Detailed
Compact
Art
Reverse
June 10, 2020
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.
June 8, 2020
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.
June 3, 2020
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.
May 29, 2020
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 28, 2020
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 23, 2020
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 22, 2020
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 20, 2020
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
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 19, 2020
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 15, 2020
This episode was recorded in May 6, 2020Claim credit here: https://ce.mayo.edu/covid19podcastGuest: Alice Gallo De Moraes, M.D.Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Patients hospitalized with COVID-19 are presenting with and developing severe lung injury, thrombosis, heart injury, and renal insufficiency. What is the observed rate of ventilation? Dr. Alice Gallo De Moraes discusses an individualized approach to intubation for critical support of patients infected with SARS-CoV-2.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 12, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in May 2020.To claim credit visit https://ce.mayo.edu/covid19podcastGuest:  Gregory 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, discusses how SARS-CoV-2 is mutating, atypical Kawasaki disease emerging in pediatric patients, updates in antiviral therapies and how scientists and researchers are rapidly gaining new knowledge about the virus and the disease that it causes.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 11, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in May 2020.Click here to claim credit: https://ce.mayo.edu/covid19podcastGuest: Andrew D. Badley, M.D.Host: Halena M. Gazelka, M.D. (@hmgazelkamd)Thanks to its combination of practice, education, and research, Mayo Clinic has a strong foundation to respond quickly to a medical crisis such as COVID-19. As the SARS-CoV-2 virus spread worldwide, a research task force was formed at Mayo Clinic to review and approve research proposals related to the virus and the disease it causes. On the Mayo Clinic Q&A podcast, Dr. Andrew Badley, chair of Mayo Clinic’s COVID-19 research task force, gives an update on COVID-19 research activities at Mayo Clinic. 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 8, 2020
This episode was recorded on May 6, 2020.Guest:  Scott D. Eggers, M.D. (@sdze)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Wish you could find the easily digestible evidence-based information you're looking for with just a few clicks? AskMayoExpert COVID-19 Navigator is a free and open access point-of-care resource containing consensus-based clinical recommendations, protocols, and best practices. They’ve done the reviews, they’ve done the synthesis, so you can quickly read what you need to know and get back to your patients. Dr. Scott Eggers lays out how it was formed, how it’s being maintained, and what you can expect moving forward.Check out the tool here:AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19For more in-depth information on inpatient care for COVID-19 check out:https://ce.mayo.edu/criticalcareinsightsonlineConnect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 8, 2020
This episode is shared from Mayo Clinic Q&A and was recorded May 6, 2020.Guest:  Gregory Poland, M.D. (@drgregpoland)Host: Halena M. Gazelka, M.D. (@hmgazelkamd)Spring has sprung, and, for many, spring cleaning is a ritual. During the COVID-19 pandemic, cleaning and disinfecting homes is more important than ever. The Centers for Disease Control and Prevention released new cleaning guidelines to help effectively fight COVID-19 as businesses, schools and public spaces reopen.On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, a Mayo Clinic infectious diseases expert, discusses effective cleaning tactics to combat coronavirus.AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19CDC Guidelines: Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homeshttps://www.cdc.gov/coronavirus/2019-ncov/community/reopen-guidance.htmlConnect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
May 7, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020.Guest: Donald D. Hensrud, M.D., M.S. (@DonaldHensrudMD)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) It’s being called the "Quarantine 15" online — people poking fun at gaining weight while staying at home during the COVID-19 pandemic. Is it really a problem? Or does eating help cope with stress? And what about for kids? Public health researchers warn that COVID-19 related school closures will double out-of-school time this year, raising concerns about weight gain associated with summer recess for children. On the Mayo Clinic Q&A podcast, Dr. Donald Hensrud, director of the Mayo Clinic Healthy Living Program, discusses tips for healthy eating and exercising while staying at home. 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 5, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020.Guest: Allen J. Aksamit, Jr. M.D.Host: DeeDee Stiepan (@deedeestiepan)Originally identified as a respiratory disease, some COVID-19 patients exhibit neurologic symptoms including stroke, loss of consciousness, headache, and even the loss of taste and smell. What's unknown is whether these are direct effects of the virus entering the nervous system, or consequences of the disease's effect on the body.On the Mayo Clinic Q&A podcast, Dr. Allen Aksamit Jr., a Mayo Clinic neurologist, discusses potential neurological effects of COVID-19.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 4, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in May, 2020.Guest: Tanios S. Bekaii-Saab, M.D. (@GIcancerDoc)Host: Halena M. Gazelka, M.D. (@hmgazelkamd)Because cancer treatments can weaken the immune system, cancer patients are at increased risk of complications from COVID-19. Despite these concerns, cancer patients often still need treatment, including going to the clinic or to the hospital, and many have questions about whether cancer should be treated differently during the COVID-19 pandemic.On the Mayo Clinic Q&A podcast, Dr. Tanios Bekaii-Saab, a Mayo Clinic oncologist, explains how cancer patients can safely continue their cancer treatment during the 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.
May 3, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in April, 2020.Guest:  Tina Ardon, M.D. (@TinaArdon)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)As the COVID-19 pandemic continues, the World Health Organization (WHO) says more than 117 million children in 37 countries may be missing out on the lifesaving measles vaccine. The WHO had issued some guidelines to help countries sustain immunization activities during the COVID-19 pandemic. On the Mayo Clinic Q&A podcast, Dr. Tina Ardon, a Mayo Clinic family medicine physician, discusses the importance of childhood vaccinations. Dr. Ardon also discusses masking guidelines for children 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.
May 2, 2020
This episode was recorded on April 16, 2020.Guest: M. Nadir Bhuiyan, M.D. (@DrNadirMD); Ravindra Ganesh, M.B.B.S., M.D.; Ryan T. Hurt, M.D., Ph.D.Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) While not all patients with COVID-19 will require hospitalization, many are seeking care and medical advice from their primary providers.  With public health measures limiting travel and clinical visits, the question facing many healthcare organizations is: how do they safely provide care and monitor patients with COVID-19?  In this two-part episode on telemedicine, Dr. Amit Ghosh speaks with Drs. Nadir Bhuiyan, Ravindra Ganesh, and Ryan Hurt about the Mayo Clinic COVID-19 Frontline Care Team and their efforts to establish a telemedicine practice for patients with COVID-19.  Listen as they share key steps to successfully providing remote care, address concerns of COVID-19 positive patients, and mobilize a multifunctional team of healthcare professionals.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 1, 2020
This episode was recorded on April 16, 2020.Guest: M. Nadir Bhuiyan, M.D. (@DrNadirMD); Ravindra Ganesh, M.B.B.S., M.D.; Ryan T. Hurt, M.D., Ph.D.Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) While not all patients with COVID-19 will require hospitalization, many are seeking care and medical advice from their primary providers.  With public health measures limiting travel and clinical visits, the question facing many healthcare organizations is: how do they safely provide care and monitor patients with COVID-19?  In this two-part episode on telemedicine, Dr. Amit Ghosh speaks with Drs. Nadir Bhuiyan, Ravindra Ganesh, and Ryan Hurt about the Mayo Clinic COVID-19 Frontline Care Team and their efforts to establish a telemedicine practice for patients with COVID-19.  Listen as they share key steps to successfully providing remote care, address concerns of COVID-19 positive patients, and mobilize a multifunctional team of healthcare professionals.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.
April 30, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on April 29, 2020To claim credit visit: https://ce.mayo.edu/covid19podcastGuest:  Gregory A. Poland, M.D.  (@drgregpoland)Host: Halena M. Gazelka, M.D. (@hmgazelkamd)Each week, the Mayo Clinic Q&A podcast shares the latest information on the COVID-19 pandemic. On today's episode, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, answers listeners' coronavirus questions. Topics include: pets and COVID-19, ultraviolet light and viruses, and herd immunity.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.
April 29, 2020
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.
April 29, 2020
This episode was recorded on April 22, 2020.Guest:  Rahul Kashyap, M.B.B.S. (@Dr_SRKashyap)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Real time data collection is essential for developing evidence based guidelines when facing emerging pathogens. Dr. Rahul Kashyap discusses VIRUS, a multinational multicenter rapid data collection process and how you can participate. Discovery VIRUS COVID-19 Registry (@covid19registry) https://www.sccm.org/Research/Research/Discovery-Research-Network/VIRUS-COVID-19-Registry  NIH - Viral Infection and Respiratory Illness Universal Study[VIRUS]: COVID-19 Registry (COVID-19)  https://clinicaltrials.gov/ct2/show/NCT04323787  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.
April 24, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in April, 2020.Guest:  Amanda Kubista OwenHost: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)People around the world have been under stay-at-home orders to prevent the spread of coronavirus. While this situation isn't ideal, it can be dangerous for some. For people in abusive situations, home may not be a safe environment.On the Mayo Clinic Q&A podcast, Amanda Kubista Owen, a Mayo Clinic social worker, discusses services available to help support people affected by domestic violence and why having a safety plan is important.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 23, 2020
This episode is shared from Mayo Clinic Q&A and was recorded April 22, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest:  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 discusses current outbreak numbers, why there may be a second wave of infections, and research on a vaccine.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 22, 2020
This episode was recorded on April 20, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Regan N. Theiler, M.D., Ph.D.  (@TheilerRegan)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Does pregnancy itself make a woman more susceptible to COVID-19? What advice should we be giving to pregnant women in the third trimester? How is remote monitoring being utilized? Dr. Regan Theiler discusses how they’re advising and caring for pregnant patients, what’s being reported as potential complications for pregnant patients who’ve been infected with SARS-CoV-2, and what isolation precautions should be applied during and after delivery.Deeper Dive:Mayo Clinic COVID-19 Resources for Providers  https://www.mayoclinic.org/medical-professionals/provider-relations/covid-19-resources-for-providersSociety for Maternal - Fetal Medicine: Clinical Guidance on COVID-19  https://www.smfm.org/covidclinicalSociety for Obstetric Anesthesia and Perinatology - COVID-19 Toolkit  https://soap.org/education/provider-education/expert-summaries/interim-considerations-for-obstetric-anesthesia-care-related-to-covid19/Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 22, 2020
This episode is shared from Mayo Clinic Q&A and was recorded April, 2020.Guest:  Andrew Badley, M.D. (@BadleyAndrew)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)As the SARS-CoV-2 virus spread worldwide, a race began to develop testing protocols and ramp up research. Mayo Clinic's COVID-19 research task force is studying the virus, predicting hot spots, and working towards effective treatments and a vaccine.On the Mayo Clinic Q&A podcast, Dr. Andrew Badley, chair of Mayo Clinic’s COVID-19 research task force, gives an update on COVID-19 research activities at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 21, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on April 20, 2020.Guest:  Gregory Poland, M.D. (@drgregpoland)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)As the COVID-19 pandemic continues, efforts are underway to find a new normal and begin to re-open the country and the economy. While people are eager for strict social distancing rules to end, public health measures, including testing and tracing for the virus, will be important tools needed to control the spread of the virus and prevent an uptick in new infections.On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, discusses the steps needed to reopen businesses, schools and other activities as the fight to control COVID-19 continues.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 20, 2020
This episode is shared from Mayo Clinic Q&A and was recorded April 2020.Guest:  Elitza S. Theel, Ph.D.Host: Halena M. Gazelka, M.D. (@hmgazelkamd)A new serology test from Mayo Clinic Laboratories is being used to identify the presence of immune response to SARS-CoV-2, the virus that causes COVID-19. The serology test is intended only to detect antibodies to the virus. It does not diagnose recent or active infection. Mayo Clinic Laboratories also offers a molecular test to diagnose very recent or active infection. Both tests are important tools in the pandemic response. On the Mayo Clinic Q&A podcast, Dr. Elitza Theel, director of Mayo Clinic’s Infectious Diseases Serology Laboratory, explains why serology testing is initially focused on identifying people in areas where potential immunity is key, including front-line health care workers.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 16, 2020
This episode was recorded on April 15, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest:  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-providersFleischner 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.2020201365The Berlin DefinitionThe ARDS Definition Task Force. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):2526–2533. doi:10.1001/jama.2012.5669Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 14, 2020
Guest: Sanjeev Nanda, M.D. (@SNandaMD)Host: Darryl S. Chutka, M.D. (@ChutkaMD)In 2016, diagnostic criterion was established, finally removing fibromyalgia as a “diagnosis of exclusion.” Still, given the number of manifestations, it’s a challenging disorder to evaluate and treat. Sanjeev Nanda, M.D., shares his expert insights on this complicated condition.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 13, 2020
This episode is shared from Mayo Clinic Q&A and was recorded in April 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest:  Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)How is SARS-CoV-2 affecting pregnant women? Is breastfeeding safe? How can a pregnant woman protect herself from the disease? On the Mayo Clinic Q&A podcast, Dr. Nipunie Rajapakse, a pediatric infectious diseases specialist, will discuss COVID-19 and pregnancy.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 9, 2020
This episode was recorded on April 8, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest:  Christopher S. Russi, D.O. (@csrussi)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) How can telehealth be used to care for COVID-19 patients? How can we leverage telehealth to bring resources to rural facilities? Collaboration through telehealth can provide care where it’s convenient for patients, help offload cognitive burden from colleagues, and mitigate exposure and PPE challenges during this pandemic. Dr. Christopher Russi walks through how the process works and how it’s being leveraged at Mayo Clinic under typical circumstances and how it’s being utilized to triage and inform care for suspected and confirmed COVID-19 patients.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 7, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on Monday, April 6th, 2020.Guest:  Gregory A. Poland, M.D.  (@drgregpoland)Host: Halena M. Gazelka, M.D. (@hmgazelkamd)To prevent the spread of COVID-19, the Centers for Disease Control and Prevention (CDC) now recommends that Americans wear cloth masks in public settings where other social distancing measures are difficult to maintain. The CDC considers cloth masks an additional, voluntary public health measure.On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, a Mayo Clinic COVID-19 expert, explains the difference between medical masking and public masking, and discusses the proper way to put a mask on and off to prevent the spread of disease.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive:Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
April 7, 2020
Guest: Janet Vittone, M.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)Janet Vittone, M.D., outlines the difference between different advanced directive documents and the importance of discussing these with all of your patients. She shares tips on when and how to broach the topic with patients, especially those in early adulthood. Drs. Vittone and Chutka also discuss ensuring that the right people are aware of your wishes, should you become incapacitated.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive:Living wills and advance directives for medical decisions, by Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/living-wills/art-20046303Patient education video: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/multimedia/advance-directives-awarness/vid-20114292
April 6, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on April 3, 2020. To claim credit visit: https://ce.mayo.edu/covid19podcast Guest:  Gregory A. Poland, M.D.  (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Dr. Greg Poland returns to share an update on the COVID-19 pandemic in this episode shared from Mayo Clinic Q&A to discuss the latest in antibody testing, coronavirus immunity, and whether or not it’s safe to wear contact lenses. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 3, 2020
This episode was recorded on April 3, 2020Claim credit here: https://ce.mayo.edu/covid19podcastGuest:  Michael J. Ackerman, M.D., Ph.D. (@MJAckermanMDPhD)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)The administration of hydroxychloroquine and azithromycin, along with other very common medications could result in drug-induced sudden cardiac death caused by drug-induced QT prolongation, in some patients. In order to avoid the wrong medication, for the wrong patient, at the wrong time, Dr. Michael Ackerman shares how to assess your patient’s risk, how to find and measure their QTc value, and neutralize the threat.Deeper Dive:Link to Journal Pre-Proof:https://mayoclinicproceedings.org/pb/assets/raw/Health%20Advance/journals/jmcp/jmcp_covid19.pdfLink to COVID-19 QTc Calculator and other resources:https://www.covidqtc.com/#WRchTxt7-12veGiudicessi JR, Noseworthy PA, Friedman PA, Ackerman MJ. Urgent guidance for navigating and circumventing the QTc prolonging and torsadogenic potential of possible pharmacotherapies for COVID-19 [published online ahead of print March 25, 2020]. Mayo Clin Proc. https://doi.org/10.1016/j.mayocp.2020.03.024.FDA Emergency Use Authorization (EUA) of hydroxychloroquine sulfate: https://www.fda.gov/media/136538/downloadMayo Clinic Connected Care - Genetic Heart Rhythm Diseases https://connect.mayoclinic.org/page/genetic-heart-rhythm-disorders/tab/covid-19/#Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
April 2, 2020
This episode is shared from Mayo Clinic Q&A.Guest: Elie Berbari, MD (@DODElie)Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)The ongoing fight against the COVID-19 pandemic has heavily burdened front-line health care providers. "Our nation and our medical community is facing an unprecedented challenge," says Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic. On the Mayo Clinic Q&A podcast, Dr. Berbari discusses how Mayo Clinic is minimizing exposure to staff, while providing safe and compassionate care to patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 31, 2020
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.
March 31, 2020
Guest: Alicia M. Hinze, M.D., M.H.S. (@alicia_hinze)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Alicia M. Hinze, M.D., M.H.S., provides an overview of osteoarthritis and other rheumatologic conditions. Dr. Hinze shares her approach to distinguishing between osteoarthritis and inflammatory arthritis, along with risk factors for developing osteoarthritis over time, including genetics, professions, prior injuries, and age. She shares recommendations for conservative therapies and at what point surgical intervention should be considered.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 31, 2020
This episode was recorded on Monday, March 30, 2020.Claim credit here: https://ce.mayo.edu/covid19podcastGuest:  Matthew P. Van Cuyk, Pharm.D., R.Ph. Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Should we be using ibuprofen to treat patients with COVID-19? Does this fall into the modifiable risk category? Dr. Matthew Van Cuyk breaks down recent events and literature around ibuprofen use in patients with COVID-19. Deeper Dive:Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? The Lancet Respiratory Medicine. March 2020. https://doi.org/10.1016/S2213-2600(20)30116-8HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19ASHP Coronavirus Resource Center: https://www.ashp.org/Pharmacy-Practice/Resource-Centers/CoronavirusAssessment of Evidence for COVID-19-Related Treatments: Updated 3/27/2020For the most up to date COVID-19 information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
March 30, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on March 26, 2020.Guest:  Jonathan M. Morris, M.D. & Mark WehdeHost: Tom Shives, MD and Tracy McCray (@TracyMcCray)When it comes to fighting the COVID-19 pandemic, Mayo Clinic is relying not only on clinicians, but also engineers. Supply chain management and manufacturing capabilities are being readied to help in the fight against COVID-19.On the Mayo Clinic Q&A podcast, Dr. Jonathan Morris, co-director of Mayo Clinic's 3D Anatomic Modeling Lab, and Mark Wehde, chair of Mayo Clinic's Division of Engineering, discuss personal protective equipment and mobilizing the manufacturing sector to help in the fight. They’ll share how they’re utilizing 3D printing to jump start conventional scalable manufacturing processes to retro-engineer pieces of respiratory equipment and solve today’s problems in the fight against COVID-19.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 27, 2020
This episode was recorded on March 27, 2020.To claim credit visit: https://ce.mayo.edu/covid19podcastGuest: Christina G. Rivera, Pharm.D., R.Ph.; Ryan W. Stevens, Pharm.D. (@Stevens_AK)Host: Raymund R. Razonable, M.D. (@RazonableMD)Chloroquine emerged as an early COVID-19 treatment option in China and there has been increasing interest in the use of hydroxychloroquine and azithromycin. What data is available for the safety and efficacy of the drugs in the fight against SARS-CoV-2? Dr. Christina Rivera and Dr. Ryan Stevens provide a breakdown of recent research.Deeper Dive:Gautret P, Lagier JC, Parola P, et al. Hydroxychloroquine and Azithromycin as a treatment of COVID-19: preliminary results of an open-label non-randomized clinical trial. International Journal of Antimicrobial Agents. March 2020. https://doi.org/10.1016/j.ijantimicag.2020.105949Yao X, Ye F, Zhang M, et al. In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clinical Infectious Diseases. March 2020. https://doi.org/10.1093/cid/ciaa237Guidance on patients at risk of drug-induced sudden cardiac death from off-label COVID-19 treatments https://mayocl.in/2WQhxzIFor the most up to date COVID-19 information:CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 26, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on March 25, 2020.Guest: Greg Poland, MD (@drgregpoland)Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)Greg Poland, MD, answers trending questions from listeners. Is it safe to order take-out or have groceries delivered? Can pets get coronavirus? What about our summer plans? What’s next for social distancing and is it working?Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 26, 2020
Guest: Molly A. Feely, M.D. (@mollyfeelymd)Host: Tracy McCrayEpisode 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.
March 25, 2020
This episode was recorded on March 25, 2020.Guest:  Erin K. O'Brien, M.D. (@ErinOBrienMD)Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) Claim credit here: https://ce.mayo.edu/covid19podcastWhat’s currently known about anosmia as a symptom of COVID-19 infection? Should we be using it as a screening tool? What causes it to occur when someone is infected with SARS-CoV-2 and what’s the prevalence in symptomatic vs otherwise asymptomatic individuals? Dr. Erin O’Brien gives an up-to-date overview of current reports, treatment options, and what you need to know about anosmia.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 24, 2020
Guest:  Greg Poland, MD (@drgregpoland)Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)Claim credit for this episode at https://ce.mayo.edu/covid19podcastOn today's Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious disease expert and head of Mayo Clinic's Vaccine Research Group, shares the latest information on the COVID-19 pandemic. Dr. Poland discusses the importance of testing for SARS-CoV-2, work being done on antiviral medications; and how long social distancing might need to last, emerging reports of loss of smell in survivors, and the use of azithromycin and hydroxychloroquine.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 24, 2020
Guest: John J. Poterucha, M.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)You can think of liver functions tests as falling into two buckets – markers of inflammation and perturbation and markers of liver function. Dr. John Poterucha answers any question you’ve ever had about liver function testing, including how to interpret the results plus when and what additional testing may need to be ordered as follow up.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 23, 2020
This episode is shared from Mayo Clinic Q&A.Guest: Beth Rush, PhDHost: Tom Shives, MD and Tracy McCray (@TracyMcCray)We are in the midst of uncertain times. Dr. Beth Rush, a Mayo Clinic neuropsychologist, shares tips for you and your patients about coping with uncertainty by creating a structured schedule. Listen in as she shares more tips for taking care of your mental health and finding comfort amid the uncertainty.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 20, 2020
This episode is shared from Mayo Clinic Q&A and was recorded on March 19, 2020.Guest: Greg Poland, MDHost: Tom Shives, MD and Tracy McCrayHave 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.
March 19, 2020
This episode is shared from Mayo Clinic Q&A and was recorded March 18, 2020.Guest: Clayton T. Cowl, M.D., M.S. (@ChestPresident) Host: Tom Shives, M.D. and Tracy McCrayIn epidemiology, the idea of slowing a virus' spread so that fewer people need to seek treatment at any given time is known as "flattening the curve." It's a phrase you've likely heard in the news, and it is an important goal for governments and health care leaders during the COVID-19 pandemic.On the Mayo Clinic Q&A podcast Dr. Clayton Cowl, chair of Mayo Clinic's Division of Preventive, Occupational and Aerospace Medicine, explains how isolation can stop a spike in the number of new coronavirus cases. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 19, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd) Host: Tracy McCrayEpisode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education.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.
March 18, 2020
This episode is shared from Mayo Clinic Q&A and was recorded March 17th, 2020. Guest: Brandon P. Verdoorn, M.D.Host: Tom Shives, MD and Tracy McCrayLong-term care facilities are taking steps to prepare and respond to the COVID-19 (coronavirus) outbreak. With guidance from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services, long-term care facilities are restricting visitors in most cases.On the Mayo Clinic Q&A podcast, Dr. Brandon Verdoorn, a Mayo Clinic geriatrician and medical director of Charter House, a continuing care retirement community affiliated with Mayo Clinic in Rochester, explains how staff are taking steps to keep residents safe and prevent spread of the coronavirus.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 17, 2020
This episode is shared from Mayo Clinic Q&A and was recorded March 16th, 2020.Guest: Justin Kreuter, MD (@KreuterMD)Host: Dr. Tom Shives and Tracy McCrayWith recommendations to stay home during the COVID-19 pandemic, the U.S. now has a critical blood shortage. Blood donation collections have plummeted due to canceled blood drives and concerns about being out in the community. Almost half of U.S. blood collectors are reporting that they only have a two-day supply or less of blood products.On today's Mayo Clinic Q&A podcast, Dr. Justin Kreuter, transfusion medicine specialist with the Mayo Clinic Blood Donor Center, explains how new blood donors are needed to step up and fill the void.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 17, 2020
Guest: Alice Y. Chang, M.D. (@AliceChangMDMSc)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Polycystic Ovary Syndrome (PCOS) has a prevalence of between 5-10% American women of child-bearing age. With a variety of symptoms, different diagnosis methods, misunderstood criterion, and both genetic and environmental causes, PCOS can be easily missed, especially in patients whose symptoms have developed sporadically. Alice Y. Chang, M.D., breaks down this complicated condition, including treatment strategies based on the patient’s primary concern related to the disease.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: Ferriman-Gallwey Hirsutism Scoring System: https://education.endocrine.org/ferriman-gallwey-hirsutism-system
March 12, 2020
Guest: Holly L. Geyer, M.D.Host: Tracy McCrayEpisode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, an internal medicine physician at Mayo Clinic in Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference.Claim CME credit at ce.mayo.edu/opioidpc.
March 10, 2020
Guest: Peter C. Amadio, M.D. (@AmadioPeter)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Dr. Peter Amadio discusses carpal tunnel, de Quervain's tenosynovitis, and others hand and wrist conditions and gives a few key pearls for helping your patients control symptoms and when to consider surgery.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
March 6, 2020
Episode Recorded March 5, 2020To claim credit click here: https://ce.mayo.edu/covid19podcastGuest: Gregory A. Poland, M.D. (@drgregpoland)Host: Colin M. Bucks, M.D.Why are we seeing very different severity and mortality rates as COVID-19 moves from country to country? Where are we at currently in regard to a COVID-19 vaccine? What does the pathway look like moving forward? Dr. Greg Poland lays out what you need to know about immunity and coronaviruses.  Watch Dr. Poland teach Jimmy Kimmel and Guillermo how to wash their hands:https://youtu.be/sJfsyhQ0oBsConnect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.For the most up to date COVID-19 information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
March 5, 2020
Guest: Holly L. Geyer, M.D.Host: Tracy McCrayEpisode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Claim CME credit at ce.mayo.edu/opioidpc.
March 3, 2020
Guest: James A. Madura, II M.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)Obesity is prevalent and places our patients at significantly higher risk for a variety of health conditions. Which patients stand to benefit the most from bariatric surgery? What does insurance coverage for these procedures look like? Dr. James Madura discusses bariatric surgery and the safety and efficacy of the procedures.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
February 27, 2020
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)Host: Tracy McCrayEpisode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.Claim CME credit at ce.mayo.edu/opioidpc.
February 26, 2020
Episode Recorded February 25, 2020To claim credit, click here: https://ce.mayo.edu/covid19podcastGuest: Pritish K. Tosh, M.D. (@DrPritishTosh)Host: John M. Wilkinson, M.D.“At this point, we need to prepare for a pandemic within the United States and try to shift our mode from thinking about taking care of 1 or 2 of these patients, if it were to come up, to really transforming thinking about, well how we’re going to do this across the country?”- Pritish K. Tosh, M.D. As the spread of COVID-19 expands and index cases become harder to trace the advice is shifting to community preparedness for a pandemic. Family physician, Dr. John Wilkinson, sits down with infectious disease expert Dr. Pritish Tosh to discuss updates for health care providers on the COVID-19 outbreak.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.For the most up to date COVID-19 (Novel 2019 Coronavirus) information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
February 25, 2020
Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Diagnosing leg pain can be very challenging. Dr. Jonathan Finnoff walks through a case study near and dear to Dr. Chutka, offering pearls for your practice along the way.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
February 20, 2020
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)Host: Tracy McCrayEpisode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians?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.
February 18, 2020
Guest: Aaron J. Krych, M.D. (@DrKrych)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Hip pain is common, but the pain generators don’t always present in a typical fashion. When do you order x-rays or MRI’s? Dr. Aaron Krych, orthopedist, covers beyond the classic symptoms into atypical presentations you won’t want to miss. He’ll also cover how to help your patient decide when it’s time for a hip replacement and how long should you expect a hip arthroplasty to last.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
February 13, 2020
Guest: David C. Patchett, D.O.Host: Tracy McCrayEpisode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Claim CME credit at ce.mayo.edu/opioidpc.
February 11, 2020
Guest: Eric T. Matey, Pharm.D., R.Ph. (@MateyPh)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Pharmacogenomics can help us predict an effective therapeutic response or avoid an adverse drug reaction before ever starting a medication. Listen in for the scoop on what this is and how it’ll impact your practice from a leading pharmacogenomics pharmacist at Mayo Clinic, Dr. Eric Matey.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: Pharmacogenomics for Your Practice – Online CourseUse of Codeine and Tramadol Products in Breastfeeding Women - Questions and Answers https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/use-codeine-and-tramadol-products-breastfeeding-women-questions-and-answersPharmGKB is a comprehensive resource that curates knowledge about the impact of genetic variation on drug response for clinicians and researchers https://www.pharmgkb.org/The Genetic Information Nondiscrimination Act (GINA) of 2008 https://www.genome.gov/about-genomics/policy-issues/Genetic-Discrimination
February 6, 2020
Guest: David C. Patchett, D.O.Host: Tracy McCrayEpisode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? 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.
February 4, 2020
Guest: Ronald R. Butendieck, Jr. M.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)Lupus can be challenging to diagnosis. Dr. Ron Butendieck discusses common presentation and some of the more enigmatic symptoms. What role does genetics play? Geography? Race? Dr. Butendieck details when you should include lupus on your differential and how to approach lab testing and treatment.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus https://doi.org/10.1002/art.40930
January 31, 2020
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/covid19podcastFor the most up to date COVID-19 (Novel 2019 Coronavirus) information: CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019Other Resources mentioned in the episode:Ontario The SARS Commission: Spring of Fear http://www.archives.gov.on.ca/en/e_records/sars/report/index.htmlLancet 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
January 31, 2020
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 Stamps00:00 Podcast Intro00:41 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/id1478310691For feedback and suggestions email MCLEducation@mayo.eduConnect 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/covid19podcastDeeper Dive: For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit:CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
January 31, 2020
Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine ConferenceSpeaker: 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-2021Connect 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/covid19podcastDeeper Dive: For the most Up-To-Date COVID-19 information visit:CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
January 30, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)Host: Tracy McCrayEpisode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.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.
January 28, 2020
Guest: Gary N. Toups, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What is hyperbaric oxygen therapy? What types of conditions outside of decompression illness can benefit from it? Dr. Gary Toups gives a fascinating look at the history of the practice and current advances in the field. He also discusses what conditions and types of non-healing wounds can benefit from oxygen therapy and which are not good candidates. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Healing with Hyperbaric Oxygen Therapy https://youtu.be/Uc0FiCEd1fQ?list=PLnAoNb5Mx-v68JrYbNCDavCSZ5lnFNaMf Hyperbaric Oxygen Therapy at Mayo Clinic https://www.mayoclinic.org/tests-procedures/hyperbaric-oxygen-therapy/about/pac-20394380
January 23, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)Host: Tracy McCrayEpisode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here?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.
January 21, 2020
Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015 American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866
January 14, 2020
Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
January 7, 2020
Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Golfer’s Elbow, Tennis Elbow, Boat-antifouling-pain-elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more.Dr. Barlow shares recommendations for treatment, including why you shouldn’t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
December 31, 2019
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_articlePhysical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.htmlBeneficial 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
December 24, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)Host: Darryl S. Chutka, M.D. (@ChutkaMD)How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
December 17, 2019
Guest: Esther Choo, M.D. (@choo_ek)Hosts: Anjali Bhagra, M.D. (@anjalibhagramd) and Joshua B. Murphy, J.D.As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure? Find more GRIT in Medicine episodes here. Deeper Dive: The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1
December 10, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
December 3, 2019
Guest: Daniel L. Hurley, M.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short time frame of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
November 26, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
November 26, 2019
Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.
November 19, 2019
Guests: Philip T. Hagen, M.D. and Melanie D. Swift, M.D. (@swifzdh) Host: Darryl S. Chutka, M.D. (@ChutkaMD)Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice?Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: Mayo Clinic Physician Health Center https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145
November 19, 2019
Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice?Deeper Dive:A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145Mayo Clinic Physician Health Centerhttps://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview
November 12, 2019
Guest: Clayton T. Cowl, M.D., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD)What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: Aerospace Medical Association – Medical Considerations for Airline Travel https://bit.ly/2qLAKVg American College of Chest Physicians – Guidelines and Resources https://bit.ly/2qJGSxi
November 12, 2019
What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses.Deeper Dive: Aerospace Medical Association – Medical Considerations for Airline Travelhttps://bit.ly/2qLAKVgAmerican College of Chest Physicians – Guidelines and Resourceshttps://bit.ly/2qJGSxi
November 5, 2019
Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD)Host: Darryl S. Chutka, M.D. (@ChutkaMD)What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
November 5, 2019
What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.
October 29, 2019
Guest: Denise M. Dupras, M.D., Ph.D.Host: Darryl S. Chutka, M.D. (@ChutkaMD)How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
October 29, 2019
How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.
October 22, 2019
Guest: David R. Farley, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
October 15, 2019
Guest: Lois J. Mc Guire, APRN, C.N.P., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: ASCCP Guidelines: http://www.asccp.org/guidelines US Preventative Services Task Force: https://bit.ly/31h88zR The American College of Obstetrics and Gynecologists: https://bit.ly/2IVhc7g
October 15, 2019
When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears.Deeper Dive:ASCCP Guidelines: http://www.asccp.org/guidelinesUS Preventative Services Task Force: https://bit.ly/31h88zRThe American College of Obstetrics and Gynecologists: https://bit.ly/2IVhc7g
October 8, 2019
Guests: Emily J. Holm, Pharm.D., BCACP, R.Ph. and Audrey J. Umbreit, Pharm.D., R.Ph. Host: Darryl S. Chutka, M.D. (@ChutkaMD) With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: Beers Criteria https://dcri.org/beers-criteria-medication-list/ STOPP/START Criteria for Potentially Inappropriate Prescribing in Older People Age and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145
October 8, 2019
With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly.Deeper Dive:Beers Criteriahttps://dcri.org/beers-criteria-medication-list/STOPP/START Criteria for Potentially Inappropriate Prescribing in Older PeopleAge and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145
October 1, 2019
Guest: Robert M. Jacobson, M.D. (@RobertJMD)Host: Darryl S. Chutka, M.D. (@ChutkaMD)What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates.Tips @14:54: It’s more of a stop sign than “do you want fries with that?”TLDR: Listen at 19:21 for Dr. Jacobson’s must-know tips!Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Loading earlier episodes...
    15
    15
      0:00:00 / 0:00:00