Mayo Clinic Talks

HAPPY HOLIDAYS! Enjoy this re-release from Season 3 of Mayo Clinic Talks: Host: Darryl S. Chutka, M.D.  Guest: Amy S. Oxentenko, M.D.   It’s estimated that less than 1/3 of individuals with celiac disease have been properly diagnosed. When those with celiac disease ingest gluten, an immune response develops which attacks the small intestine leading to inadequate absorption of nutrients. If left untreated, celiac disease can lead to a variety of nutritional deficiencies as well as other serious consequences. Those with celiac disease are also at increased risk for coronary disease and small bowel cancers. In this podcast we’ll review celiac disease and gluten sensitivity with our guest, Amy S. Oxentenko, M.D., a gastroenterologist at the Mayo Clinic. We’ll discuss the symptoms of celiac disease, how to diagnose the condition and how patients with celiac disease should be managed.   Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

Lisa Lammert, a registered dietitian specializing in plant-based nutrition, shares valuable insights on the benefits and challenges of plant-based diets. She discusses how these diets can reduce risk factors for heart disease, obesity, and diabetes, while also addressing the nutritional pitfalls of processed vegan foods. Lammert emphasizes the importance of fiber for gut health and offers practical tips for transitioning to plant-based meals. She also highlights key nutrients like protein, vitamin B12, and calcium, ensuring listeners understand how to maintain a balanced diet.

Dr. Cory Ingram, a family medicine and palliative care physician, shares invaluable insights into hospice care. He emphasizes that hospice is not about surrendering but about enhancing comfort and dignity at the end of life. The discussion highlights the critical role of communication, addressing common misconceptions, and the importance of timely hospice conversations. Dr. Ingram also tackles the barriers that prevent healthcare providers from initiating these talks and offers guidance on how to navigate patients' emotional reluctance for enrollment.

In this engaging discussion, Andrew R. Jagim, Director of Sports Medicine Research at the Mayo Clinic and expert in sports nutrition, dives into the world of nutritional supplements. He reveals why consumers are drawn to products like multivitamins and protein powders, despite their limited benefits for many. Andrew educates on the risks of high doses and potential drug interactions, especially with unregulated items. He emphasizes the importance of third-party testing and the need for supplements tailored to specific health needs, reminding us that few supplements are truly magical.

Cory Ingram, M.D., a palliative care physician, dives into the art of building effective provider-patient relationships. He emphasizes how trust and effective communication can enhance patient outcomes, making them more likely to adhere to recommendations. Ingram shares the PEARLS framework for rapport and the Ask-Tell-Ask technique, which help clarify complex information. He also discusses the challenges of telemedicine on relationships and outlines key threats like time and technology that can hinder connection. Tune in for insightful strategies to improve patient interactions!

In this engaging discussion, Dr. William J. Casey III, a plastic surgeon specializing in lymphedema, and Dr. Andrea L. Cheville, a physiatrist focused on non-surgical care, explore the often-misdiagnosed condition of lymphedema. They highlight its complications, like chronic inflammation and cellulitis risk, and the importance of early diagnosis. Listeners will learn about innovative treatments, including surgical techniques like lymphovenous bypass, and conservative therapies that improve patient quality of life through a multidisciplinary approach.

Martin G. Ellman, D.P.M., a podiatrist at the Mayo Clinic, dives into the world of common foot disorders, including plantar fasciitis, bunions, and metatarsalgia. He highlights key evaluation methods for foot pain and identifies risk groups. Ellman explains hallmark symptoms and effective management strategies, such as footwear modifications and conservative treatments. He also discusses when surgical intervention might be necessary, making it clear why understanding our feet is crucial to our overall well-being.

Host: Darryl S. Chutka, M.D. Guest: Christina Chen, M.D. Alzheimer’s Disease affects not only the patient but also has a significant impact on that patient’s family. The family becomes stressed as emotional and physical burdens develop. The role of the primary care clinician in managing a patient with Alzheimer’s is not only to care for the patient but also help and support families as they go through a very complex, emotional journey. Today’s podcast will cover the changes in family dynamics which commonly occur in Alzheimer’s Disease including caregiver burden, legal decisions which need to be made, and difficult ethical choices which will be made as the disease progresses. What are some common sources of conflict within families as they care for their loved one with Alzheimer’s? What can we do as a clinician to help families through this difficult journey? How do we approach a situation where there’s disagreement in the family regarding management? These are some of the questions I’ll be asking my guest, Christina Chen, M.D., an internist and geriatrician in the Division of Community Internal Medicine at the Mayo Clinic as we discuss “Alzheimer’s Disease and Family Dynamics”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

Ronald C. Petersen, M.D., Ph.D., a leading neurologist and dementia expert, joins the discussion on mild cognitive impairment (MCI). He clarifies how MCI differs from normal aging and dementia, emphasizing its various causes and the importance of early diagnosis. Dr. Petersen highlights the effectiveness of mental status tests for detection and reviews reversible conditions that may mimic MCI. He also discusses innovative treatment options and the potential of combination therapies to improve patient outcomes, shedding light on the future of dementia care.

Host: Darryl S. Chutka, M.D. Guest: Daniel M. Frendl, M.D., Ph.D. Prostate cancer is quite common in middle age and older men and represents the second most common malignancy diagnosed in this population. Only skin cancer is more common. Early diagnosis is important and carries an excellent prognosis. There are several management options available for localized disease and some new treatments which can be used for both aggressive and more advanced disease. When should active surveillance be used when prostate cancer has been diagnosed? How does radiation therapy compare to surgical prostatectomy regarding long-term outcomes and what are some of the newer treatment options available for advanced disease? These are some of the questions I’ll be asking my guest, Daniel M. Frendl, M.D., Ph.D., a urologist from the Department of Urology at the Arizona campus of the Mayo Clinic as we discuss “Prostate Cancer”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts