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A Public Health Emergency – The State of Sleep in Children

Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? Connect with the Mayo Clinic’s School of Continuous Professional...


Statins vs PCSK9- Inhibitors: The Great Debate

Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education. Connect with the Mayo Clinic’s School of Continuous Professional Development online at...


“Sell the Boat.” An Orthopedist’s Insight on Elbow Pain

Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Golfer’s Elbow, Tennis Elbow, Boat-antifouling-pain-elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more. Dr. Barlow shares recommendations for treatment, including why you...


Exercise is Medicine, But Are We Taking It?

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed) Host: Darryl S. Chutka, M.D. (@ChutkaMD) A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! To hear more from Mayo Clinic Sports Medicine, follow...


Treating Nicotine Dependence in Challenging Patients

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking. Connect with the Mayo Clinic’s School of Continuous...


Creating Efficient Organizational Systems to Build Safe, Equitable, and Dignified Workplaces

Guest: Esther Choo, M.D. (@choo_ek) Hosts: Anjali Bhagra, M.D. (@anjalibhagramd) and Joshua B. Murphy, J.D. As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require...


Effectively Addressing Nicotine Dependence for Patients with Mental Health Disorders

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you...


Effective Communication Skills for a Time-Strapped Practice

Guest: Daniel L. Hurley, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short time frame of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively. Connect with the Mayo Clinic’s School of Continuous Professional Development online at...


Getting Comfortable With Nicotine Replacement

Guest: J. Taylor Hays, M.D. (@jtaylorhays) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these...


When the Physician Becomes the Patient

Guests: Philip T. Hagen, M.D. and Melanie D. Swift, M.D. (@swifzdh) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational...


Air Travel Safety: When to Advise Your Patient Not to Fly

Guest: Clayton T. Cowl, M.D., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses. Connect with the Mayo Clinic’s School of...


Perception of Risk in Adolescent Substance Use Disorder

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful. Connect with...


New Drug Development and Approval

Guest: Denise M. Dupras, M.D., Ph.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients. Connect with the Mayo Clinic’s School of Continuous Professional Development online at or on...


Hernias: When to Watch; When to Refer

Guest: David R. Farley, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery. Connect with the Mayo Clinic’s School...


Everything You Need to Know About Cervical Cancer Screening in 20 Minutes

Guest: Lois J. Mc Guire, APRN, C.N.P., M.S. Host: Darryl S. Chutka, M.D. (@ChutkaMD) When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. Connect with the Mayo...


Medication Use and Deprescribing for the Elderly

Guests: Emily J. Holm, Pharm.D., BCACP, R.Ph. and Audrey J. Umbreit, Pharm.D., R.Ph. Host: Darryl S. Chutka, M.D. (@ChutkaMD) 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. Connect with the...


Increasing Immunization Rates – Would You Like Fries with That?

Guest: Robert M. Jacobson, M.D. (@RobertJMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) 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 @14:54: It’s more of a stop sign than “do you want fries with that?” TLDR: Listen at 19:21 for...


What I Wish I Knew When I Started in Medicine

Guest: John M. Wilkinson, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) 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 with hashtag #MayoClinicTalks. Connect with the Mayo Clinic’s School of Continuous Professional Development online at or on Twitter @MayoMedEd.


Prosthetic Joint Infections: Risks, Retention, and Removal

Guest: Elie F. Berbari, M.D. (@DOCElie) Host: Darryl S. Chutka, M.D. (@ChutkaMD) 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. Connect with...


Thyroid Extracts, Subclinical Hypothyroidism, and Thyroid Function Testing

Guest: M. Regina Castro, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) 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...