Mayo Clinic Talks

Guest: Corey M. Kunzer, P.T., D.P.T., SCS, (@KunzerCorey) and Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Over the past decade more individuals have begun working remotely; the numbers have increased dramatically this past year with the COVID-19 pandemic. While there are some advantages to working remotely, there are also some potential problems associated with it. Those working from home often develop a variety of musculoskeletal problems including low back and neck pain, as well as shoulder and extremity discomfort. Drs. Edward Laskowski, a physician and Corey Kunzer, a physical therapist, both in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic will discuss some of the musculoskeletal problems associated with working remotely. Specific topics discussed: Frequency of musculoskeletal problems associated with working from home Differences between working at home vs. the traditional office Issues to consider when selecting a desk and chair Recommended positions of the monitor, keyboard and mouse Benefits of a standing workstation or working while walking on a treadmill Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Andrew Jagim, Ph.D. (@AJagim) Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Billions of dollars per year are spent in the U.S. on nutritional supplements to enhance performance. Multiple nutritional supplements are commercially available and are marketed for enhancing endurance, building muscle strength, improving exercise efficiency, and decreasing the potential for injury. Do these supplements actually deliver the benefits they claim? Are they safe? What age athletes are taking these supplements?  We’ll discuss these topics and more with Dr. Andrew Jagim, the director of sports medicine research at the Mayo Clinic. Specific topics: Recommended approach to the athlete who wants to improve their performance Potential benefits of nutritional supplements for athlete's Age of athletes taking nutritional supplements Selecting a high-quality nutritional supplement Reliable web sites reviewing the available nutritional supplements including potential benefits and safety Review of commonly taken nutritional supplements Nutritional supplements which have potential harm Additional Resources: Mayo Clinic Proceedings Article: https://www.mayoclinicproceedings.org/article/S0025-6196(20)30363-3/fulltext NIH – Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/ International Society of Sports Nutrition (ISSN): https://www.sportsnutritionsociety.org/ Third-Party Testing Information: https://examine.com/ 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 December, 2020.  Guest: Tyler Oesterle, M.D., M.P.H. (@OesterleMD)  Host: Halena M. Gazelka, M.D. (@hmgazelkamd)  Stress, isolation and limited access to resources are fueling rising rates of substance abuse and overdoses during the COVID-19 pandemic. While coronavirus has been the focus of so much attention this year, the opioid crisis has continued unabated and has even worsened. More than 40 states have reported increases in opioid related deaths, according to the American Medical Association.  On the Mayo Clinic Q&A podcast, Dr. Tyler Oesterle, a psychiatrist and addiction expert at Mayo Clinic, discusses opioid use disorders and treatment options, including virtual medicine available during the pandemic.  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. 

This episode is shared from Mayo Clinic Q&A and was recorded in December, 2020.  Guest: John (Jack) C. O'Horo, M.D., M.P.H. (@jcohoro)  Host: Halena M. Gazelka, M.D. (@hmgazelkamd)  A recent Mayo Clinic study published in Mayo Clinic Proceedingsfound that patients with COVID-19 who received care at Mayo Clinic had lower mortality rates than the national average. Mayo Clinic patients were treated using an integrated, team-based approach for patient monitoring and treatment.  On the Mayo Clinic Q&A podcast, Dr. John O'Horo, a Mayo Clinic infectious diseases physician and the study's first author, discusses the study results and explains how the Mayo Clinic Model of Care improves outcomes for patients.  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. 

Guest: Alisha Morgan, D.O. (@AAMORGAN_DO) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that there may be over 30 million individuals in the U.S. who provide ongoing care to older adults, half of these to family members with some form of dementia. The majority of these caregivers are female and a significant percentage of these caregivers have their own major health problems. This has become a major social and economic issue in the care of our geriatric patients. Dr. Alisha Morgan, a family medicine and hospice physician at the Mayo Clinic joins us to address the challenges associated with being a caregiver, how healthcare providers should assess caregiver burden, potential financial resources available to assist caregivers, and interventions to reduce the impact of stress on caregivers. Specific topics: Morbidity and mortality of care givers The amount of time caregivers devote to assisting older adults Financial burden of providing chronic care to older adults How primary care providers should acknowledge caregivers How primary care providers should evaluate How caregiver stress should be provided Available financial resources for caregivers Caregiver Resources: https://www.aarp.org/content/dam/aarp/entertainment/books/2015-04/Caregivers_Excerpt.pdf Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode was recorded on December 18, 2020.  To claim credit visit: https://ce.mayo.edu/covid19podcast  Guest: Gregory A. Poland, M.D. (@drgregpoland)  Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)  It is projected that by March of 2021 1:700 Americans will have died of COVID-19. The historic pace of COVID-19 vaccine development was made possible by the countless sacrifices of many individuals across healthcare, research, health and human services, the Department of Defense, and other key sectors. This interprofessional collaboration required many to set life aside and work tirelessly to bring an effective vaccine to market, quickly. While mRNA vaccines have been in development since the 1990s, the COVID-19 vaccine efficacy rate of 95-100% across studied ages, race and ethnicities, and comorbidities is unprecedented. The questions left to answer are, how long will the efficacy last? In larger population studies, what is the safety/allergy/hypersensitivity profile? What impact does the vaccine have on asymptomatic carrier spread? Who shouldn’t get the vaccine? Dr. Greg Poland breaks down everything you need to know about the mRNA COVID-19 vaccines.  Additional Resources: Mayo Clinic Vaccine Research Page https://www.mayo.edu/research/labs/vaccine-research-group/overview  Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education  https://www.sciencedirect.com/science/article/pii/S0264410X11011881  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. 

Guest: Matthew L. Carlson, M.D. (@MatthewLCarlso1) Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Issues surrounding hearing loss are discussed with Dr. Matthew Carlson, an ENT physician from the Mayo Clinic. Specific topics discussed include the following: Types of hearing loss (conductive vs. sensorineural) Social impact of hearing loss Symptoms patients notice with gradually progressive hearing loss Tinnitus and it’s management Causes of sensorineural hearing loss High frequency tone loss and problems with speech discrimination associated with sensorineural hearing loss Hearing loss associated with loud noise exposure (acoustic injury and chronic noise exposure) Hearing loss associated with the use of firearms Common everyday activities which may result in hearing loss Management of sensorineural hearing loss (hearing aids, cochlear implants) Recent advances and improvements in hearing aids Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

This episode was recorded on October 23, 2020. Guest: Robert M. Jacobson, M.D. (@RobertJMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) It’s estimated that immunizations have saved more lives and prevented more disabilities than any other medical intervention. They’re also extremely cost effective and their benefits far outweigh the very small risks they carry. Yet there are individuals who choose to believe that immunizations are potentially harmful. Our guest for this podcast is Dr. Robert Jacobson, a Mayo Clinic pediatrician and expert in the field of immunizations. We cover topics including an update on the COVID-19 vaccine and when it will realistically be available on a large scale for the population. Other important issues discussed include which vaccines are important for children and adults and whether it’s safe to administer multiple vaccines at one time. Finally, many of the concern promoted by the anti-vaccine movement are discussed and dispelled. Specific topics discussed: Variety of vaccines in development for COVID-19 Novel techniques being use in the development of the COVID-19 vaccine Timing on the availability of the COVID-19 vaccine Important immunizations for children Important immunizations for adults Anti-vaccine concerns and myths surrounding vaccines Updates on the age recommendations for the HPV vaccine 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 December, 2020.  To claim credit visit: https://ce.mayo.edu/covid19podcast  Guest: Gregory A. Poland, M.D. (@drgregpoland)  Host: Halena M. Gazelka, M.D. (@hmgazelkamd)  The first COVID-19 vaccines to reach the market are likely to be messenger RNA vaccines, or mRNA. According to the Centers for Disease Control and Prevention, mRNA vaccines work by teaching cells in the body how to make a protein that triggers an immune response. Unlike many vaccines that use a weakened or inactivated form of a virus, mRNA vaccines do not use the live virus that causes COVID-19.  On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, explains how mRNA vaccines work, gives a status update on the pandemic and answers 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. 

This episode is shared from Mayo Clinic Q&A and was recorded in November, 2020.  To claim credit visit: https://ce.mayo.edu/covid19podcast  Guest:  Elie F. Berbari, M.D.  Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar) The current COVID-19 surge numbers could worsen in coming days as experts prepare for a post-Thanksgiving holiday increase in cases. Increased positivity rates lead to more people needing hospitalization, straining the health care system and medical staff. On the Mayo Clinic Q&A podcast, Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic, explains how Mayo Clinic is managing staff, supplies and space during the COVID-19 surge. 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.