Mayo Clinic Talks

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: John C. Lewis, M.D. It’s estimated that 25 million people in the U.S. have asthma; this represents about 1 in every 13 individuals. It’s more common in females and is a leading cause of chronic disease in children. Asthma represents a common reason for an outpatient visit and is unfortunately, also a relatively common reason for hospitalization. Although it’s felt that almost all deaths from asthma are preventable with appropriate management, over 3,000 people per year die from asthma. How do we properly evaluate patients we suspect have asthma? What are the goals for their management and what are the current recommendations for treatment? For this podcast we’ll discuss an update in asthma with my guest, John C. Lewis, M.D., from the Division of Allergic Disease at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at ce.mayo.edu access this podcast and more here or on Twitter @MayoMedEd. 

HOST - Dawn Marie R. Davis, M.D. GUEST - Jewel M. Kling, M.D., M.P.H. The number of midlife women transitioning into menopause is substantial with more than one million women in the U.S. entering menopause each year. Symptoms such as vasomotor symptoms (VMS), mood and sleep disturbances, and sexual problems are common during the menopause transition, yet often go untreated. Menopausal hormone therapy (HT) is often the preferred and most effective treatment option for menopausal symptoms. Dr. Juliana (Jewel) Kling joins the podcast to discuss this important topic. This episode is brought to you by: https://www.astellas.com/us/  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  Learn more about this episode at: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition *Episode Addendum: terminology “micronized progesterone acetate”; said in error: “medroxyprogesterone acetate” 

Hosts: Sanj Kakar, M.D., @sanjkakar | Dawn R. Davis, M.D. Guests: Rondell P. Graham, M.B.B.S. | Laura E. Raffals, M.D. | Sophie J. Bakri, M.D. A career in academic medicine can be rewarding, but also requires careful consideration to determine the best pathway to pursue. Join hosts Sanj Kakar, M.D. and Dawn Davis, M.D. as they discuss with our guests their personal journeys and lessons learned. Guests for this episode are Sophie J. Bakri, M.D, a Professor and Chair of Ophthalmology in Rochester, MN, Rondell P. Graham, M.B.B.S. a Professor of Laboratory Medicine and Pathology, along with a Consultant Pathologist in Rochester, MN and Laura Raffals, M.D., a Professor of Medicine and Chair of the Operations Coordinating Group for Mayo Clinic. This episode is a special video offering of Mayo Clinic Talks podcast - To watch the full video please visit: ce.mayo.edu Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

HOST - Dawn Marie R. Davis, M.D. GUEST - Suneela Vegunta, M.D. Dr. Suneela Vegunta joins the podcast to discuss the importance of the protecting the musculoskeletal system in patients during the menopause stage of life. Hormonal decline can have a significant impact on bone density, mobility and independence, causing osteopenia and osteoporosis. Topics covered in this episode include the impact of hormones on bone density, risk factors for osteoporosis and strategies to maintain and protect bone health.  This episode is brought to you by: https://www.astellas.com Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  To learn more about this episode at: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-menopause-and-womens-health-edition

This podcast discusses the basics of menopause, hormonal changes in women's bodies, challenges faced during menopause, weight gain concerns, symptom recognition and diagnosis, fertility decisions, and communication in menopause care.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: M. Regina Castro, M.D. It’s estimated that at least 12% of the U.S. population have some form of thyroid disorder. It’s more common in women and well over half of all patients with a thyroid dysfunction don’t know they have a problem. We encounter patients with hypothyroidism often; especially sub-clinical hypothyroidism and thyroid nodules are also found frequently. What do we need to consider when contemplating thyroid replacement therapy in a patient? How long do we need to re-image thyroid nodules? And when should we refer a patient with a thyroid nodule for a fine needle aspirate? In this podcast, I’ll discuss these questions and more with M. Regina Castro, M.D., from the Division of Endocrinology and Metabolism at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Cornelia M. Weyand, M.D., Ph.D. Guest: Kenneth J. Warrington, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Temporal arteritis is an inflammatory rheumatologic disorder that typically occurs in those over the age of 50. It can have devastating complications including loss of vision and stroke. It can have various presentations and at times can be challenging to diagnose. It also has an interesting relationship with polymyalgia rheumatica. Although there are abnormal lab tests associated with temporal arteritis, there is no one diagnostic test. A temporal artery biopsy is performed to establish a definitive diagnosis. Our topic for today’s podcast is temporal arteritis and my guests include Cornelia M. Weyand, M.D., Ph.D. and Kenneth J. Warrington, M.D., both from the Division of Rheumatology at the Mayo Clinic. We’ll discuss the typical symptoms of temporal arteritis, its potential complications, how to make a diagnosis and its treatment. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition 

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Kelsey L. Jensen, Pharm.D., R.Ph. Guest: Daniel Ilges, Pharm.D., R.Ph., BCIPD The appropriate use of antibiotics is important for a variety of reasons. It helps keep our patients safe, helps maintain antibiotic effectiveness in treating bacterial infections, and helps control the cost of patient care. Very few new antibiotics have been introduced in the past few decades. Because of this, as well as the accelerated emergence of antibiotic resistance, it’s more important than ever that we practice careful and responsible use of antibiotics. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients. This podcast will focus on out-patient antibiotic stewardship and my guests include Kelsey L. Jensen, Pharm.D., R.Ph., and Daniel Ilges, Pharm.D., R.Ph., BCIPD, both pharmacists at the Mayo Clinic. We’ll discuss how antibiotics are often prescribed incorrectly, the barriers we face as clinicians in prescribing antibiotics and how we can all improve our antibiotic stewardship. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Host: Darryl S. Chutka. M.D.; [@chutkaMD] Guest: Cornelia M. Weyand, M.D., Ph.D. Guest: Kenneth J. Warrington, M.D. Rheumatologic problems are some of the most common health conditions we see as primary care professionals. In many cases, taking months and sometimes years to properly diagnose, rheumatologic conditions can become frustrating for both the provider and the patient. There are a variety of new tests available to help us establish a diagnosis, as well as multiple new and effective treatment options. This episode is part of a seven-episode mini-series on Mayo Clinic Talks dedicated to rheumatologic health problems to aid in the recognition, diagnosis, and treatment for your patients. Please find these episodes where you listen to podcasts or on ce.mayo.edu. Polymyalgia rheumatica was first described in 1966 as a case report. It can have a wide range of symptoms and at times, can be challenging to diagnose. As with most rheumatologic disorders, the exact cause isn’t known. While there are no specific laboratory tests which establish a diagnosis, there are some that are very useful. One of the most important features of polymyalgia is its relationship with vasculitis and temporal arteritis. In this podcast, we’ll discuss polymyalgia rheumatica with rheumatologists Cornelia M. Weyand, M.D., Ph.D., and Kenneth J. Warrington, M.D., from the Mayo Clinic. We’ll review the typical presenting symptoms, how to establish a diagnosis, helpful laboratory tests and its management. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Learn more about our Rheumatology Edition here: https://ce.mayo.edu/content/mayo-clinic-talks-rheumatology-edition 

Dr. Katie A. Young discusses the different tests available for assessing patients with chest pain, including the importance of resting ECG, the use of CT angiogram to evaluate coronary anatomy, potential complications of an invasive coronary angiogram, and other tests and considerations for assessing chest pain.