Mayo Clinic Talks

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest(s):   Scott Crow, M.D.; Carol B. Peterson, Ph.D., L.P. Host:  Jocelyn R. Lebow, Ph.D., L.P. While eating disorders are often thought of as disorders of adolescence, they impact adult patients across their lifespan. While many of the characteristics of these disorders are similar for pediatric vs. adult patients, there are important differences in how a primary care provider should assess and treat these illnesses in adults. As with younger patients, most adults report presenting initially to their primary care provider with their eating concerns, and many never seek additional care. This episode focuses on best practices for primary care providers in assessing and treating adult patients with eating disorders. Our guests are Scott Crow, M.D., Adjunct Professor of Psychiatry at the University of Minnesota and Vice President of Psychiatry at Accanto Health, and Carol B. Peterson, Ph.D., L.P., Clinical Psychologist and Professor in the Department of Psychiatry and Behavioral Sciences at the University of Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Raymund R. Razonable, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Monoclonal antibodies are laboratory-synthesized and mimic our immune system in fighting harmful pathogens. In addition to convalescent plasma and anti-viral medication, monoclonal antibodies have played an important role in the treatment of infections due to COVID-19. The use of monoclonal antibodies has been shown to shorten the duration of symptoms as well as reduce the risk of hospitalization and mortality due to COVID-19. This podcast will focus on monoclonal antibodies and our guest is Raymund R. Razonable, M.D., from the Division of Infectious Disease 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. Resource: O’Horo J, Challener DW, Anderson RJ, Arndt RF, Ausman SE, Hall ST, Heyliger A, Kennedy BD, Sweeten PW, Ganesh R, Razonable RR, Rates of Severe Outcomes After Bamlanivimab-Etesevimab and Casirivimab-Imdevimab Treatment of High-Risk Patients With Mild to Moderate Coronavirus Disease-2019, Mayo Clinic Proceedings (2022), doi: https://doi.org/10.1016/j.mayocp.2022.02.009.

This episode is shared from Mayo Clinic Q&A and was recorded in April 2022 Guest: Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) An estimated 3 out of 4 U.S. children and more than half of all adults have been infected with COVID-19, according to a report released on Tuesday, April 26 by the Centers for Disease Control and Prevention. But a Mayo Clinic expert says more information is needed to get the complete picture. "This was a convenient sample. In other words, people who were having blood drawn for other reasons were tested,"explains Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "That does not reflect the full population or differences by race or geographic location. And the detection of antibodies does not necessarily mean that you are protected from infection. So, there's a lot of nuance around understanding that headline." The research study looked at more than 200,000 blood samples and found that signs of past infection rose dramatically during the omicron surge between December 2021 and February. Other COVID-19 news this week includes a push to make treatments more available, the rising incidence of new omicron subvariants, and changes in mask recommendations. Dr. Poland cautions that COVID-19 is still present and encourages wearing a mask in crowded spaces, even when there isn't a requirement to do so. "If only one of us is wearing a mask and the other one isn't and is infected, you still have pretty high protection — but not the same level of protection as if both of us wearing one," says Dr. Poland. "So, it's it is not futile to be the only one wearing a mask. In fact, I think it sends a message." On the Mayo Clinic Q&A podcast, Dr. Poland discusses the latest COVID-19 news and answers listener questions.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests:  Angela C. Mattke, M.D. (@DrAngelaMattke); Paige I. Partain, M.D. Host:  Jocelyn R. Lebow, Ph.D., L.P. Though the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) is clear in classifying eating disorders, clinicians understand it is rare to be presented with a straightforward case. Patients present with comorbidities and family circumstances that muddy the clinical picture and the treatment plan. This case-based episode focuses on how primary care providers can treat children with eating disorders. This episode will examine complicated eating disorder cases, featuring guests Angela C. Mattke, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Ann E. Kearns, M.D., Ph.D.          Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) It is estimated that worldwide, one in three women, and one in five men over the age of 50 will experience osteoporosis fractures during their lifetimes. In this podcast, we discuss risk factors and management of fragility fractures and bone health with Ann E. Kearns, M.D., Ph.D., a Consultant Endocrinologist and Associate Professor within the Department of Medicine at Mayo Clinic in Rochester, Minnesota. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests:  Angela C. Mattke, M.D. (@DrAngelaMattke); Paige I. Partain, M.D. Host:  Jocelyn R. Lebow, Ph.D., L.P. We understand eating disorders are serious and evidence-based Family Based Treatment (FBT) is scarce but effective. This episode will discuss strategies informed by evidence based FBT principles that can be used by providers in primary care settings to address eating disorder symptoms. Though typically the responsibilities of primary care providers in eating disorder treatment are limited to case identification, referral, and medical management, these providers have vast experience empowering caregivers to help their children change behavior.  Equipping primary care providers to deliver evidence-based treatment for restrictive eating disorders has the potential to expand access to early intervention and improve outcomes. Our guests for this episode are Angela C. Mattke, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  

Guest: Ramla N. Kasozi, M.B., Ch.B., M.P.H. Host: Darryl S. Chutka, M.D. (@ChutkaMD) There is currently a debate regarding the use of race and ethnic categories in clinical decision-making. There are numerous studies which claim data from race is a factor and should be considered when designing practice guidelines and clinical algorithms. Some feel that any benefit is small compared to the potential harm that could occur regarding the past abuse of race used in medicine. Unfortunately, many questions remain unanswered. Is race a reliable proxy for genetic differences? Are there genetic differences which explain the basis behind race-based algorithms? And what are the potential dangers of using race-adjusted algorithms? This podcast reviews these topics with Ramla N. Kasozi, M.B., Ch.B., M.P.H., a family physician at the Mayo Clinic in Jacksonville, Florida. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guest(s):  Jocelyn R. Lebow, Ph.D., L.P. Host:  Angela C. Mattke, M.D. (@DrAngelaMattke) Eating disorders impact an estimated 3-15% of adolescents and, if left untreated, or only partially treated, can become chronic conditions. Relapse is also common in eating disorders with over 40% of patients reporting at least one relapse in some studies. Despite these sobering statistics, when adolescent patients complete a course of good, evidence-based treatment, they can expect to make and maintain a full recovery from their symptoms. Primary care providers play a critical role in helping patients and their families find care and determine whether the care they’re getting is having the right effect. This episode will concentrate on different types of eating disorder treatment: what’s out there and what the evidence says works best. Our guest is Jocelyn R. Lebow, Ph.D., L.P., a Mayo Clinic child and adolescent psychologist and collaborator in the Mayo Clinic primary care child and adolescent eating disorder clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Sandra J. Taler, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Nearly half of all adults in the United States have some degree of hypertension and it’s one of the most common reasons patients are seen in an outpatient practice. The vast majority have essential or primary hypertension and they usually respond to a combination of lifestyle changes and often pharmacologic therapy. A small percentage of these cases have secondary hypertension and often do not respond to treatment unless the underlying cause is found and corrected. At times, it can be difficult to identify the cause of secondary hypertension as the clues may be quite subtle or even non-existent. Our guest for today’s podcast is Sandra J. Taler, M.D. from the Division of Nephrology and a hypertension specialist from the Mayo Clinic. We’ll discuss when you should suspect secondary hypertension, the clues the patient may give us regarding its cause and its management. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Eating Disorders Edition Guests:  Marcie L. Billings, M.D.; Paige I. Partain, M.D. Host:  Angela C. Mattke, M.D. (@DrAngelaMattke) The medical evaluation for eating disorders is very important. It is the primary care provider’s role to rule out other causes of weight loss, especially when eating disorder signs might not be as apparent at the beginning or the patient isn’t entirely forthcoming. Additionally, the patient and their family have an inherent trust in a primary care provider as their long-term medical provider. This episode will focus on the medical evaluation and management of eating disorders – what vital signs are significant, what labs are necessary including how often they should be performed, how frequently patients need to be seen in collaboration with their therapist, and how to determine if a patient is medically unstable and needing immediate admission for monitoring and treatment. The guests for this episode are Marcie L. Billings, M.D. and Paige I. Partain, M.D., Mayo Clinic Children’s Center pediatricians, and colleagues and collaborators in the primary care child and adolescent eating disorder clinic at Mayo Clinic.  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.