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Mayo Clinic Talks: Curated, Portable, Trusted

Stay on top of your practice with podcasts from colleagues at Mayo Clinic.

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Opinions expressed in the podcast do not necessarily reflect those of Mayo Clinic.

Meet the Host

Darryl S. Chutka, M.D.

Darryl S. Chutka, M.D.

General Internal Medicine
Mayo Medical School Teacher of the Year

Internist interested in urinary incontinence and medication use in the elderly.

Find Dr. Chutka on Twitter @ChutkaMD

Latest Episodes


Episode 97

August 13, 2019

A Nephrologist’s Take on Renal Function Testing

Guest Suzanne M. Norby, M.D.

Find the doctor on Twitter! @SuzanneNorby

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When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging. Deeper Dive into cystatin C: https://news.mayocliniclabs.com/2016/05/05/ask-the-expert-cystatin-c-and-creatinine-complementary-markers-of-gfr/

Episode 96

August 8, 2019

Things to Look For in a Sports Physical

Guest Daniel P. Montero, M.D.

Find the doctor on Twitter! @DanMonteroMD @MayoClinicSport

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Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice. American Academy of Pediatrics – Pre-Participation Evaluation 

 

Episode 95

August 6, 2019

Preventative Screening for Elderly Patients: When to Stop and What to Stop

Guest Ying Ying (Christina) Chen, M.D.

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Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients. Deeper Dive: US Preventative Health Task Force 

 

Episode 94

August 1, 2019

Sports-Related Concussions: When in Doubt, Sit Them Out

Guest Cara C. Prideaux, M.D.

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Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality.

For a deeper dive:
American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et. al. American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. 

 

Episode 93

July 30, 2019

Airline Emergencies: A Pilot-Physician's Perspective Part 2

Guests Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O.

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Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR onboard and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to inflight emergencies and the ethics involved.

Episode 92

July 23, 2019

Airline Emergencies: A Pilot-Physician's Perspective Part 1

Guests Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O.

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Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important.

Episode 91

July 16, 2019

Predominant Management Strategies for Irritable Bowel Syndrome

Guest Stephanie L. Hansel, M.D., M.S.

Find Dr. Hansel on Twitter @SLHanselMD

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What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption.

For a deeper dive:

Bile Acid Malabsorption Testing

Episode 90

July 9, 2019

Thrombotic Disease and Its Treatment

Guest Matthew A. Bartlett, M.B., B.Ch., B.A.O.

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Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease.

Episode 89

July 2, 2019

Microaggressions in Medicine

Guests Catherine W. Njathi-Ori, M.D.Erin K. O'Brien, M.D., Nafisseh S. Warner, M.D.

Find the doctors on Twitter @obrienek 
@nafisseh_warner

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What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care requires diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment.

Episode 88

June 25, 2019

Recent Updates in the Management of Hyperlipidemia

Guest Stephen L. Kopecky, M.D.

Find Dr. Kopecky on Twitter 
@DrSteveKopecky

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What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia.

For a deeper dive check out these resources:

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

Episode 87

June 18, 2019

Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society

Guest Gregory A. Poland, M.D.

Find Dr. Poland on Twitter 
@drgregpoland

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The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations.

For a deeper dive check out these articles:

  1. Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594.
  2. Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502.
  3. Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. 

Episode 86

June 11, 2019

Getting the Most Out of Colon Cancer Screening

Guest John B. Kisiel, M.D.

Find Dr. Kisiel on Twitter 
@JohnBKisiel

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Who is a good candidate for multitarget stool DNA testing and what do you do when it’s positive but the colonoscopy is discordant? Do you have a surveillance plan for your patients with ulcerative colitis and irritable bowel disease? What are the current screening recommendations for the general public versus patients with a family history? Dr. John Kisiel discusses these recommendations and the evidence behind them. He shares tips on managing patients on anticoagulant therapy going for polypectomy and when to stop screening in the elderly.

Episode 85

June 4, 2019

What You Need to Know About E-Cigarettes, Vaping, and IQOS

Guest J. Taylor Hays, M.D.

Find Dr. Hays on Twitter 
@jtaylorhays

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What’s the difference between e-cigarettes, vaping, and the newly FDA authorized “heat-not-burn” or IQOS devices? Do they really help our patients stop smoking and what data is available on the safety of these products? Listen now to hear Dr. Taylor Hays discuss these points and more.

For a deeper dive check out these resources:

The FDA Authorization of IQOS

N Engl J Med: A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy

Episode 84

May 28, 2019

Preventive Therapies for Breast Cancer

Guest Sandhya Pruthi, M.D.

Find Dr. Pruthi on Twitter 
@DrSandhyaPruthi

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How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have.

Gail model breast cancer risk assessment tool: https://bcrisktool.cancer.gov/

IBIS breast cancer risk evaluation tool: http://www.ems-trials.org/riskevaluator/

Episode 83

May 27, 2019

Meeting the Needs of Our Female Veterans

Guest Ashley Laganiere

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Female veterans can face significant barriers to receiving proper care. As the number of female service members increases what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans?

Check out these resources for more information:

MACVSO.org

NACVSO.org

VA Women’s Health Research Network 


Listen on Apple Podcast Listen on Google Play Music Listen on Spotify Find us on Twitter Explore more Mayo Clinic CME courses