Mayo Clinic Talks

Host: Christopher L. Camp, M.D. Guest: Mary Ann Djonne, M.Ed. Most of us have heard the term “Emotional Intelligence,” and we understand that it’s generally important to our happiness and interpersonal relationships. However, most of us aren’t able to define it precisely or understand the key components that make it up. While many may think they do a good job of evaluating the emotional intelligence of others, it can be quite difficult to objectively evaluate our own levels of emotional intelligence. Once we better understand our own emotional intelligence, then comes the very challenging task of trying to improve it in a meaningful way. All of this can seem quite daunting, so we are going to help with that. The three big questions we will tackle in this episode are: 1) What exactly is “Emotional Intelligence”? 2) What are the benefits and why should I make it a priority to improve my Emotional Intelligence? 3) What are the actual steps I can take to maximize my own Emotional Intelligence? To help us answer these questions, my guest today is Mary Ann Djonne, Professional Certified Executive Coach and Senior Advisor in Work Force Learning at Mayo Clinic. Learn more about The Human Optimization Project: Mayo Clinic Talks: Human Optimization | Mayo Clinic School of Continuous Professional Development X: @MayoHumanOpProj Instagram: @Mayo_Human_Op_Prog Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Christopher L. Camp, M.D. Guest: Andrea Hayden MS, RSCC - Sports Performance Coach Description: The amount of “exercise” information, recommendations, plans, and opinions out there is greater than it’s ever been. Although our increasing knowledge is generally helpful, it’s easy to get lost in the rapidly evolving sea of information. This is particularly true because much of the information we hear is contradictory, and many people claim to have the perfect (and only) answer for us. Our goal for today is to help you cut through all of this noise and focus on what you really need to know to establish a successful workout routine for yourself. The three big questions we will tackle in this episode are: 1) What is meant by an “ideal” or “optimal” workout plan? 2) How do I make sense of all the exercise recommendations out there? 3) What do I need to do to create an ideal exercise routine for my needs? To help us answer these questions, my guest today is the Head Sports Performance Coach for the Minnesota Lynx WNBA Basketball Team, Andrea Hayden MS, RSCC. Learn more about The Human Optimization Project: Mayo Clinic Talks: Human Optimization | Mayo Clinic School of Continuous Professional Development X: @MayoHumanOpProj Instagram: @Mayo_Human_Op_Prog Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Christopher L. Camp, M.D. Being a healthcare clinician is an extremely rewarding occupation, but it can be stressful. Every year, we’re asked to do more and more, the patients seem to get more challenging, and we get less time to spend with each one. A significant number of clinicians report emotional and psychological distress, and burnout remains a major problem in healthcare providers. This increased stress and pressure is not just unique to physicians, and these struggles are common for all of us, regardless of career or position. How do we remain in an optimally functioning state? Does our physical health affect our cognitive function? Given the obstacles we face, how do we continue to achieve joy and happiness in our work and our life while continue to meet the ever-growing demands of the world? These are questions my guest is hoping to answer in a project he’s about to undertake on “Human Optimization”. My guest for this podcast is Christopher L. Camp, M.D., an orthopedic surgeon and sports medicine specialist at the Mayo Clinic. We’re going to discuss his project and why he decided to tackle this important topic. Learn more about The Human Optimization Project: Mayo Clinic Talks: Human Optimization | Mayo Clinic School of Continuous Professional Development X: @MayoHumanOpProj Instagram: @Mayo_Human_Op_Prog Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Carrie L. Langstraat, M.D. It’s estimated that up to 10% of women in the U.S. will develop an adnexal mass at some point in their life. Whereas most adnexal masses are gynecologic in origin, they may also represent disease of the urinary or GI system. Although adnexal masses may produce symptoms, when present, they tend to be subtle and non-specific. What questions should we be asking our patients with an adnexal mass to help determine its cause? What components of the physical exam may be useful in the evaluation and what tests should we order to further characterize adnexal masses? These are questions I’ll be asking our guest for this podcast as we discuss “The Evaluation and Management of Adnexal Masses”. My guest is Carrie L. Langstraat, M.D., from the Department of Obstetrics and Gynecology at the Mayo Clinic. Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Thomas C. Gerber, M.D., Ph.D. Like an automobile engine, our heart runs longer and better when it’s well cared for. In our last podcast, we reviewed the various lifestyle changes our patients can make which benefit the heart and keep it healthy. We’re going to continue that discussion in this podcast and concentrate on the pharmacologic options we have available. Which statin should we use? How do we manage the statin intolerant patient? Does Co-Q10 give benefit? These are questions I’ll be asking my guest, Thomas C. Gerber, M.D., Ph.D., a preventive cardiologist from the Department of Cardiovascular Diseases at the Mayo Clinic as discuss “Pharmacologic Options to Maintain a Healthy Heart.” For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Thomas C. Gerber, M.D., Ph.D. The heart is an amazing organ. At rest, the average heart beats approximately 4500 times per hour, slightly over 100,000 times per day. It’s quite a reliable organ and unlike our kidneys, lungs and eyes, we only have one heart. We expect a lot from it, if it stops working for even a minute, everything else in our body shuts down. Like an automobile engine, it runs longer and better if it’s well cared for. What can we recommend to our patients and what can we do for ourselves to keep the heart healthy? My guest for today’s podcast is Thomas C. Gerber, M.D., Ph.D., a preventive cardiologist from the Department of Cardiovascular Diseases at the Mayo Clinic and we’re going to discuss preventive strategies to maintain a healthy heart. For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Jeffrey B. Geske, M.D. Hypertrophic cardiomyopathy affects 1 in 500 adults or about 600,000 individuals in the U.S. and represents the most common inherited cardiomyopathy. It often goes undetected, and it’s estimated that about 85% of those with the condition remain undiagnosed. HCM can produce a variety of symptoms, the most serious being sudden death. The topic for this podcast is Hypertrophic Cardiomyopathy. What are the clues that might make us suspect a patient has HCM and how should we confirm the diagnosis? Are we able to prevent sudden death in patients with the condition and finally, what is the most effective treatment? I’ll asking these questions of my guest, Jeffrey B. Geske, M.D., from the Department of Cardiovascular Diseases at Mayo Clinic. For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Francisco Lopez-Jimenez, M.D., M.S. Heart disease is the leading cause of death in the United States as well as globally. It’s estimated that over 700,000 individuals in the U.S. die annually from some form of cardiac conditions, most often coronary heart disease. Cardiac rehabilitation is often recommended to our patients who have a variety of cardiac health problems, and it’s intended to improve this mortality rate. But what exactly is cardiac rehabilitation? Who’s a candidate for it? Who’s qualified to supervise a cardiac rehab program and has it been proven to reduce mortality? I’ll be getting answers to these questions as we discuss “Cardiac Rehabilitation”. My guest for this podcast is Francisco Lopez-Jimenez, M.D., M.S., a preventive cardiologist from the Department of Cardiovascular Diseases at the Mayo Clinic. For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Sandra J. Taler, M.D. Hypertension is an extremely common health problem, affecting at least half of all adults in the United States. Since it’s typically asymptomatic, a significant number of individuals are unaware that they have the condition. In those who are aware of the diagnosis, the majority have blood pressures that are not adequately controlled. Once we’ve established that a patient has hypertension and needs treatment, how should we start? What are effective lifestyle changes? When is pharmacologic therapy indicated and what are the recommended medications for the initial management of hypertension? We’ll be discussing these topics and more as we review the topic “Lowering Blood Pressure”. My guest for this podcast is nephrologist and hypertension specialist Sandra J. Taler, M.D., from the Mayo Clinic. For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Sharonne N. Hayes, M.D. We tend to think of heart disease as a health problem for men, yet it’s the leading cause of death for women in the United States and is responsible for over 1/3 of all deaths in women each year, more than all malignancies combined. Women tend to have more atypical symptoms and often delay seeking help when they have symptoms. As clinicians, we need to realize that we commonly underdiagnose heart disease in women. How do the symptoms of heart disease differ in women compared to men? Do women have different cardiovascular disease risk factors than men? And as health care clinicians, what do we need to do to be more aware of heart disease in our female patients? I’ll be asking these questions of my guest for this podcast as we discuss “Heart Disease in Women”. My guest is Sharonne N. Hayes, M.D., a cardiologist at the Mayo Clinic. For more information on heart health, check out Mayo Clinic Talks: Heart Health | Mayo Clinic School of Continuous Professional Development Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Darryl S. Chutka, M.D. Guest: Chris R. Stephenson, M.D., M.H.P.E. Some patients about to have a surgical procedure will have a preoperative assessment completed by the anesthesiologist on the day of the surgery. However, in many cases, patients are having an evaluation at a perioperative clinic, well prior to their procedure. Although this results in an additional visit for the patient, there are advantages to this approach. Benefits include improvements in hospital efficiency, cost savings from shorter hospital stays and more appropriate use of laboratory tests. So, what does a perioperative assessment consist of? Do they assist the surgeon in their postoperative management of the patient, and does it result in better clinical outcomes? This podcast will address the perioperative medical assessment, and these are some of the questions I’ll be asking my guest, Chris R. Stephenson, M.D., M.H.P.E., from the Division of General Internal Medicine at the Mayo Clinic. Connect with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Rosanne M. Boser and Jonathan L. Verhelst, CFP(R) Financial solvency and independence are relevant for all individuals, though physicians have unique aspects to financial health due to a long training period, education expenses, and lack of formal financial instruction. On today’s podcast, we discuss the most common conundrums physicians face regarding financial literacy and financial well-being. Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Rosanne M. Boser and Jonathan L. Verhelst, CFP(R) Financial solvency and independence are relevant for all individuals, though physicians have unique aspects to financial health due to a long training period, education expenses, and lack of formal financial instruction. On today’s podcast, we discuss the most common conundrums physicians face regarding financial literacy and financial well-being. Be sure to listen to Part 2 of this topic airing this Thursday, January 23, 2025! Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Sophie J. Bakri, M.D., Amy S. Oxentenko, M.D. and Charanjit S. Rihal, M.D. Healthcare takes a village, not only to care for patients, but also to maximize one’s potential as a physician. On today’s podcast, we will discuss the importance of mentorship and sponsorship for professional and personal growth and success. Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Sophie J. Bakri, M.D., Amy S. Oxentenko, M.D. and Charanjit S. Rihal, M.D. Healthcare takes a village, not only to care for patients, but also to maximize one’s potential as a physician. On today’s podcast, we will discuss the importance of mentorship and sponsorship for professional and personal growth and success. Stay tuned as Part 2 of "Mentorship and Sponsorship" releases this Thursday, January 16, 2025! Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Deborah J. Lightner, M.D. and Edward T. Creagan, M.D. A career in medicine is rewarding and challenging. It is imperative physicians are prepared to transition to life beyond medicine as they consider retirement. In this episode of our series, "Life as a Physician", we will discuss the transition to retirement, life after retirement, and how it impacts one’s personal and professional life. Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Hosts: Sanj Kakar, M.D. and Dawn Marie R. Davis, M.D. Guests: Deborah J. Lightner, M.D. and Edward T. Creagan, M.D. A career in medicine is rewarding and challenging. It is imperative physicians are prepared to transition to life beyond medicine as they consider retirement. In this episode of our series, "Life as a Physician", we will discuss the transition to retirement, life after retirement, and how it impacts one’s personal and professional life. Stay tuned as Part 2 of "Retiring Gracefully: Life After Medicine" releases on Thursday, January 9, 2025! Learn more at https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Jacob K. Dey, M.D. Bell’s Palsy typically causes acute unilateral weakness of the facial muscles. Although it can occur at any age, Its most common in middle age and older adults. It tends to occur more often in females, especially during pregnancy. Although most cases resolve with time, treatment is available and recommended. The topic of this podcast is Bell’s Palsy, and my guest is Jacob Dey, M.D., a facial plastic surgeon in the Division of Facial Plastic & Reconstructive Surgery in the Department of Otolaryngology/Head & Neck Surgery at the Mayo Clinic. We’ll discuss the pathophysiology of Bell’s Palsy, the typical course of the illness, it’s potential complications and the various treatment options. Connect with the Mayo Clinic Talks Podcast HERE

Host: Darryl S. Chutka, M.D. Guest: Scott D. Eggers, M.D. Today, we're airing a popular episode from Season 2 of Mayo Clinic Talks! Happy Holidays! The complaint of dizziness is a common symptom our patients experience. It has a variety of causes; fortunately, most of them are benign. Despite the fact we frequently see patients with this medical concern, we still struggle evaluating them. Part of the difficulty is that dizziness means different things to different people and the cause of dizziness can be caused by disorders in one of several organ systems. To help us evaluate dizziness, Dr. Scott Eggers, a neurologist at the Mayo Clinic, reviews why dizziness is so difficult to evaluate and how we should evaluate a patient who complains of dizziness. We also explore the most common causes of dizziness including benign positional vertigo and vestibular neuritis. Finally, Dr. Eggers reviews symptoms that are suspicious for an ominous cause of dizziness. To listen to Part 2: https://www.podbean.com/pu/pbblog-5t26h-585902 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. (@ChutkaMD) Guest: Jana Al Hashash, M.D., M.S. Crohn’s Disease is an inflammatory bowel disease, but on occasion, it can involve much more than the bowel. The disease can affect any part of the digestive tract, from the mouth to the anus. It’s estimated that more than half a million people in the U.S. have Crohn’s disease and over time, it’s become more common, not only in the U.S., but in other parts of the world as well. It can result in a variety of complications and also results in an increased risk of colon cancer. The topic for this podcast is Crohn’s Disease and my guest is Jana Al Hashash, M.D., M.S., from the Division of Gastroenterology and Hepatology from the Mayo Clinic in Jacksonville, Florida. We’ll be discussing the typical presenting symptoms of Crohn’s, the recommended evaluation of a patient with suspected Crohn’s and the current treatment options. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Aaron M. Potretzke, M.D. Today, we're airing a popular episode from Season 2 of Mayo Clinic Talks! Happy Holidays! Microscopic hematuria, and less commonly gross hematuria, are conditions commonly seen by the primary care provider. Malignancy is the most ominous cause of hematuria. Fortunately, other causes are much more likely. Since this is a relatively common health condition, when should we investigate hematuria and what should the evaluation consist of? How do we evaluate a patient’s risk for urinary tract malignancy? Dr. Aaron Potretzke, a urologist at Mayo Clinic, joins us to discuss these questions. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Terry D. Schneekloth, M.D. According to the National Institute on Alcohol Abuse and Alcoholism, there’s a significant increase in alcohol consumption during holidays. Christmas and New Years are times of celebration and alcohol use is often part of that celebration. Binge drinking is common, and this can result in impaired judgment, motor vehicle accidents, and risky behaviors. Who’s at greatest risk for alcohol-related behaviors? How can we as health care clinicians detect those at risk for a problem with alcohol during the holidays and what advice can we give our patients recovering from an alcohol addiction to get through the holidays and maintain their sobriety? The topic for this podcast is “Alcohol Use and the Holidays” and these are some of the questions I’ll be asking my guest, Terry Schneekloth, M.D., 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.

Host: Darryl S. Chutka, M.D. Guest: Mark A. Frye, M.D. For many, the holidays are a time for happiness and connecting with family and friends. It’s often a time of celebration. But for some, it can be a time of increased stress, anxiety and sadness. In some cases, our good health habits such as eating healthy, regular exercise and getting adequate sleep are replaced by overeating, consuming excess alcohol and taking on too many responsibilities. A recent study by the American Psychological Society found that 89% of those surveyed felt stressed during the holiday season. What are the most common reasons for this stress? Can we avoid it? If not, what are the best ways to manage it? I’ll be discussing these topics with my guest, Mark Frye, M.D., a psychiatrist from the Mayo Clinic. The topic for this podcast is “Holiday Stress and Mental Health”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Amanda R. Bonikowske, Ph.D. There are many benefits of exercise, from improving our mental health to reducing the risk of chronic disease. It can improve our sleep, increase our energy and can help establish relationships with others. It’s an activity that almost anyone can do, and it doesn’t have to cost a thing, other than an individual’s time. The holiday season will soon be upon us as well as its associated stress and in many cases, weight gain. Can exercise help with some of these problems associated with the holidays? How much exercise is optimal? What kind of exercise should we recommend for those who are unable to participate in vigorous exercise? Does it matter if we do one type of exercise or is a variety of exercise better? These are questions I’ll be asking my guest, Amanda Bonikowske, Ph.D., an exercise physiologist from the Department of Cardiovascular Diseases at the Mayo Clinic as we discuss “Exercise and the Holidays”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guests: Bruce Sutor, M.D. & Megan R. Leloux, Pharm.D., R.Ph., BCPP Depression is very common both in the U.S. and worldwide. It’s estimated that major depression affects over 8% of American adults, representing over 20 million individuals. Fortunately, we now have a variety of pharmacologic options for the management of depression and they’re much safer than what we had available in the past. However, we now have so many choices, how do we know which medication is best for our patient? What’s the difference between an SSRI and an SNRI? Is there an anti-depressant that’s also effective in treating anxiety? Are some medications better for our elderly patients? I’ll be asking these questions and more to my guests, psychiatrist Bruce Sutor, M.D., and pharmacist Megan R. Leloux, Pharm.D., R.Ph., BCPP, from the Mayo Clinic as we discuss “Pharmacologic Management of Depression” as part of our “Holiday Stress and Wellness” podcast series. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Craig N. Sawchuk, Ph.D., L.P. It’s relatively common for individuals to feel somewhat sad or have the “winter blues” when the days get shorter and then feel better when we get our daylight back in the spring. However, for some, mood changes can be more serious, and they may be experiencing seasonal affective disorder, a type of depression characterized by recurrent mood changes related to a change in the season. It’s estimated that up to 10 million Americans are affected by this disorder. What’s the natural history of seasonal affective disorder? Is it the same as depression which tends to occur around the holidays? Is seasonal affective disorder related to the time of year or the amount of sunlight and does it ever occur during the summer months? I’ll be asking these questions and more of my guest as we discuss “Seasonal Depression” as part of our “Holiday Stress and Wellness” podcast series. My guest for today’s podcast is psychologist Craig N. Sawchuk, Ph.D., L.P., 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.

Host: Darryl S. Chutka, M.D. Guest: Tara Schmidt, RDN, LD It’s not uncommon to gain a pound or two each year as we get older. For many, most of our annual weight gain occurs during the holidays. It’s a time of celebration and is filled with parties and events, often with high calorie foods and drinks. Holidays can also be stressful, and many find some relief of stress by eating. Weight gain during the holidays occurs so easily and quickly, yet losing this weight can be quite challenging and can take months. In fact, some studies have shown that weight put on during the holidays never comes off. How do we deal with the abundance of food we’re exposed to over the holidays? How should we approach holiday parties? How can we avoid contributing to the problem when we bring food to holiday events? With the holidays approaching, today’s podcast is directed at our own personal health in our “Holiday Stress and Wellness Series” as we discuss “How to Avoid Gaining Weight During the Holidays.” My guest for this podcast is registered dietician and nutritionist Tara Schmidt, RDN, LD, from the Mayo Clinic. Check out our guest’s podcast, “Mayo Clinic on Nutrition” Here https://mcpress.mayoclinic.org/podcasts/on-nutrition/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Jon O. Ebbert, M.D. According to the CDC, in 2020 nearly 20% of high school students reported using a vaping product, and nearly a quarter of them indicated they used the product daily. It’s now known that vaping has potential health risks and is just as addictive as combustible tobacco products with some vaping cartridges having a higher concentration of nicotine than cigarettes. In this podcast, we’ll discuss nicotine dependence with an update on vaping. My guest is Jon O. Ebbert, M.D., an internist and nicotine dependence specialist at the Mayo Clinic. I’ll be asking Dr. Ebbert about the health risks of vaping, including second-hand exposure, the likelihood of “vapers” to switch to traditional tobacco products and whether vaping has any potential to help individuals discontinue use of tobacco products. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Aleksandra Kukla, M.D. In 2023, an estimated 14% of all adults in the U.S. or just over 35 million individuals had chronic kidney disease and it’s even more common in the elderly population affecting over 1/3 of those over the age of 65. It represents the 8th leading cause of death in the U.S. It’s now known that chronic kidney disease is associated with systemic inflammation, which is responsible for a variety of complications including atherosclerosis and subsequent cardiovascular disease. Does kidney disease result in inflammation or does inflammation produce renal dysfunction? Are there inflammatory markers we could measure to assess this inflammation? Can we do anything to reduce the inflammation and if so, does it improve patient outcome? These are just some of the questions I’ll be asking my guest, Aleksandra Kukla, M.D., from the Division of Nephrology at the Mayo Clinic as we discuss “Chronic Kidney Disease as a Systemic Inflammatory Syndrome”. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. Guest: Maria L. Collazo-Clavell, M.D. Its common knowledge that those who are obese are at greater risk for developing metabolic syndrome, diabetes and cardiovascular disease. However, the reason for this association has not always been clear. It does appear that systemic inflammation plays a major role and obesity triggers this inflammation. But what specifically initiates the inflammation? How can we measure it? Most importantly, can we reduce or eliminate this inflammation and prevent the progression to these cardiometabolic states? My guest for this podcast is Maria L. Collazo-Clavell, M.D., from the Division of Endocrinology and Metabolism at the Mayo Clinic and we’ll discuss “Inflammation and Cardiometabolic Disease: Obesity- The Linking Pathology”. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Alina M. Allen, M.D., M.S. Fat deposits in the liver are quite common and many individuals have no idea they have the condition. A minority of those individuals will develop an associated hepatic inflammation. It’s not entirely clear why some progress to this state, although there are some known risk factors. Steatohepatitis is a potentially serious health problem and can lead to end-stage liver disease. It’s also associated with cardiovascular disease and all of its complications. The topic for today’s podcast is Hepatic Inflammation and Metabolic Dysfunction-Associated Steatohepatitis. My guest is Alina M. Allen, M.D., M.S., from the Division of Gastroenterology and Hepatology at the Mayo Clinic. What are the risk factors for this health problem? Should we be screening patients for its presence and how should it be managed. These are just some of the topics we’ll discuss in this podcast. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Regis I. Fernandes, M.D. Inflammation commonly occurs as a response to injury or infection but can lead to damage when it develops in healthy tissue. It’s now known that inflammation plays a key role in the development of cardiovascular disease. It produces damage to the endovascular arterial cells allowing plaque to form within the artery leading to stenosis, thereby reducing coronary blood flow. What initiates the inflammatory response as it develops in otherwise healthy arteries? How should we use the hs-CRP in measuring inflammation in cardiovascular disease? Does our management of cardiovascular disease result in a decrease in hs-CRP? These are some of the questions I’ll be asking my guest, Regis I. Fernandes, M.D., a preventive cardiologist from the Mayo Clinic as we discuss “hs-CRP and Cardiovascular Disease”. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Vinaya Simha, M.B.B.S., M.D. Type 2 Diabetes is a commonly seen condition in a general medical practice. It’s estimated that over 38 million adults have the disease. When we think of diabetes, we think of a metabolic condition with patients who have hyperglycemia, often overweight, and occasionally have renal, eye and/or neurologic complications. But, do we ever think of diabetes as an inflammatory disease? How is inflammation associated with diabetes? What are the mediators of inflammation in diabetics and when we treat diabetes, are we reducing the associated inflammation in addition to lowering blood glucose? These are questions I’ll be asking our guest, Vinaya Simha, M.B.B.S., M.D., from the Division of Endocrinology and Metabolic Disease at the Mayo Clinic as we discuss “Type 2 Diabetes as an Inflammatory Disease”. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Atul Jain, M.D., M.S. Cardiovascular disease is the leading cause of death for both men and women and it’s responsible for 1 in every 5 deaths. It’s estimated to cost over $250 billion a year, which includes the cost of medical services, medications and lost productivity. Patients with cardiovascular disease are commonly seen in a general medical practice and since it’s such a common health problem, we’re all pretty comfortable managing these patients. But do we know what’s happening pathologically? What’s the role of cholesterol and inflammation in cardiovascular disease? What causes the inflammation? How do we measure it and most importantly, can we do anything about it? I’ll be asking these questions of our guest, internist Atul Jain, M.D., M.S., from the Division of General Internal Medicine at the Mayo Clinic as we discuss the interplay between cholesterol, inflammation and thrombosis in cardiovascular disease. These talks on Inflammation and Cardiometabolic Disease are sponsored by Novo Nordisk Learn more about this series HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Joselyn R. Lebow, Ph.D., L.P. Unfortunately, mental health problems are common in our youth. A recent study by the CDC found that among adolescents aged 12 to 17, just under 21% had experienced a major depressive episode within the past year. Among high school students, more than 35% reported feeling sad or hopeless, with nearly 20% seriously contemplating suicide and mental health disorders are not limited to our teens. Over 17% of children aged 2 through 8 have had a diagnosis of a mental, behavioral or developmental disorder. Are mental health disorders in our youth increasing? How might depression present in a child or adolescent? How common is suicide in our youth and how often are suicide attempts successful? I’ll be asking these questions and more to my guest in today’s podcast on “Pediatric Mental Health Disorders” as part of our “Back to School” podcast series. My guest is child psychologist Joselyn R. Lebow, Ph.D., L.P., from the Mayo Clinic. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Erick D. Bothun, M.D. It’s estimated that more than 1 in 20 preschool-age children and 1 in 4 school-age children have a vision disorder. Since the eyes are the source of sensory input for much of the learning that takes place in our children, these statistics take on real importance. Vision problems in childhood can result in developmental delays and are often misdiagnosed as learning disabilities. As adults, we’re aware of changes and problems with our vision. Children who have never known clear vision may not realize their vision is impaired. What are the most common eye disorders in children? How many of our pre-school children are receiving vision screening? What are common signs a child may have a vision impairment? These are just some of the questions I’ll asking my guest, Erick D. Bothun, M.D., from the Department of Ophthalmology at the Mayo Clinic. As part of our “Back to School” Series, we’ll be discussing “Pediatric and Adolescent Ophthalmologic Concerns”. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Julie M. Baughn, M.D. Sleep is very important for a child’s physical and mental health and plays a vital role in the development of cognitive and motor skills. The American Academy of Pediatrics estimates that up to 50% of children and 40% of adolescents have problems with their sleep, which may manifest as issues in school, mood disorders as well as relationship problems with others. What kind of sleep problems do children and adolescents commonly experience? When should we suspect impaired sleep is causing problems and do children and adolescents have some of the same sleep disorders as adults? I’ll be asking these questions and more as we explore “Pediatric and Adolescent Sleep Medicine” as part of our “Back to School” series of podcasts. My guest is Julie M. Baughn, M.D., a pulmonologist and sleep specialist at the Mayo Clinic. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guests: Sahil Khanna, M.B.B.S., M.S., and Sherief Shawki, M.B., B.Ch., M.D. Diverticulosis is quite common. Its prevalence varies with age from fewer than 20% at age 40 to 60% by age 60. It's far more common in the left colon and tends to be progressive with both the number and size of the diverticula, both increasing with age. There are potential complications of diverticulosis, with diverticulitis being most common. This also tends to increase in prevalence with age and appears to be increasing with time. Can diverticulitis be prevented? What’s the best way to manage a patient with acute diverticulitis and when is surgery indicated? I’ll be asking these questions and more to my guests, Sahil Khanna, M.B.B.S., M.S., from the Division of Gastroenterology and Hepatology and Sherief Shawki, M.B., B.Ch., M.D., from the Division of Colorectal Surgery at the Mayo Clinic. The topic for this podcast is diverticular disease. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: David B. Soma, M.D. Participation in sports in children and adolescents is extremely common and its popularity is increasing. Although sports play an important role in promoting health and developing interpersonal relationships, its estimated that injuries related to playing sports is quite common, especially musculoskeletal injuries. The literature describes prevalence rates ranging from 34 to 65%. This leads to lost school days and significant health care costs. Which sports carry the greatest risk of injury? Are there any differences in injuries in girls vs. boys? Can sports injuries be prevented and are the benefits of participation in sports worth the risk of serious injury? We’ll discuss these issues and more as part of our “Back to School” podcast series. The topic for this podcast is “Pediatric and Adolescent Sports Injuries” and my guest is David B. Soma, M.D., from the Department of Pediatric and Adolescent Medicine at the Mayo Clinic. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Angela C. Mattke, M.D. Providing good nutrition and developing healthy eating habits is extremely important for our children. It sets a pattern and can impact their health throughout their adult life. However, this goal has many challenges. Parents must battle effective media marketing for unhealthy foods, deal with ever available and convenient fast-food options and struggle with time constraints in their busy families. How healthy are the diets of our children? How can parents manage their own busy schedules and still prepare healthy meals and what’s our role as health care clinicians in promoting healthy nutrition in our children. This podcast in our “Back to School” series will focus on these questions as we discuss “Pediatric and Adolescent Diet and Nutrition”. My guest is Angela C. Mattke, M.D., a pediatrician from the Division of Community Pediatrics and Adolescent Medicine at the Mayo Clinic. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Robert M. Jacobson, M.D. Pencils, books and lots of dreams is what many children will experience as they head back to school. It’s a time filled with a variety of emotions: excitement and anticipation over what the next 9 months will bring. For some, it’s a time of sadness as summer comes to an end. It’s also a time to review and update immunizations. What’s recommended for school and what’s required? What are the common reasons parents refuse immunizations for their children and how do we address the many myths people have about immunizations? I’ll be getting the answers to these questions in today’s podcast from our guest, Bob M. Jacobson, M.D., from the Division of Community Pediatrics and Adolescents at Mayo Clinic. To learn more about this series, check it out HERE Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Regan N. Theiler, M.D., Ph.D. Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Today, we are going to be discussing inpatient management of infections in pregnant patients. Specifically, infections that might show up on a general medicine service or in the emergency department. To help us understand how to better assess and manage these patients, we are joined by Regan N. Theiler, M.D., Ph.D., obstetrical hospitalist and immediate past-chair of the Division of Obstetrics and Gynecology at Mayo Clinic in Rochester. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Richa Sood, M.D., M.S. Concerns and problems related to sexual health in women are common and can be very distressing. They can occur at any stage of life and can lead to issues with self-image and potential problems in establishing and maintaining relationships with a partner. To complicate things, this problem is often not mentioned by the patient when they are seen by their health care provider. The issues are often complex and can involve physiology, emotions, lifestyle as well as several other factors. In this podcast, we’ll discuss female sexual concerns and dysfunction. What are common sexual problems patients experience? How do we evaluate the patient’s concerns? How are the problems managed and most importantly, how do we encourage our patients to let us know when they are having problems related to their sexual health. My guest is Richa Sood, M.D., M.S., an internist and specialist in women’s health 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.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Regan N. Theiler, M.D., Ph.D. Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Today, we’ll be discussing common infections during pregnancy. We are joined by Regan N. Theiler, M.D., Ph.D., obstetrical hospitalist and immediate past-chair of the Division of Obstetrics and Gynecology at Mayo Clinic in Rochester. Not only does she serve on the National Clinical Committee for the American College of Obstetrics and Gynecology, but she has also earned a Ph.D. in microbiology and immunology. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Candace F. Granberg, M.D. Developments in cancer treatment have resulted in significant improvements in the survival of malignancy in young children. Unfortunately, these treatments often result in infertility. If these children are pre-pubertal, preservation of mature sperm is not possible. But there is now a procedure which may result in the preservation of fertility by removing testicular tissue, subjecting it to cryopreservation to preserve stem cells capable of producing viable sperm in the future. This procedure is known as testicular tissue cryopreservation and I’ll be discussing it with our guest, Candace F. Granberg, M.D., a urologist 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.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Jenna N. Wygant, APRN, C.N.P., D.N.P. Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Sometimes we encounter unexpected pregnancies as healthcare professionals and clinicians. To help us “skill-up” for those conversations, we have Jenna N. Wygant, APRN, C.N.P., D.N.P. She is an advanced practitioner and assistant professor of Obstetrics and Gynecology at Mayo Clinic in Rochester. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Margaret E. Long, M.D. Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Today, we’re going to be talking about nausea and vomiting in pregnancy. We definitely see this in the healthcare setting, outside of the specialty office; and sometimes I wonder, do I know the latest and greatest information about this and how do we best manage these patients. To help us with this, we have Margaret E. Long, M.D. She’s an obstetrician and gynecologist researcher and award-winning educator and one of our faculty members here at the Mayo Clinic. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Ana I. Casanegra, M.D., M.S. Venous thrombosis is an under diagnosed and potentially serious health condition, yet in many cases its preventable and certainly treatable when found. Its most serious potential complication is embolization, most commonly to the lung. As a medical condition, venous thrombosis has been known for many years. In fact, the triad of contributing factors to venous thrombosis including venous stasis, vascular injury and hypercoagulability were discovered in the mid-1800’s. Despite the long duration we’ve been diagnosing and treating the health problem, there’s still much we need to learn about it. The topic for today’s podcast is venous thrombosis and we’ll discuss its risk factors, how to diagnose a DVT and the best management recommendations. My guest will be Ana I. Casanegra, M.D., M.S., a vascular medicine 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.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Julie A. Lamppa, APRN, CNM Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. Today, we’re back with Julie A. Lamppa, APRN, CNM, director of our midwifery services at Mayo Clinic Rochester and director of the Early Pregnancy Care Clinic at Mayo Clinic in Rochester. For this episode, we will be continuing our conversation about first trimester bleeding but going more towards how it relates to pregnancy loss. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Hosts: Chatura Alur, M.D., M.P.H. | Meghan G. Theofiles, M.D. Guest: Julie A. Lamppa, APRN, CNM Welcome to our OB/GYN mini-series! “Help me OB/GYN! You’re my only hope”. This podcast edition is specifically designed for the non-OB/GYN frontline provider. Today, we’re going to be addressing first trimester bleeding and we are joined by our content expert, Julie A. Lamppa, APRN, CNM. She is the director of our midwifery services at Mayo Clinic Rochester and the director of the Early Pregnancy Care Clinic at Mayo Clinic in Rochester. To learn more about this series, click here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.