Mayo Clinic Talks

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Rekha Mankad, M.D. Mitral valve disorders are extremely common, one of the most common is mitral valve prolapse. The majority of these patients live their life without symptoms, but some go on to develop significant mitral regurgitation or less likely, mitral stenosis. How can we recognize mitral valve disease and what’s recommended to confirm a diagnosis? How should these patients be followed? Do they need a lifetime of cardiac imaging? When is a cardiologist needed to help manage these patients? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., a cardiologist from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Rekha Mankad, M.D. It’s estimated that between 2% and 3% of the population has some form of valvular heart disease and this increases with age. Most of these patients are initially cared for by primary care providers. Most valvular disease deaths are due to disease of the aortic valve and it’s important to recognize these patients early in order to assess for progression and the need for surgical intervention. What are the presenting symptoms of aortic valve disease? What’s the best way to manage and follow these patients and when should a cardiologist and cardiac surgeon become involved in the care of the patient? In this podcast, we’ll discuss these questions and more with cardiologist Rekha Mankad, M.D., from the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Siobhan Pittock, M.B., B. Ch Thyroid hormone plays an important role in metabolism of adults. It plays an even more important role in children. Undiagnosed hypothyroidism in children not only impairs metabolism but can result in stunted physical growth and impaired cognitive development. Congenital hypothyroidism is one of the most common causes of intellectual disability. This may present as poor performance or behavior problems in school. It can also be associated with hearing and language development. The topic for this podcast is “Thyroid Hormone and Brain Development in Children” and my guest is Siobhan Pittock, M.B., B. Ch, a pediatric endocrinologist from the Mayo Clinic. We’ll discuss how thyroid hormone affects brain development, the causes of hypothyroidism in a fetus or newborn and whether brain damage from hypothyroidism in childhood is reversible. https://www.usdairy.com/about-us/national-dairy-council 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: Philip R. Fischer, M.D. Among adolescents, complaints regarding fatigue are relatively common and it’s been assumed to be associated with the hormonal changes of puberty, the various social conflicts common in adolescence and a variety of educational expectations. At times, fatigue becomes chronic and may be accompanied by other physical symptoms including mood disorders, headaches, musculoskeletal pains, and various GI symptoms. When chronic fatigue in adolescence has been investigated, no single causal factor has been found and its likely to be multi-factorial. The topic for this podcast is “Chronic Fatigue in Adolescents” and we’ll discuss this with our guest Philip R. Fischer, M.D., a pediatrician from the Department of Pediatrics at the Mayo Clinic. https://mcpress.mayoclinic.org/product/tired-teens/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Sanj Kakar, M.D. @sanjkakar  Guest: Neha P. Raukar, M.D., M.S We’ve all been experiencing the intense heat and humidity, and did you know that this past July was one of the hottest months on record. Exposure to heat poses a major threat to high-risk populations by substantially contributing to increased morbidity and mortality. Our podcast today is tackling the most common heat-related conditions with Neha P. Raukar, M.D., M.S., Associate Professor of Emergency Medicine. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Dr. Sehil Khanna discusses the risk factors and symptoms of C. difficile infection, including the role of antibiotic exposure and the spread of the infection in hospitals and nursing facilities. This chapter also covers the potential complications of the infection and the recommended treatments, including vancomycin and fidaxomicin. Furthermore, it explores options for recurrent infections such as antibiotic regimens, bezel or toxin map monoclonal antibody, and fecal microbiota transplantation. In addition, learn about the key points in diagnosing and treating C. difficile infection, including the importance of risk factors and obtaining a thorough patient history. Discover the recommended first-line treatments and the availability of bezlotoxumab for recurrence prevention, as well as the potential of microbiome-based therapies in the future.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Katherine A. Zeratsky, R.D.N., L.D. Chronic disease is creating a tremendous financial impact on our healthcare system. Cardiovascular disease alone accounts for approximately 18 million deaths globally, annually. Most often, we think of pharmacologic therapy in managing chronic disease, yet there’s good evidence that shows adults who eat a healthy diet have a lower risk of suffering from a variety of chronic diseases. Diet can play an extremely important role in preventing and managing such conditions as hypertension, hyperlipidemia, osteoporosis, and malignancy. Today’s podcast will review the role of nutrition in lowering the risk of chronic disease and our guest is registered dietician and nutritionist, Katherine A. Zeratsky, R.D.N., L.D., from the Division of Endocrinology at the Mayo Clinic. https://www.usdairy.com/about-us/national-dairy-council 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: Liz A. Gilman, M.D. Guest: Chris R. Stephenson, M.D., M.H.P.E. As clinicians, we’re used to obtaining health information from our patients through a medical history, performing a physical exam and ordering a variety of lab tests or imaging studies. We then formulate a differential diagnosis and eventually a diagnosis to explain the patient’s health problem. But what happens when a diagnosis isn’t obvious or we’re uncertain what may be causing the patient’s problems. What if a patient asks us a question and we don’t know the answer? How do we express our uncertainty to our patients and how do our patients react to our uncertainty? In this podcast, we’ll discuss diagnostic uncertainty and how to approach our patients when we can’t find a specific diagnosis to explain their symptoms. Our guests include Liz A. Gilman, M.D., and Chris R. Stephenson, M.D., M.H.P.E., both from the Division of General Internal Medicine 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: Teresa A. Rummans, M.D. The COVID-19 pandemic has caused innumerable health complications. One complication which hasn’t received a lot of attention has been the effect seen on mental health. Since the pandemic, the incidence of mental illness has increased dramatically, both in patients who have been infected as well as those suffering the social consequences of the pandemic. This has led to mental health disorders representing a major cause of disability. What can we learn from a historical perspective as a result of previous pandemics? How does the COVID-19 virus produce the variety of neuropsychiatric disorders commonly seen? And most importantly, how can we help our patients with their mental health disorders associated with the pandemic? This podcast will review “Psychiatric Issues Stemming From COVID-19” with our guest, Teresa A. Rummans, M.D., a psychiatrist from the Department of Psychiatry and Psychology at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka M.D. [@chutkaMD] Guest: Lisa Lammert, R.D.N., L.D. Cardiovascular disease is the leading cause of death to individuals in the U.S. Many feel that our typical American diet with its high saturated fat content is a major contributor to this. There’s good evidence that shows plant-based diets are cost-effective in lowering the risk factors for cardiovascular disease including obesity, hyperlipidemia, hypertension, and diabetes. They may also lower the number of medications an individual needs to take to manage their chronic diseases. So, are there any disadvantages to a plant-based diet? Are all plant-based diets healthy and what are the nutritional challenges for a patient on a plant-based diet? We’ll discuss these questions in this podcast on “Plant-Based Diets”. Our guest is Lisa Lammert, a registered dietician and nutritionist 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.