Mayo Clinic Talks

Guest: Gregory A. Poland, M.D. (@drgregpoland)  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  Many of us learned how to wash our hands at a very early age and have relearned the importance and proper technique periodically along the way. Research suggests that many people may not be doing it correctly. Dr. Greg Poland a Professor of Medicine in Infectious Disease at the Mayo Clinic joins us for National Hand Washing Awareness Week to discuss some tips and tricks to share with your patients to ensure they’re reaching the full potential of this life-saving technique. He’ll also answer questions like does it matter if the water is hot? Is handwashing with soap more effective than anti-bacterial gel or lotions? And, when should we be washing our hands?  Additional resources mentioned (not an endorsement or affiliation):  Glo Germ: Visual Tool for Handwashing  https://www.glogerm.com/   Jimmy Kimmel and Guillermo Learn How to Wash Their Hands  https://youtu.be/sJfsyhQ0oBs  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 November 17th, 2020. Guest: Raymund R. Razonable, M.D. (@RazonableMD) Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006) What causes some patients to develop Long Haul COVID-19? Dr. Raymund Razonable discusses what the current data is showing and what we’re hoping to learn from future research. Deeper dive: As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts https://jamanetwork.com/journals/jama/fullarticle/2771111 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: Joseph A. Murray, M.D.  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  The diagnosis and management of Celiac Disease is discussed with Dr. Joseph Murray, a gastroenterologist from the Mayo Clinic. Specific topics discussed include: Typical presentations of Celiac Disease in children and adults Difficulties encountered in establishing a diagnosis Small bowel pathology seen in Celiac Disease Mechanism for malabsorption in Celiac Disease Risk factors for Celiac Disease Celiac Disease and pregnancy How to confirm a diagnosis of Celiac DiseaseLaboratory tests Necessity of a small bowel biopsy Management of Celiac Disease Challenges in maintaining a gluten-free diet Potential long-term complications of Celiac Disease Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: John J. Poterucha, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD)  The topic of Hepatitis C, including risk factors, evaluation and management was discussed with Dr. John Poterucha, a gastroenterologist from the Division of Gastroenterology and Hepatology. Specific topics discussed include: Serologic testing for hepatitis C Symptoms of hepatitis C Risk factors for hepatitis C Transmission of hepatitis C during pregnancy Risk of hepatitis C transmission following a needle-stick exposure Identifying which patients should be tested for hepatitis C Natural history of hepatitis C Potential complications of hepatitis C Available pharmacologic treatment Potential for reinfection with hepatitis C Hepatitis C and liver transplantation Potential for an effective hepatitis C 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 November, 2020.  Guest: William G. Morice, II, M.D., Ph.D. (@moricemdph)   Host: Halena M. Gazelka, M.D. (@hmgazelkamd)  When the COVID-19 pandemic began, one of the areas of science and research most affected was laboratory medicine. From developing tests that detect the virus, to testing for antibodies in patients who have recovered, Mayo Clinic Laboratories has been at the forefront of COVID-19 testing and research.  On the Mayo Clinic Q&A podcast, Dr. William Morice II, president of Mayo Clinic Laboratories and chair of the department of Laboratory Medicine and Pathology at Mayo Clinic, explains how a reference lab works and how Mayo Clinic Laboratories quickly ramped up its testing capability to meet pandemic testing needs.  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: Robert M. Jacobson, M.D. (@RobertJMD)  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  It is extremely important that our patients receive the influenza vaccine this year. In previous years, less than half of the population has received it. Dr. Robert Jacobson, a pediatrician and vaccine specialist at the Mayo Clinic, joins us to discuss the reasons it’s so important for our patients to receive the influenza vaccine this season.  He’ll share tips for discussing common concerns from vaccine-hesitant patients and how you can increase your patient vaccination rates.  Specific topics discussed:  Importance of the influenza vaccine for our patients in 2020/2021  How and when the influenza vaccine is developed for the next influenza season  Why we need an influenza vaccine on an annual basis  The best time of the year to receive the influenza vaccine  Whether we lose some immunity to influenza if we receive the vaccine too early in the year  Which vaccine should be given to those 65 years and older  Common myths surrounding the influenza vaccine  Predictions for the severity of influenza for 2020/2021  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Ericka E. Tung, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD)  The topic of Alzheimer’s Disease and other dementias was discussed along with the importance of providing care of the patient’s care-givers by Dr. Ericka Tung, a geriatrician in the Division of Community Internal Medicine at the Mayo Clinic. Specific topics discussed include: Common symptoms seen in early dementia. Mild cognitive impairment and its progression to dementia. Importance of stability of lifestyle in the life of patients with dementia. Discussing the diagnosis of dementia with the patient and family. Using a mental status exam in the evaluation of patients with suspected dementia. Establishing a diagnosis in patients with early dementia. The role of formal psychological testing in patients with suspected dementia. The needs of care-givers of dementia patients. Importance of respite care for the care-givers of dementia patients. Evaluating driving skills in patients with early dementia. Advanced care planning for dementia patients. 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 October, 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 Centers for Disease Control and Prevention (CDC) has updated its guidelines for defining close contact with a person who is positive for COVID-19. Previously, close contact was defined as occurring when someone was within 6 feet of an infectious person for 15 consecutive minutes. Now close contact includes people who were within 6 feet for a total of 15 minutes over a 24-hour period, as the CDC now advises that repeated, brief encounters also carry a risk of transmission.  On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group, discusses the updated information from the CDC and the latest information from the Food and Drug Administration on COVID-19 treatments and vaccines.  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: Lewis J. Wesselius, M.D.   Host: Darryl S. Chutka, M.D. (@ChutkaMD)    The topic of COPD including risk factors, evaluation and management is discussed with Dr. Lewis Wesselius, a pulmonologist in the Division of Thoracic Disease at the Mayo Clinic. Specific topics discussed include the following: Review of the various types of COPD. Similarities and differences between emphysema and chronic bronchitis. Financial complications of COPD. Risk factors for COPD. Appropriate tests to order when evaluating patients suspected of having COPD. Determining the severity of COPD. Management of patients with COPD including the role of bronchodilators, inhaled corticosteroids, antibiotics and oxygen. COPD and the risk of lung cancer. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: James T C Li, M.D., Ph.D. (@jameslimd)  Host: Darryl S. Chutka, M.D. (@ChutkaMD)  The topic of anaphylaxis is reviewed including its causes, management and potential complications by James T C Li, M.D., Ph.D., an allergist from the Division of Allergic Disease from the Mayo Clinic. Specific topics discussed include the following: Truths vs. myths regarding anaphylaxis  Common manifestations and presentations of anaphylaxis  Triggers which more commonly produce an anaphylactic reaction  Anaphylaxis in patients without a history of allergies  When to use antihistamines in treating an allergic reaction  When and how to prescribe epinephrine in treating patients with a history of allergic reactions  Issues related to epinephrine auto-injectors  Natural history of allergies over time  Developments in peanut allergies  Management of an anaphylactic reaction  Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.