Mayo Clinic Talks
Mayo Clinic Talks
Mayo Clinic
Stay on top of your primary care practice with podcasts from your colleagues at Mayo Clinic. Curated. Portable. Trusted. Offering continuing medical education - CME - for select episodes. Family medicine, primary care, general internal medicine topics for physicians, nurse practitioners and physician assistants.
Mayo Clinic Q & A - Medical Education During the COVID-19 Pandemic
This episode is shared from Mayo Clinic Q&A and was recorded in June, 2020.Guest:  Alexandra P. Wolanskyj-Spinner, M.D. (@apw01)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)Across the world, one of the biggest changes forced by the COVID-19 pandemic is in the field of education. Programs from kindergarten through postsecondary have rapidly moved to a distance learning model. Online and remote instruction has its own unique challenges, and has required students and educators to be creative to stay connected.On the Mayo Clinic Q&A podcast, Dr. Alexandra Wolanskyj-Spinner, senior associate dean for student affairs at the Mayo Clinic Alix School of Medicine in Minnesota, discusses medical education during the COVID-19 pandemic.AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Jun 10, 2020
12 min
COVID-19 Miniseries Episode 36: A Comprehensive Update on COVID-19
This episode was recorded on June 5, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Raymund R. Razonable, M.D. (@RazonableMD)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Up to about 50% of people infected with SARS-CoV-2 are asymptomatic spreaders. About 80% of those who are symptomatic, developing COVID-19, have mild disease displaying dry cough, fever, and fatigue. The resulting 20% of symptomatic patients accounts for those who develop progressive respiratory distress and sometimes multi-organ failure, among other complications. We’re learning more about anosmia, cardiac injury, and “COVID-toes.” What’s known about COVID-19 and SARS-CoV-2 continues to evolve. Dr. Raymund Razonable walks through a recently published update on the management of COVID-19. Time Stamps:1:18 - New signs and symptoms of COVID-19. 3:30 - Testing characteristics (sensitivity, specificity, and indications)  of the molecular and serologic testing for SARS-CoV-26:22 - Risk factors and the prediction of disease progression for patients hospitalized with COVID-199:28 - Hyper-inflammatory syndrome and progression to multi-system organ failure syndrome10:45 - Multisystem inflammatory syndrome in children (MIS-C) 11:22 - Cardiac complications - 3 factors12:50 - Diagnosis and treatment of co-infection in hospitalized patients (COVID-19 and flu, COVID-19 and pneumonia)16:31 - Evidence-based treatment based on the 3 phases of COVID-19 viremic phase, pneumonic phase, hyperinflammation phase18:06 - Remdesivir update21:00 - Hydroxychloroquine update23:25 - Favipiravir and lopinavir-ritonavir update23:53 - Treatment of the hyperinflammatory phase (sarilumab, tocilizumab, lenzilumab, anakinra,)27:13 - Convalescent plasma28:04 - Discharge and social determinants of health33:40 - Telehealth and remote monitoring35:40 - Health disparities and telehealth37:47 - What’s the next development Infectious Disease specialists are looking for in relation to the COVID-19 pandemic?See the article here:A Collaborative Multidisciplinary Approach to the Management of Coronavirus Disease-19 in the Hospital Setting https://doi.org/10.1016/j.mayocp.2020.05.010AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Jun 8, 2020
39 min
COVID-19 Miniseries Episode 35: Alternative Ventilation Strategies
This episode was recorded on May 12, 2020.Guest:  James E. Baker, R.R.T., L.R.T. &  Steven R. Holets, R.R.T., L.R.T.Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What are some alternative ventilation strategies we can use to treat patients with COVID-19? James Baker, R.R.T., L.R.T. and Steve Holets, R.R.T., L.R.T. discuss individualizing care, limitations based on device design, and supply chain concerns.AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Jun 3, 2020
27 min
COVID-19 Miniseries Episode 34: Multi-System Inflammatory Syndrome (MIS-C) in Pediatric Patients
This episode was recorded on May 27, 2020.Guest:  Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Patients under 21 who present with fever, lab evidence of inflammation, multisystem involvement, and recent or current SARS-CoV-2 infection fall under the case definition for multisystem inflammatory syndrome. They commonly present with persistent fever and gastrointestinal symptoms and concerningly, shock. Why are we seeing disproportionate rates in children of racial and ethnic minorities? Dr. Nipunie Rajapaske concisely covers what’s known about this syndrome and the data supporting its emergence as a post-infection complication.CDC Health Advisory on Multisystem Inflammatory Syndrome in Children (MIS-C)https://emergency.cdc.gov/han/2020/han00432.aspAn outbreak of severe Kawasaki-like disease at the Italian epicentre of the SARS-CoV-2 epidemic: an observational cohort studyhttps://doi.org/10.1016/S0140-6736(20)31103-XAskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 29, 2020
15 min
COVID-19 Miniseries Episode 33: Mayo Clinic Q&A - COVID-19 Transmission Risks and Precautions
This episode is shared from Mayo Clinic Q&A and was recorded on May 26, 2020.Guest:  Gregory A. Poland, M.D. (@drgregpoland)Host: Halena M. Gazelka, M.D. (@hmgazelkamd)According to the Centers for Disease Control and Prevention, the most common mode of transmission for COVID-19 is through close contact from person to person. While it is possible that someone can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose or possibly their eyes, this isn’t thought to be the main way the virus spreads.On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, discusses virus transmission and steps to take to keep yourself safe.AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 28, 2020
28 min
COVID-19 Miniseries Episode 32: The Fierce Urgency of Now - Pursuing a Safe and Efficacious Vaccine
This episode was recorded May 22, 2020To claim credit visit: https://ce.mayo.edu/covid19podcast Guest: Gregory A. Poland, M.D. (@drgregpoland)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) SARS-CoV-2, as an RNA virus, has marked capacity for mutation and recombination events. How do we build an efficacious and safe vaccine against it? How could we safely speed up development? Is a vaccine neutralizing the spike protein enough? Dr. Greg Poland returns to give you an update from the front lines of research on vaccine development and ongoing clinical trials.Dr. Poland’s Editorial:Tortoises, hares, and vaccines: A cautionary note for SARS-CoV-2 vaccine developmenthttps://doi.org/10.1016/j.vaccine.2020.04.073 'I Have A Dream' Speech, In Its Entiretyhttps://www.npr.org/2010/01/18/122701268/i-have-a-dream-speech-in-its-entiretyOur 'Fierce Urgency of Now' -  Secretary Kathleen Sebeliushttps://obamawhitehouse.archives.gov/blog/2013/08/26/our-fierce-urgency-nowKing Legacy: 'Fierce Urgency of Now' Exists Today - Terri Moon Cronkhttps://www.defense.gov/Explore/Features/Story/Article/2059480/king-legacy-fierce-urgency-of-now-exists-today/AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 23, 2020
41 min
COVID-19 Miniseries Episode 31: The Safety of Convalescent Plasma
This episode was recorded May 21, 2020Visit the program site here:  https://www.uscovidplasma.orgTo claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Michael J. Joyner, M.D. (@DrMJoyner)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Convalescent plasma as a passive immunity strategy is not new. What nuances apply for it’s application to treating COVID-19? Is it safe? Is it efficacious? Dr. Michael Joyner, Principal Investigator for Expanded Access to Convalescent Plasma for the Treatment of Patients with COVID-19, discusses what’s known about this treatment option, information that’s currently being gathered, and how you can get involved.AABB Coronavirus Resources: http://www.aabb.org/advocacy/regulatorygovernment/Pages/AABB-Coronavirus-Resources.aspxAskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 22, 2020
17 min
COVID-19 Miniseries Episode 30: Mayo Clinic Q&A - Addressing Health Disparities Amplified by COVID-19
This episode is shared from Mayo Clinic Q&A and was recorded in May 2020.Guest: Irene G. Sia, M.D.; Mark L. Wieland, M.D.Host:  Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)Minorities are being affected disproportionately by the COVID-19 pandemic. Early data shows that African Americans and other U.S. ethnic minorities have contracted COVID-19 at a higher rate and experience greater sickness and a higher death rate than other Americans. On the Mayo Clinic Q&A podcast, Dr. Irene Sia, a Mayo Clinic infectious diseases expert, and Dr. Mark Wieland, a Mayo Clinic community internal medicine physician, discuss ethnic disparities and COVID-19, including research being done with the Rochester Healthy Community Partnership.AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 20, 2020
13 min
COVID-19 Miniseries Episode 29: Lab Medicine Rounds - Understanding COVID-Associated Coagulopathy
This episode is shared from Lab Medicine Rounds  and was recorded May 1, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Ariela L. Marshall, M.D. (@AMarshallMD)Host: Justin D. Kreuter, M.D. (@KreuterMD)What is COVID-Associated coagulopathy? Why is it so important to recognize early on? How does it differ from the typical disseminated intravascular coagulation (DIC) picture? Dr. Ariela Marshall details the lab patterns, implications for our patients, and what testing should be evaluated on patients being treated for COVID-19 and when.Time Stamps:00:00 Podcast Intro00:40 What is COVID-associated coagulopathy and why is it important to recognize this?02:45 How is this coagulopathy similar to or different from other coagulopathies that we commonly see in clinical practice?04:30 Is there recommended testing for COVID-associated coagulopathy?06:30 Can you explain what the soluble fibrin monomer test is?08:09 How is COVID-associated coagulopathy managed in terms of prophylactic anticoagulation, therapeutic anticoagulation, and prophylactic transfusion?14:23 What are a few lessons that you have learned during this pandemic so far?Resources: F.A. Klok, M.J.H.A. Kruip, N.J.M. van der Meer, et al., Incidence of thrombotic complications in critically ill ICU patients with COVID-19,Thrombosis Research (2020) https://doi.org/10.1016/j.thromres.2020.04.013  Thachil J, Tang N, Gando S, Falanga A, Cattaneo M...Iba T, et al. ISTH interim guidance on recognition and management of coagulopathy in COVID‐19 https://doi.org/10.1111/jth.14810AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19ISTH COVID-19 ResourcesSubscribe to Lab Medicine Rounds here: https://news.mayocliniclabs.com/podcast/lab-medicine-rounds/Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 20, 2020
18 min
COVID-19 Miniseries Episode 28: Reflections on Telehealth and Teaching
This episode was recorded April 30, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Christopher A. Aakre, M.D.Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) How do you approach planning for telehealth visits? Dr. Chris Aakre discusses preparing by considering How am I going to assess this concern by video? What are you looking for? What are you hoping to see there? How are you best going to be able to instruct the patient? AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 19, 2020
27 min
Load more