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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

Our Host Dr. Darryl Chutka

Darryl Chutka, M.D.
General Internal Medicine

Find Dr. Chutka on Twitter @ChutkaMD @MayoMedEd

Latest Episodes

Episode 108

October 8, 2019

Medication Use and Deprescribing for the Elderly

Guests Emily J. Holm, Pharm.D., BCACP, R.Ph., Audrey J. Umbreit, Pharm.D., R.Ph.

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With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade?  Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly.

Deeper Dive:

Beers Criteria

https://dcri.org/beers-criteria-medication-list/

STOPP/START Criteria for Potentially Inappropriate Prescribing in Older People

Age and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145

Episode 107

October 1, 2019

Increasing Immunization Rates – Would You Like Fries with That?

Guest Robert M. Jacobson, M.D.

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What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates.

Tips at 14:54: It’s more of a stop sign than “do you want fries with that?”

TLDR: Listen at 19:21 for Dr. Jacobson’s must know tips!

Episode 106

September 24, 2019

What I Wish I Knew When I Started in Medicine

Guest John M. Wilkinson, M.D.

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Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter @ChutkaMD @MayoMedEd #MayoClinicTalks

Episode 105

September 17, 2019

Prosthetic Joint Infections: Risks, Retention, and Removal

Guest Elie F. Berbari, M.D.

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Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard.

Deeper Dive:

Appropriate Use Criteria For the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures

https://bit.ly/2QAn6LN

The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints

https://doi.org/10.1016/j.adaj.2014.11.012

Episode 104

September 10, 2019

Thyroid Extracts, Subclinical Hypothyroidism, and Thyroid Function Testing

Guest Regina Castro, M.D.

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What do you do when a patient presents with subclinical hypothyroidism? When do you treat and how do you treat? Dr. Regina Castro presents the discussion around treating subclinical hypothyroidism, thyroid extract, and how to differentiate common symptoms from non-thyroid causes. Dr. Castro covers nodules, fine needle aspirates, the Sensitive TSH test, Total T4, Free T4, and TPO antibodies, and the role of lab testing in diagnosis.

Episode 103

September 3, 2019

Sexuality in the Elderly Female

Guest Carol L. Kuhle, D.O., M.P.H.

Find the doctor on Twitter! @clkejd @WHMayoClinic

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A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Menopause & Women’s Sexual Health Clinic.

Deeper Dive:

A Study of Sexuality and Health Among Older Adults in the United States
N Engl J Med 2007; 357:762-774
DOI: 10.1056/NEJMoa067423

Episode 102

August 29, 2019

At the Cutting Edge of Medicine: Ultrasound-Guided Minimally-Invasive Outpatient Surgery

Guest Jonathan T. Finnoff, D.O.

Find the doctor on Twitter! @FinnoffJonathan @MayoClinicSport

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Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 5: Greater efficacy, lower cost, and quicker recovery, ultrasound guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients.

Deeper Dive:

Ultrasound-Guided Cubital Tunnel Decompression in a Collegiate Swimmer: A Case Report.
doi: 10.1097/JSM.0000000000000680


Ultrasound-Guided Fasciotomy for Chronic Exertional Compartment Syndrome: A Cadaveric Investigation.
https://doi.org/10.1016/j.pmrj.2016.09.002

Episode 101

August 27, 2019

Dermatologic Conditions for the Primary Care Provider

Guest Mark Denis Davis, M.D.

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Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it?

Episode 100

August 22, 2019

Sports-Related Foot and Ankle Injuries

Guest Edward R. Laskowski, M.D.

Find the doctor on Twitter! @DrEdSportsMed @MayoClinicSport

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Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 4: What are some of the common foot and ankle injuries seen in athletes? When is the wait and see approach not advised? When should patients be referred for surgery? Dr. Laskowski dives into detail on presentation and mechanism of injury, risk of recurrence, the role of bracing and proper balance and proprioceptive exercises.

Deeper Dive:

Ankle Disk Training Influences Reaction Times of Selected Muscles in a Simulated Ankle Sprain
https://doi.org/10.1177/036354659702500418

Episode 99

August 20, 2019

How to Effectively Manage Obesity

Guest Maria L. Collazo-Clavell, M.D.

Find the doctor on Twitter! @DrMaria_Collazo

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What is the true key to weight loss? What about maintaining that loss? How do you manage these conversations with your patients? What framing of those conversations leads to more effective outcomes? Dr. Maria Collazo-Clavell discusses approaches for effectively discussing health concerns and obesity with our patients. How to identify their goals and build upon them utilizing motivational interviewing and partnering effectively with other health care providers. Dr. Collazo-Clavell also covers medications and referral for bariatric procedures.

Deeper Dive:

Maintenance of Lost Weight and Long-Term Management of Obesity
Kevin D. Hall Ph.D. and Scott Kahan M.D., M.P.H. Medical Clinics of North America, 2018-01-01, Volume 102, Issue 1, Pages 183-197
DOI: 10.1016/j.mcna.2017.08.012

Episode 98

August 15, 2019

Recognition of Overuse Injuries and Prevention of Long-Term Consequences in Young Athletes

Guest David B. Soma, M.D.

Find the doctor on Twitter! @DrDaveSoma @MayoClinicSport

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Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: How are overuse injuries different in youth and what trends are occurring in these patients? What conversations should you have with parents of child athletes? What sports put our patients at highest risk? Dr. David Soma discusses the what role should imaging play in this population, the significance of the history and physical, the age-related prevalence of certain conditions and their underlying etiology, and the long-term complications our patients may face if these are not recognized and addressed.

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:

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.

Deeper Dive:

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.

Deeper Dive:
American Medical Society for Sports Medicine Position statement on concussion in sport
British Journal of Sports Medicine 2019;53:213-225. 


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