disease as the most lethal comorbidity to have in association with COVID-19, what have we learned about how SARS-CoV-2 affects the heart and what correlation is seen between patients with cardiometabolic disorders and preventative health measures? Dr. Stephen Kopecky shares lessons learned for all cardiologists, all caregivers, and all patients. “The cardiovascular risk profile that we use from the American College of Cardiology, from the American Heart Association, looks at hypertension, looks at smoking, looks at diabetes, and looks at lipids. That risk profile predicts cardiovascular complications. So it not only predicts disease but it predicts the complications of COVID infection.” 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.

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, covers the latest news on the COVID-19 pandemic. Dr. Poland gives an update on progress towards a vaccine for COVID-19, discusses therapies for treating the virus and shares research on how effective face masks and physical distancing are in fighting the spread of the disease. 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.

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Craig N. Sawchuk, Ph.D., L.P. (@CraigSawchukPhD) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) The start of a new school year is always a time that’s filled with excitement and anxiety. This year, COVID-19 is making back to school even more challenging for kids, teachers and parents. Whether in person, online or a hybrid approach, this school year will be different for students and staff. How can you and your child have a healthy mindset for this school year? On the Mayo Clinic Q&A podcast, Dr. Craig Sawchuk, chair of the Division of Integrated Behavioral Health at Mayo Clinic, shares helpful tips and strategies to be resilient and handle the challenges of a school year during the COVID-19 pandemic. 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.

This episode is shared from Mayo Clinic Q&A and was recorded in August, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD) Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) Whether in person, online or a hybrid model of education, families and school districts are planning for how to safely teach students during the COVID-19 pandemic. No matter which plan is chosen by communities, this school year will be challenging. On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious disease specialist at Mayo Clinic, discusses how students, teachers and staff can use public health measures already in place to minimize the risk of exposure to the virus and reduce community spread of COVID-19. 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.

Guest: Alison J. Bruce, M.B., Ch.B. & Shane A. Shapiro, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Androgenic alopecia can have a significant impact on women across a spectrum of age. The psychological and social impact of hair thinning and hair loss can significantly decrease quality of life. Dr. Alison Bruce breaks down different types of hair loss, who’s a candidate, and new therapies on the horizon. Dr. Shane Shapiro will discuss the application of regenerative medicine to this condition and how platelet rich plasma has demonstrated efficacy at regrowing hair. Deeper Dive: A Randomized, Controlled Pilot Trial Comparing Platelet-Rich Plasma to Topical Minoxidil Foam for Treatment of Androgenic Alopecia in Women doi: 10.1097/DSS.0000000000002168 Episode transcript: https://mcdn.podbean.com/mf/web/d545pv/Ep_185-Regenerative_Medicine_Takes_on_Hair_Loss.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Answers from the Lab and was originally published June 30, 2020. Guest: John R. Mills, Ph.D. Host: Bobbi S. Pritt, M.D. (@ParasiteGal) John Mills, Ph.D., is the co-director of the Neuroimmunology Laboratory at Mayo Clinic and the scientist who oversaw the development and validation of the new neutralizing antibody assay. Today he joins us to explain what the neutralizing antibody assay is, why it is different than other COVID-19 tests, and the science and innovation behind these efforts. 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.

This episode is shared from Answers from the Lab and was originally published June 25, 2020. Guest: William G. Morice, II M.D., Ph.D. (@moricemdphd) Host: Bobbi S. Pritt, M.D. (@ParasiteGal) William Morice, II, M.D., Ph.D., Chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic and President of Mayo Clinic Laboratories, joins the Answers from the Lab podcast for his weekly leadership update. In this episode, Dr. Morice discusses the future of testing for COVID-19, predicting who would be at the highest risk for severe disease, and challenges with existing diagnostics. 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

Guest: Daniel B. Saris, M.D., Ph.D. (@sarisnl) Host: Darryl S. Chutka, M.D. (@ChutkaMD) With over 12 million outpatient visits annually in association with knee pain, it’s a common presentation in primary care. Dr. Daniel Saris discusses what questions we should be asking our patients, when to order imaging studies, and the common causes of pain broken down by age demographic. He’ll also discuss stem cell therapy, who is a good candidate, and who isn’t. Episode transcript: https://mcdn.podbean.com/mf/web/cjj292/Ep_183-Sorting_Out_Knee_Pain_and_Treatment_Opportunities.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Answers from the Lab and was originally published June 16, 2020. Guest: Elitza Theel, Ph.D. (@ElliTheelPhD) Host: Bobbi S. Pritt, M.D. (@ParasiteGal) Elitza Theel, Ph.D., Laboratory Director of the Infectious Diseases Serology Laboratory at Mayo Clinic, led the efforts to evaluate and implement the serologic antibody test for COVID-19. She gives an overview of Mayo Clinic’s COVID-19 antibody test, as well as the role of antibody testing during the pandemic, and how sensitivity, specificity, and prevalence play a large role in the positive predictive value of a test. 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

This episode was recorded August 6, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Lisa A. McGee, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What are population centered care and health? How do we best use rationed resources within our health care system to most effectively meet these needs? Dr. Lisa McGee discusses the Science of Health Care Delivery, the impact mass media messages have had on the current COVID-19 pandemic, and how we can use the information we have about population centered health to address key influential components of SARS-CoV-2’s continual spread. Suggested Readings: The effect of public health measures on the 1918 influenza pandemic in U.S. cities https://doi.org/10.1073/pnas.0611071104 Public health interventions and epidemic intensity during the 1918 influenza pandemic https://doi.org/10.1073/pnas.0610941104 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.

This episode was recorded on June 26, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Novel viruses causing outbreaks tend to do one of three things: disappear completely, become endemic in certain areas, or roll through populations with ongoing transmission until herd immunity is achieved or an effective vaccine is developed. Dr. Pritish Tosh states, “If natural infection doesn’t cause long-lasting protective immunity or the vaccines don’t do the same, this thing could be with us for a long time.” Take a walk through the past 100 years of pandemics as Dr. Tosh draws comparisons and lessons learned. The Economist - The Grim Calculus https://www.economist.com/leaders/2020/04/02/covid-19-presents-stark-choices-between-life-death-and-the-economy 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.

This episode was recorded on June 26, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Pritish K. Tosh, M.D. (@DrPritishTosh) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) “Everybody has a plan until they get punched in the mouth.” - Mike Tyson Thin margins and economies of scale help lower costs but can create significant vulnerabilities. Often calculations of lives lost in the event of a shortage or costs to stockpile may not be factored in when sourcing supplies. Healthcare supply chain practices over decades have lead to significant weak points in our supply chains for some vital materials and we often have no view of this until it’s too late. 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.

This episode was recorded June 25, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Kenneth G. Poole, Jr. M.D., M.B.A. (@KPooleMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Black, Latino, and Native American populations have been disproportionately affected by COVID-19. Underlying health inequities have been a major contributor. Dr. Kenneth Poole discusses social determinants of health and how these combined with systemic racism, predating COVID-19, laid the groundwork for the suffering we’re seeing unfold. What can we do to address it effectively? COVID-19 and African Americans - Clyde Yancy https://jamanetwork.com/journals/jama/fullarticle/2764789 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.

This episode was recorded May 19, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Sidna M. Tulledge-Scheitel, M.D., M.P.H. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) The COVID-19 pandemic has caused waves of care disruption for people around the world. What patient populations have faced unique risks? What signs of impact from the temporary restriction of medical outpatients services are we seeing? Dr. Tulledge-Scheitel shares what’s being seen at Mayo Clinic, what she anticipates we’ll be seeing in the coming months, and what she’d do should this need arise again in the future. 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.

This episode was recorded June 17, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: J. Taylor Hays, M.D. (@jtaylorhays), Robert Vassallo, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Is the act of smoking a risk factor for transmission? Does nicotine protect against severe COVID-19? Dr. Hays and Dr. Vassallo discuss what is currently known about the risks of smoking in regard to COVID-19 and treatment of patients who smoke, during the pandemic. 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.

This episode was recorded June 17, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: J. Taylor Hays, M.D. (@jtaylorhays), Robert Vassallo, M.D. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Is smoking a risk factor for severe disease in COVID-19? How accurate is the documentation of smoking in COVID-19 cohorts currently published? What role should a smoking history play in the prognosis and management of COVID-19? Drs. Hays and Vassallo discuss the prevalence of smoking worldwide, the impact of documentation, and the role smoking may play in COVID-19. 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.

This episode was recorded on May 13, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: David J. Rosenman, M.D. (@davidrosenman) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) “At a time when most of the world in one way or another is suffering, it seems relevant to talk about ways to relieve some of that suffering and to help.” Studies have shown that patients value empathy over sympathy, and compassion over empathy. While measures to protect ourselves and understand the spread of COVID-19 and the clinical presentation of the disease are underway, the inconsistency of information across sources brings greater uncertainty for our patients and at times ourselves. Dr. Rosenman discusses what compassion is and the importance of compassion as a tool to help us and our patients, feel better mentally and physically. He recommends practicing self-compassion and will step through the practices of self-kindness, common humanity, and mindfulness. 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.