Mayo Clinic Talks

This episode is shared from Mayo Clinic Q&A and was recorded in December 2021 Guest:  Greg Vanichkachorn, M.D., M.P.H. (@DoctorGregVan) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Most people who have COVID-19 recover completely within a few weeks. But some people — even those who had mild versions of the disease — continue to experience symptoms after their initial recovery.  Sometimes called “long haulers” or “long COVID," these patients can have fatigue, shortness of breath, brain fog and other symptoms long after the time of their infection. Post-COVID-19 syndrome conditions are generally considered to be effects of COVID-19 that persist for more than four weeks after you've been diagnosed with COVID-19 infection. A recent Mayo Clinic study on post-COVID-19 symptoms found that more women than men suffer long-term effects. Women predominantly showed symptoms of fatigue, followed by muscle pain and low blood pressure, while men primarily experienced shortness of breath. Research is also underway to better understand what may be causing post-COVID-19 syndrome. "We do have some research now that shows that some of the cells that are used to create immunity after an infection, they may be malfunctioning in this condition in patients with long-haul COVID," says  Dr. Greg Vanichkachorn, director of Mayo Clinic’s COVID Activity Rehabilitation Program. "We also now have some research that shows that patients with this condition can have antibodies against themselves, otherwise known as an auto-antibody. And this may be associated with the long-haul COVID state, so immune dysfunction and auto immunity, they may be at play here." The COVID Activity Rehabilitation Program at Mayo Clinic helps people experiencing post-COVID-19 syndrome by working with patients to decrease symptoms and improve overall functioning and quality of life.  On the Mayo Clinic Q&A podcast, Dr. Vanichkachorn discusses how treatment can help patients who suffer from post-COVID-19 syndrome. 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.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest:  Andrew R. Jagim, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Nutritional supplements are being promoted to enhance a variety of areas of physical fitness. This episode focuses on the impact on strength, power and overall performance. Our guest for this podcast is Andrew R. Jagim, Ph.D., the director of Sports Medicine research at Mayo Clinic. Specific topics: Activities that benefit from increased strength and performance Lifestyle strategies used to enhance strength and performance Common nutritional supplements used to increase strength and performance Safety concerns regarding the use of nutritional supplements Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed)  Host: Darryl S. Chutka, M.D. (@ChutkaMD) Arthritis is one of the most common health conditions our patients have for eliminating exercise from their daily routine, yet the American College of Rheumatology feels that exercise should be one of the mainstays of treatment for those with arthritis. How do we convince our patients of the importance of continued exercise despite their arthritis? Are some types of exercise better than others? Can exercise make their arthritis worse? We’ll discuss these questions with Dr. Edward R. Laskowski, a Sports Medicine physician from the Department of Physical Medicine and Rehabilitation at Mayo Clinic. Specific topics: Benefits of exercise in patients who have arthritis Exercises that patients with arthritis should avoid What patients should do if they have increased joint pain after exercising Joint-friendly exercises that can be done by most patients Importance of performing resistance as well as aerobic exercise Recommended frequency and duration of exercise Exercises for the was with inflammatory arthritis Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Andrew R. Jagim, Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Can nutritional supplements help to increase exercise endurance? What types of supplements can help with short term – immediate improvements and which can assist with longer term recovery? Andrew R. Jagim, Ph.D., director of Sports Medicine research at Mayo Clinic joins us to discuss some of the claims that we can hear about nutritional supplements promoted to prove one's endurance, increase exercise economy, and improve tolerance of high-intensity exercise. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2021 Guest:  Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Omicron, a new COVID-19 variant of concern, has been detected in all regions of the world, including North America. While research and clinical observations on the new strain are underway, it is not yet known what impact, if any, omicron will have on the immune response, transmissibility, or specific COVID-19 treatments. The emergence of omicron is a reminder to take important steps to protect yourself against COVID-19. "The answer is masking and boosters," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group.  Dr. Poland is encouraged by vaccine booster rates in the U.S. "In a relatively short period of time, about 36% of adults who are eligible have indeed gotten a booster," says Dr. Poland. "There's plenty of vaccine available. So in the strongest possible terms, I would recommend getting that booster." Adults who are six months past completing their initial Moderna or Pfizer COVID-19 vaccination series are eligible to receive a booster dose, as are adults who are two months past completing their initial dose of the Johnson & Johnson vaccine. On the Mayo Clinic Q&A podcast, Dr. Poland discusses the omicron variant and COVID-19 boosters, and he answers some listener questions. 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.  

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Nutritional Supplement Edition Guest:  Andrew R. Jagim, PhD Host: Darryl S. Chutka, M.D. (@ChutkaMD) Imagine taking a supplement that increases muscle mass, improves strength and endurance, promotes weight loss, helps prevent injury from exercise and promotes healing. Do these supplements exist and are they safe? This episode discusses nutritional supplements. We will discuss proven benefits as well as risks. Our guest for this podcast is Andrew R. Jagim, Ph.D., the director of Sports Medicine research at Mayo Clinic. Specific topics: Definition of nutritional supplements Common reasons to take these products Accuracy of claims that nutritional supplements improve fitness and enhance performance Research conducted on nutritional supplements Regulation of the nutritional supplement industry Potential safety issues in taking nutritional supplements Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Natalie H. Strand, M.D. (@DrNatStrand) Host: Amit K. Ghosh, M.D. (@AmitGhosh006) Racial biases can influence diagnosis and treatment decisions. It is important to normalize implicit biases and be aware of our own biases to reduce disparities and improve health care for patients. Joining us today is Natalie Strand, M.D., a consultant in the Department of Anesthesiology and Perioperative Medicine at the Mayo Clinic Hospital in Phoenix, AZ. She will discuss the unique, relevant and timely topic of racism in pain medicine, including the occurrence of racism in medicine at all levels – from patient care, diagnoses and outcomes to professional development of physicians. She describes our responsibility and how, if we want to engage in anti-racism, we must do it at all levels in medicine. Additional Resources: Strand, N. H., Mariano, E. R., Goree, J. H., Narouze, S., Doshi, T. L., Freeman, J.A., Pearson, A. C. S. (2021). Racism in Pain Medicine: We Can and Should Do More. Mayo Clinic Proceedings, 96(6), 1394-1400. https://doi.org/10.1016/j.mayocp.2021.02.030 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2021 Guest:  Gregory A. Poland, M.D. (@drgregpoland) Host: Halena M. Gazelka, M.D. (@hmgazelkamd) Cold weather, increased travel, waning immunity and the potential for new variants may serve up the perfect recipe for a holiday COVID-19 surge, according to Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group.   "I have consistently said what's very likely to happen as we get to the cooler weather and see the trends in travel is that we will have another surge," says Dr. Poland. "We're in this unusual situation where the pandemic is actually getting worse because humans don't want to believe that the pandemic is just as important now as it was a year ago." In this Mayo Clinic Q&A podcast, Dr. Poland answers several listener questions and talks more about being vigilant against COVID-19 as the U.S. heads into a second winter with this coronavirus. He also addresses the recent news that wild deer have shown evidence of COVID-19 infection and what that might mean in the battle to eliminate the disease.  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.

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Gina A. Suh, M.D. Host: Denise M. Dupras, M.D., Ph.D. What is Phage Therapy? When was it discovered? Where is it used? We know about antibiotics, antifungals, and antivirals, but this is a whole new world! Have no fear, this episode is here from the Genes & Your Health miniseries to help demystify all there is to know about Phages. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  

Guest: Monique A. Freund, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Hyperlipidemia is one of the major risk factors for cardiovascular disease. It’s known that a combination of lifestyle changes and pharmacologic therapy has proven effective in reducing the complications of cardiovascular disease. Despite this, it’s estimated that less than 35% of those patients with hyperlipidemia are adequately managed. Why aren’t we doing a better job at managing this major public health problem? In this podcast, we’ll be speaking with Monique A. Freund, M.D., a cardiologist at Mayo Clinic. We’ll discuss how to optimize management of hyperlipidemia, which lifestyle changes are beneficial, when to use pharmacologic therapy and how to manage patients with statin intolerance. Specific topics: Relative importance of elevated LDLc, low HDLc and elevated triglycerides Effective non-pharmacologic therapy for treating elevated LDLc, low HDLc and elevated triglycerides When to consider starting a patient on a statin Benefits of fish oil Mechanism of action of statins Statin intolerance When to use ezetimibe When to use one of the PCSK9-inhibitors Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.