Mayo Clinic Talks
Mayo Clinic Talks provides timely consultations on family medicine, primary care, and general internal medicine topics. It is designed for physicians, nurse practitioners, physician assistants, and residents. Most episodes offer CME credit available at ce.mayo.edu/podcast. The podcast is produced by @MayoMedEd.
Episodes
Innovations and New Options for Cataract Surgery
Host: Darryl S. Chutka, M.D.
Guest: Ruti Sella Svetlit, M.D.
Cataracts are one of the leading causes of vision impairment, especially among older adults. While cataract surgery has been available for many decades, it has evolved significantly over the last several years. Patients now have multiple lens options which can give them a variety of benefits. How has cataract surgery changed over time?
Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
Host: Darryl S. Chutka, M.D.
Guest: Stephanie L. Grach, M.D., M.S.
Chronic fatigue syndrome is now known as myalgic encephalomyelitis. Despite this change in terminology, there’s still a great deal that’s not known regarding this health problem. Clinical manifestations can include severe, persistent fatigue, often with a worsening of symptoms following physical exertion. Impaired sleep, potentia
Pediatric Neck Masses
Host: Darryl S. Chutka, M.D.
Guest: Josh P. Wiedermann, M.D.
Neck masses in children are commonly seen in a primary care practice. Fortunately, most are benign, although serious causes, including malignancy, always remain a possibility. Based on medical history, physical examination, and occasionally imaging studies, the cause is usually able to be identified. What are some key elements consisten
Eosinophilic Esophagitis
Host: Darryl S. Chutka, M.D.
Guest: Karthik Ravi, M.D.
Eosinophilic Esophagitis is often misdiagnosed or undiagnosed in primary care settings, yet it’s a common cause of esophageal symptoms. It’s commonly mistaken for the more common gastroesophageal reflux disease as it can present with symptoms of reflux and dysphagia. How can we differentiate eosinophilic esophagitis from reflux esophagitis?
Psoriasis
Host: Darryl S. Chutka, M.D.
Guest: Dawn Davis, M.D.
Psoriasis is a health condition commonly seen in primary care but one which has evolved significantly in both how we understand the disease as well as how it’s managed. At one time, psoriasis was considered primarily a skin disorder; however, we now know it’s part of a systemic inflammatory disease with potential involvement of multiple organ
Acne and Rosacea
Host: Darryl S. Chutka, M.D.
Guest: Dawn Davis, M.D.
Acne and rosacea are two very common skin conditions seen in primary care, yet at times both the diagnosis and management can be challenging. While acne most commonly develops in adolescence, it can present in adulthood. Rosacea is often misdiagnosed or at times completely unrecognized. What are the common presenting symptoms of these two cond
Skull Base Tumors
Host: Darryl S. Chutka, M.D.
Guests: Jake Eide, M.D. & Rijul Kshirsagar, M.D.
Skull base tumors are not commonly seen in a primary care practice, yet it’s important for us to recognize them when they do present. These tumors can be either benign or malignant, however because of their proximity to important structures in the brain, even benign tumors can cause serious complications. Their pre
Cardiovascular-Kidney-Metabolic (CKM) Syndrome
Host: Darryl S. Chutka, M.D.
Guest: Regis Fernandes, M.D.
We’ve known for some time that patients who have hypertension and diabetes are at increased risk for developing subsequent cardiovascular disease and chronic kidney disease. It’s now being thought that these health problems are related and interconnected, representing Kidney-Cardiovascular Metabolic Syndrome. They form a pathophysiologic
Common Pickleball Injuries
Host: Darryl S. Chutka, M.D.
Guest: Joshua M. Romero, M.D.
Pickleball has become one of the fastest growing sports in the U.S., especially among older adults. This rapid rise in popularity has also resulted in a significant number and variety of sports-related injuries. It’s important for primary care clinicians to recognize the most common injuries and their risk factors. We should also discuss
Vector-Borne Illnesses
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
Although vector-borne illnesses can be acquired by travel to distant parts of the world, some can be acquired here in the U.S. As a result, these infections become pertinent to primary care clinicians as they can produce serious complications. When should we suspect a vector-borne illness in a patient? How do we distinguish it from other vir
Update on Lyme Disease
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
Lyme Disease is a tick-borne illness commonly seen in various parts of the country. Despite its common occurrence in the primary care practice, it’s associated with confusion and controversy. From the presenting symptoms, occasional ambiguous serologic results, to managing patients with persistent symptoms following treatment, primary care c
Ebola Virus
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
We’ve now had our second outbreak of a potentially deadly infectious disease. Hantavirus has been diagnosed in several individuals and most recently just under 100 cases of Ebola Virus have been confirmed along with several hundred suspected cases. Ebola virus is caused by several species of the Ebola Virus and is frequently fatal. Early sy
Addiction Care & Empowering the Non-Specialist
Host: Darryl S. Chutka, M.D.
Guest: Benjamin Lai, M.D.
Substance use disorders are chronic and often relapsing conditions associated with compulsive substance use. They result from a complex interaction of chemistry within the brain, often combined with genetic and environmental issues. Common substances involve alcohol, stimulants, sedatives and opioids; opioids commonly prescribed by health ca
Fibromyalgia
Host: Darryl S. Chutka, M.D.
Guest: Michael Mueller, M.D.
Fibromyalgia is a chronic health problem commonly seen in a primary care setting. It can be challenging to diagnose and even more so to manage. It can have a devastating effect on a patient’s lifestyle, and patients will commonly go from provider to provider seeking relief for their chronic symptoms. We now have a better understanding of
Bladder Cancer
Host: Darryl S. Chutka, M.D
Guest: Mark D. Tyson, III, M.D., M.P.H.
Bladder cancer is one of the most common malignancies worldwide, and primary care clinicians are often the first to evaluate patients with bladder cancer. The symptoms are usually subtle and may include either gross or microscopic hematuria. The decision in whether to investigate these presenting symptoms can often impact early
Hantavirus
Host: Darryl S. Chutka, M.D.
Guest: Stacey Rizza, M.D.
Hantavirus has been in the news lately. Although it’s rare, it can cause serious disease which can be life-threatening. Early symptoms are similar to other common viral infections including fever, myalgias, headache, and fatigue. As a result, the ability to establish an early diagnosis is challenging. Who’s at risk of acquiring Hantavirus?
Update on Celiac Disease
Host: Darryl S. Chutka, M.D.
Guest: Joseph Murray, M.D.
Celiac Disease affects approximately 1% of the population worldwide and can present at any age, frequently with very subtle, atypical or at times entirely non-GI symptoms. The presentation can be extremely diverse and may involve a variety of organ systems. If not recognized and effectively treated, multiple potentially serious complicatio
Lupus Today: Advances in Diagnosis and Treatment
Host: Darryl S. Chutka, M.D.
Guest: Uma Thanarajasingham, M.D., Ph.D.
Systemic lupus is a chronic autoimmune disease with a variety of immunologic and laboratory abnormalities. It has numerous clinical manifestations potentially involving multiple organs. It’s known as the great imitator because it can mimic a variety of other diseases, and it’s not uncommon for patients to have symptoms for a n
Pediatric Transplant: Kidney
Host: Darryl S. Chutka, M.D.
Guest: Carl H. Cramer, III, M.D.
Kidney transplantation has significantly improved the outlook for children with end-stage renal failure. The journey these children follow to transplantation starts in primary care with the recognition of chronic kidney disease, timely referral to nephrology, and long-term coordination of care with the transplant team. What are the mo
Pediatric Transplant: Heart
Host: Darryl S. Chutka, M.D.
Guest: Rebecca Ameduri, M.D.
Most primary care clinicians see very few children with advanced heart failure or complicated congenital heart disease. However, when they are a part of our practice, they require timely referral and coordination with other medical specialties, as well as ongoing longitudinal and supportive care not only for the patient but also for their
Deep Brain Stimulation for Parkinson’s Disease
Host: Darryl S. Chutka, M.D.
Guest: Lauren Jackson, M.D.
Deep brain stimulation is an established management option for Parkinson’s Disease. It’s a neurosurgical procedure in which thin electrodes are implanted into various areas of the brain and then connected to a pulse generator that produces electrical stimulation which modulates abnormal brain activity. The procedure has the potential to im
Advancements in the Diagnosis and Treatment of Parkinson’s Disease
Host: Darryl S. Chutka, M.D.
Guest: Forrest Sturgill, M.D.
Parkinson’s Disease is a relatively common neurodegenerative disorder characterized by motor symptoms such as bradykinesia, rigidity and resting tremor, as well as non-motor symptoms such as autonomic dysfunction, mood disorders and cognitive changes. The diagnosis is established with a medical history and physical exam. Parkinson’s is t
Parkinson’s Disease in Children and Young Adults
Host: Darryl S. Chutka, M.D.
Guest: Rodolfo Savica, M.D., Ph.D.
We commonly see Parkinson’s Disease in our older patients, but have you ever seen it present in a child or young adult? It can happen. Whereas Parkinson’s Disease in an older patient is likely to be idiopathic, we need to consider genetic conditions as well as secondary causes when it occurs in younger individuals. It’s important fo
Mayo Clinic Proceedings: Diabetes and Novel Therapies for Diabetes
Host: Darryl S. Chutka, M.D.
Guest: Vinaya Simha, M.B.B.S., M.D.
For years, we saw very little change in the management of type 2 diabetes. However, over the past decade, numerous new pharmacologic treatment options, innovations in glucose monitoring, and new insulin delivery systems have become available. We’ve also seen a new philosophy regarding the goals of diabetes management. What are the
Mayo Clinic Proceedings: Healthy Aging
Host: Darryl S. Chutka, M.D.
Guest: Robert Pignolo, M.D., Ph.D.
Our population is aging as our life expectancy increases with time. In general, we’re living longer than those before us. Aging is an interesting concept; we all want to achieve old age, but it’s not something we look forward to. What we really want is to maintain our physical, mental and social well-being in order to achieve a high
Mayo Clinic Proceedings: Sleep Disorders and How They Adversely Affect Health
Host: Darryl S. Chutka, M.D.
Guest: Bhanu Kolla, M.D.
We commonly take sleep for granted. That is, until our sleep quantity or quality is compromised. This can result in both mental and physical health problems, including daytime fatigue and sleepiness. Sleep disorders are quite common and often undiagnosed, yet they can contribute to diabetes, cognitive impairment, and cardiovascular disease, p
Retinal Disorders
Host: Darryl S. Chutka, M.D.
Guest: Brittni A. Scruggs, M.D., Ph.D.
There are a variety of eye disorders which involve the retina, and they all have the potential to cause significant vision loss or blindness if not detected early. Two of the most common retinal disorders we see in primary care include diabetic retinopathy and macular degeneration. Since most health conditions affecting the reti
Update in the Management of Hyperlipidemia
Host: Darryl S. Chutka, M.D.
Guest: Stephen Kopecky, M.D.
Cardiovascular disease is highly prevalent in our society. Fortunately, we have a variety of treatment options to lower the risk of developing its complications. Over the past decade, there’ve been many changes in managing hyperlipidemia, one of the most important risk factors for cardiovascular disease. This includes a change in assessin
Pulmonary Vascular Complications of Liver Disease
Host: Darryl S. Chutka, M.D.
Guest: Kathryn del Valle, M.D.
Chronic liver disease can result in a variety of complications which can involve multiple organs. One of these complications can occur in the pulmonary vascular system. Two of the most clinically significant include hepatopulmonary syndrome and Portopulmonary hypertension. Patients with these syndromes may present to their primary care
Non-Hodgkin's Lymphoma
Host: Darryl S. Chutka, M.D.
Guest: Stephen Ansell, M.D., Ph.D.
Non-Hodgkin’s Lymphoma is a group of hematologic malignancies originating in the lymphatic system. There are over 60 subtypes of lymphoma with varying degrees of aggressiveness. It can present with a variety of rather subtle symptoms, often making the diagnosis challenging. Although Non-Hodgkin’s Lymphoma is typically managed by a h
Hodgkin's Lymphoma
Host: Darryl S. Chutka, M.D.
Guest: Stephen Ansell, M.D., Ph.D.
Hodgkin’s Lymphoma is an uncommon but very curable malignancy involving the lymphatic system. It most commonly presents in young adults as well as middle-aged and older individuals. Although Hodgkin’s is generally managed by hematologists or oncologists, the primary care provider plays a major role in its recognition, hopefully lead
Heart Health Series | Diastolic Heart Failure
Host: Darryl S. Chutka, M.D.
Guests: Jae K. Oh, M.D., Tahir S. Kafil, M.D.
Diastolic heart failure is also known as heart failure with preserved ejection fraction. Although we don’t hear the term all that often, it actually represents a fairly large percentage of all cases of heart failure. Some studies suggest it represents the majority of heart failure cases. Older adults are most commonly aff
Heart Health Series | Cardiotoxicity of Cancer Therapies
Host: Darryl S. Chutka, M.D.
Guest: Balaji Tamarappoo, M.D., Ph.D.
With advances in oncology, patients are living longer than ever following a diagnosis of cancer. Newer treatments have dramatically improved survival. However, we’re also seeing an increasing number of cancer survivors who are at risk for cardiovascular complications; at times during treatment, and sometimes years later. Complica
Heart Health Series | Pericardial Disease
Host: Darryl S. Chutka, M.D.
Guest: Hema Narayanasamy, M.B.B.S.
Pericardial disease represents a spectrum of both inflammatory and non-inflammatory disorders which involve the pericardium, with acute pericarditis being the most common disorder. Although not often seen in a primary care practice, we still need to consider pericarditis as it can masquerade several other more commonly seen conditio
The Power of Intervals: High Intensity Interval Training and Reducing Cardiovascular Risk
Host: Darryl S. Chutka, M.D.
Guest: Stephen Kopecky, M.D.
We have a variety of pharmacologic options and lifestyle changes we recommend to our patients to reduce their cardiovascular risks. One frequent recommendation is participation in a regular exercise program. One specific type of exercise is high intensity interval training. It’s been shown to improve a variety of metabolic parameters. Wha
Heart Health Series | Bicuspid Aortic Valve Disease
Host: Darryl S. Chutka, M.D.
Guest: George Wang, M.D.
Bicuspid aortic valve is a relatively common congenital heart disease. It can be associated with other genetic disorders such as Turner’s Syndrome or exist as an isolated entity. In most cases, patients with a bicuspid aortic valve are initially asymptomatic; however later in the course, they may develop symptoms related to a subsequent aorti
Heart Health Series | Cardiac Amyloidosis
Host: Darryl S. Chutka, M.D.
Guest: Julie Rosenthal, M.D.
Cardiac amyloidosis is not a common condition, but it is important for primary care clinicians to recognize it in our patients. It’s commonly underdiagnosed as the symptoms are often assumed to be due to other, more common cardiac problems. Early recognition is important since this can result in improved treatment options and better patie
Concussions: What Every Primary Care Provider Should Know
Host: Darryl S. Chutka, M.D.
Guest: Matthew B. Anastasi, M.D.
Patients with concussions are commonly seen in primary care practices and concussions don’t spare any particular age group. Children, young adult athletes and older individuals are all at increased risk. They’re a form of traumatic brain injury and while most are self-limiting, they require an accurate assessment, proper management and
Rx for Weight Loss: A Closer Look Series "The Wins of Losing: GLP-1 Agonists and Reducing Heart Disease Risk"
Host: Darryl S. Chutka, M.D.
Guest: Stephen Kopecky, M.D.
One of the biggest surprises we’ve seen in medicine in the past several years has been the numerous health benefits realized from the GLP-1 agonists. Originally developed for the management of diabetes, they’ve shown significant potential to improve cardiovascular risks, beyond controlling blood glucose and lowering hemoglobin A1c. Severa
Rx for Weight Loss: A Closer Look Series "Controversies & Future of GLP-1 Medications"
Host: Darryl S. Chutka, M.D.
Guests: Tamim I. Rajjo, M.D., M.P.H.; Meera Shah, M.B., Ch.B.
The class of medications known as the GLP-1 agonists is very popular with our patients. Although initially indicated for management of diabetes, they’re frequently taken for the weight loss they commonly produce. How long should these medications be taken? Is there anything we can do to help maintain the w
Rx for Weight Loss: A Closer Look Series "Importance of Lifestyle Changes with Use of GLP-1 Medications"
Host: Darryl S. Chutka, M.D.
Guest: Tamim Rajjo, M.D., M.P.H.
Using GLP-1 medication for weight loss has become very popular with our patients. In the recent past, this has produced a shortage of these medications available, and those taking them for management of diabetes have found them difficult to obtain. Although in most cases, they are quite successful in producing substantial weight loss,
Rx for Weight Loss: A Closer Look Series “Who is a Candidate for a GLP-1 Medication?”
Host: Darryl S. Chutka, M.D.
Guests: Tamim I. Rajjo, M.D., M.P.H.; Meera Shah, M.B., Ch.B.
Using GLP-1 medications for weight loss has become extremely popular. Is this the latest fad in losing weight, or will these medications completely change our approach to managing obesity? They do appear to be very effective in promoting substantial weight loss. What is the history of these medications? Are
The Risks and Benefits of Alcohol
WELCOME TO SEASON 6 OF THE MAYO CLINIC TALKS PODCAST!
Host: Darryl S. Chutka, M.D.
Guest: Warren G. Thompson, M.D.
Alcohol can offer a variety of social and potential health benefits when consumed in moderation. However, alcohol is also associated with a variety of health risks, including addiction, increased likelihood of accidents, impaired judgment, cardiovascular problems, hepatic disease and
Re-Release!! "No Loafing Matter" Celiac Disease & Gluten Sensitivity
HAPPY HOLIDAYS! Enjoy this re-release from Season 3 of Mayo Clinic Talks:
Host: Darryl S. Chutka, M.D.
Guest: Amy S. Oxentenko, M.D.
It’s estimated that less than 1/3 of individuals with celiac disease have been properly diagnosed. When those with celiac disease ingest gluten, an immune response develops which attacks the small intestine leading to inadequate absorption of nutrients. If left un
Re-Release!! "Lettuce Eat" Plant-Based Diets: Healthy and NonHealthy
HAPPY HOLIDAYS! Enjoy this re-release from Season 3 of Mayo Clinic Talks:
Host: Darryl S. Chutka M.D.
Guest: Lisa Lammert, R.D.N., L.D.
Cardiovascular disease is the leading cause of death to individuals in the U.S. Many feel that our typical American diet with its high saturated fat content is a major contributor to this. There’s good evidence that shows plant-based diets are cost-effective i
Communication and Hospice
Host: Darryl S. Chutka, M.D.
Guest: Cory Ingram, M.D.
As primary care providers, we have the privilege of guiding our patients through their healthcare journey, healing their medical conditions, managing them through chronic illness and at times, assisting them through the final chapters of their life. The topic for today’s podcast is “Hospice”, an important though often underutilized part of that
Nutritional Supplements
Host: Darryl S. Chutka, M.D.
Guest: Andrew R. Jagim, Ph.D.
Nutritional supplements are very popular with our patients. They are supposed to provide benefits that may not be present in our typical diet. Vitamins and minerals are the most common supplements taken, followed closely by sports nutrition products such as protein powders and energy drinks. Consumers buy supplements because they’re readil
Provider-Patient Relationship Skills
Host: Darryl S. Chutka, M.D.
Guest: Cory Ingram, M.D.
There are a couple outcomes in taking a medical history. Obviously, one is information gathering. You need to hear the patient’s symptoms to help form your differential diagnosis. The second, and equally important, is to help establish a relationship with that patient. There are several reasons a good provider-patient relationship is important.
Vascular Medicine Series: Lymphedema Challenges and Successes
Host: Darryl S. Chutka, M.D.
Guests: William J. Casey III, M.D. and Andrea L. Cheville, M.D.
There are numerous reasons a patient may develop swelling of an extremity. One of the less common reasons, but often misdiagnosed or undiagnosed is lymphedema. What is lymphedema, why does it occur and who’s at risk for it? Early recognition is important to prevent complications and primary care providers
Common Foot Disorders "Agony of De-Feet"
Host: Darryl S. Chutka, M.D.
Guest: Martin G. Ellman, D.P.M.
We don’t really appreciate our feet until they hurt and then we become extremely aware of every step we take. Plantar fasciitis, bunions, metatarsalgia; all foot disorders which can result in foot pain and represent common reasons for an outpatient visit. What’s the role of the primary care clinician in the evaluation of foot pain? How s
Alzheimer’s Disease and Family Dynamics
Host: Darryl S. Chutka, M.D.
Guest: Christina Chen, M.D.
Alzheimer’s Disease affects not only the patient but also has a significant impact on that patient’s family. The family becomes stressed as emotional and physical burdens develop. The role of the primary care clinician in managing a patient with Alzheimer’s is not only to care for the patient but also help and support families as they go thr
Mild Cognitive Impairment
Host: Darryl S. Chutka, M.D.
Guest: Ronald C. Petersen, M.D., Ph.D.
We all experience cognitive changes as we age. If you doubt this, try learning to play the piano with a group of 7-and 8-year-olds and see who sounds best at the recital. We tend to have difficulty with new learning and can struggle with short term memory. When do these cognitive changes become pathologic? Dementia results in a gr
Prostate Cancer
Host: Darryl S. Chutka, M.D.
Guest: Daniel M. Frendl, M.D., Ph.D.
Prostate cancer is quite common in middle age and older men and represents the second most common malignancy diagnosed in this population. Only skin cancer is more common. Early diagnosis is important and carries an excellent prognosis. There are several management options available for localized disease and some new treatments whic
Prostate Cancer Screening
Host: Darryl S. Chutka, M.D.
Guest: Daniel M. Frendl, M.D., Ph.D.
If your practice includes middle age and older men, you’ve very likely diagnosed prostate cancer. It’s the most diagnosed non-skin cancer in men in the U.S. Its incidence rises with age, with a median age of around 66 years. When found early, prostate cancer is very treatable, and in most cases, curable. Prostate specific antigen, o
Obstetric and Gynecologic Health Series: Labor and Delivery
Guest: Rebecca Smith, Ph. D, APRN, CNM
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
Rebecca Smith provides a comprehensive overview of labor and delivery, including the stages of labor, assessment techniques, and monitoring practices. The episode also addresses potential complications and their management.
Learning Objectives:
Describe the stages, duration, and monitoring
Obstetric and Gynecologic Health Series: Complicated Pregnancy
Guest: Julie Lamppa, APRN, CNM
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
Julie Lamppa discusses complications that can arise during pregnancy, including gestational diabetes, preeclampsia, and other abnormalities. This episode emphasizes early recognition and multidisciplinary management.
Learning Objectives:
Differentiate various pregnancy complications and their clin
Obstetric and Gynecologic Health Series: Gynecologic Pain Disorders
Guest: Jenna Wygant, APRN, CNP, DNP
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
Jenna Wygant discusses common gynecologic pain disorders such as endometriosis and pelvic inflammatory disease. The episode highlights diagnostic challenges and treatment strategies to improve patient outcomes.
Learning Objectives:
Identify conditions contributing to gynecologic pain.
Review
Obstetric and Gynecologic Health Series: Gynecologic Cancer
Guest: Casey Lawler, P.A.-C
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
This episode provides an overview of gynecologic cancers, including cervical, ovarian, uterine, and vulvar cancers. Casey Lawler shares insights into the causes, risk factors, and clinical management of these conditions.
Learning Objectives:
Describe the major types of gynecologic cancers.
Compare an
Obstetric and Gynecologic Health Series: Breast Cancer
Guest: Susan Kok, M.D.
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
Dr. Susan Kok joins the podcast to explore both non-invasive and invasive breast cancers. This episode covers risk factors, symptom recognition, diagnostic tools, and treatment modalities, with a focus on individualized care and shared decision-making.
Learning Objectives:
Understand the spectrum of non-i
Obstetric and Gynecologic Health Series: Benign Breast Tumor Conditions
Guest: Danielle O’Laughlin, PA-C, MS
Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP
In this episode, Danielle O’Laughlin discusses benign breast tumor conditions and other non-cancerous growths. Listeners will gain insight into the clinical presentation, diagnostic evaluation, and management strategies for these common breast findings.
Learning Objectives:
Review the types
Vascular Medicine Series: Vascular Wound Treatments
Host: Darryl S. Chutka, M.D.
Guest: Matthew (Mark) Melin, M.D.
Vascular wounds can be quite challenging. If untreated, they can lead to infection, even sepsis, hospitalization and occasionally, amputation. Effective treatment requires an accurate diagnosis and recognition of the specific type of vascular wound you’re dealing with. Even when the type of wound is correctly identified and is being tr
Claiming Your Voice and Why Women in Medicine Need a Clear Professional Narrative
Host: Darryl S. Chutka, M.D.
Guest: Neha P. Raukar, M.D., M.S.
Women in medicine have made significant strides over the past few decades, yet some still face a variety of challenges and barriers. They commonly encounter inequalities that can affect their professional growth and overall well-being. Common issues include pay disparity, underrepresentation in leadership positions and gender discrimin
Vascular Medicine Series: Vascular Malformations
Host: Darryl S. Chutka, M.D.
Guests: Haraldur Bjarnason, M.D.; and Megha M. Tollefson, M.D.
Vascular malformations are anomalies of vessels that can cause a variety of potentially serious health problems depending on their type, location, and size. They may involve arterial, venous or lymphatic vessels. They’re often progressive and may enlarge over time. They’re best diagnosed with one or more im
Vascular Medicine Series: Thoracic Outlet Syndrome
Host: Darryl S. Chutka, M.D.
Guests: Sam Farres, M.D.; and Ryan A. Meverden, PA-C
Thoracic outlet syndromes is a great masquerader and often mistaken for a variety of other health conditions including cervical radiculopathy, carpal tunnel syndrome, rotator cuff injury or even multiple sclerosis. It has several causes which account for the variety of its clinical presentations. Because of this, the
Vascular Medicine Series: Peripheral Arterial Disease
Host: Darryl S. Chutka, M.D.
Guest: Stan Henkin, M.D.
Peripheral arterial disease is a manifestation of atherosclerosis and becomes more common with advancing age. In its early stages, it can be quite difficult to diagnose. Although claudication is the most classic symptom, many remain asymptomatic, especially if they have limited ability to ambulate. Although risk factor modification is importan
Vascular Medicine Series: How to Choose Your Anticoagulant
Host: Darryl S. Chutka, M.D.
Guest: Ana I. Casanegra, M.D., M.S.
For many decades, we really only had one option for providing chronic anticoagulation, warfarin. We learned how to manage the many drug and food interactions, frequently changing the warfarin dose as we tried to keep our patients in therapeutic range. Now we have a variety of choices with the direct-acting oral anticoagulants, or DOA
Vascular Medicine Series: The New Era in Aortic Imaging
Host: Darryl S. Chutka, M.D.
Guests: Christopher Francois, M.D.
The risk of thoracic aortic dissection increases as the diameter of the aorta widens. A diameter greater than 5 cm is associated with an increased risk of dissection in the general population. Patients with Marfan Syndrome have defective connective tissue and dissection commonly occurs with diameters less than 5 cm. Other health condi
Vascular Medicine Series: Hereditary Aortic Aneurysms and Dissection
Host: Darryl S. Chutka, M.D.
Guests: Thais D. Coutinho, M.D., and Kristen A. Sell-Dottin, M.D.
Genetic factors predispose selected individuals to hereditary aortic aneurysms leading to aortic dilation and potential dissection. They can be seen in a variety of known genetic syndromes, and they differ from aortic aneurysms associated with aging and chronic, uncontrolled hypertension. Early recognit
Correcting Facial Paralysis Associated with Bell’s Palsy
Host: Darryl S. Chutka, M.D.
Guest: Jacob K. Dey, M.D.
Bell’s Palsy is the most common cause of 7th cranial nerve dysfunction and clinically, it has a relatively abrupt onset resulting in unilateral facial paralysis. Fortunately, the majority of patients recover completely without treatment. Unfortunately, in some cases, the facial paralysis is persistent, and surgical intervention may be indicate
Measles and Vaccine Hesitancy
Host: Darryl S. Chutka, M.D.
Guest: Gregory A. Poland, M.D.
Measles is a viral illness that very recently was considered rare in this country but unfortunately has seen a resurgence in recent times. It’s highly contagious and can lead to severe complications including encephalitis and potentially death. There is an effective vaccine and it’s typically administered along with mumps and rubella as t
Integrative Oncology
Host: Darryl S. Chutka, M.D.
Guest: Stacy D. D’Andre, M.D.
When we diagnose a patient with cancer, we typically focus on finding the most effective treatment for that malignancy: surgery, radiotherapy, chemotherapy, or immunotherapy. However, to a patient, the diagnosis of cancer means much more. Patients commonly experience fear and anxiety just from receiving the diagnosis. Other symptoms may in
Exercise and Bariatric Surgery
Host: Darryl S. Chutka, M.D.
Guest: Melinda J. Hahm
Bariatric surgery is very likely the most effective method for long-term weight loss. It’s not unusual for patients to lose well over 50% of their excess body weight. As a result, a variety of chronic health risks are reduced including diabetes, cardiovascular disease, sleep apnea, hypertension to name just a few. Exercise, associated with bariat
Parotid Gland Tumors
Host: Darryl S. Chutka, M.D.
Guest: Eric J. Moore, M.D.
Salivary gland tumors can be benign or malignant, as well as primary or metastatic. Malignant salivary gland tumors usually present after the 6th decade, whereas benign lesions tend to occur a bit earlier, usually in the 4th to 5th decades. An interesting statistic is that the vast majority of salivary gland tumors occur in the parotid, only
Inflammatory Bowel Disease Series: Inflammatory Bowel Disease (IBD) and Pregnancy
Host: Darryl S. Chutka, M.D.
Guest: Sunanda V. Kane, M.D.
Most people who develop inflammatory bowel disease are diagnosed before the age of 30. In women, this often occurs during the middle of their reproductive years. Some with inflammatory bowel disease choose to avoid pregnancy, usually due to misconceptions about pregnancy risks. Yet if properly managed, women can experience a normal, unevent
Inflammatory Bowel Disease Series: Inflammatory Bowel Disease in Special Populations: The Elderly, Obese and LGBTQ Patient
Host: Darryl S. Chutka, M.D.
Guests: Amanda M. Johnson, M.D., and Victor G. Chedid, M.D., M.S.
This podcast continues our series on inflammatory bowel disease. The topic is important and timely: “Inflammatory Bowel Disease in Special Populations: The Elderly, the Obese and the LGBTQ Patient.” It’s critical that we broaden our perspective in addressing the unique challenges faced by these often-unr
Inflammatory Bowel Disease Series: Health Maintenance in Inflammatory Bowel Disease (IBD)
Host: Darryl S. Chutka, M.D.
Guest: Konstantinos A. Papadakis, M.D.
Due to the complexity and new pharmacologic options for the management of inflammatory bowel disease, patients often have their care provided by a gastroenterologist. They may not see their primary care provider as often as in the past and some of their preventive health maintenance may not get performed. Are patients receiving pr
Inflammatory Bowel Disease Series: Pouchitis
Host: Darryl S. Chutka, M.D.
Guests: Darrell S. Pardi, M.D., and Laura E. Raffals, M.D.
Pouchitis is a relatively common complication in patients who have ulcerative colitis and have had a proctocolectomy with an ileal pouch-anal anastomosis. It represents inflammation of the ileal pouch and symptoms may include increased stool frequency, cramps, fecal urgency and occasionally bloody stools. The d
Inflammatory Bowel Disease Series: Microscopic Colitis
Host: Darryl S. Chutka, M.D.
Guests: Darrell S. Pardi, M.D., and Laura E. Raffals, M.D.
Microscopic colitis is one of the lesser-known members of the inflammatory bowel disease family. Symptoms include chronic, frequent diarrhea and fecal urgency. It’s usually suspected from the patient’s clinical symptoms and diagnosis is established by colonoscopy with biopsy. Biopsy is necessary as the colonic
Inflammatory Bowel Disease Series: Inflammatory Bowel Disease (IBD) and its Treatment
Host: Darryl S. Chutka, M.D.
Guest: Edward V. Loftus JR, M.D.
Inflammatory Bowel Disease is somewhat of an umbrella term for a group of chronic inflammatory conditions of the GI tract. The most common types include ulcerative colitis and Crohn’s Disease. While there are similarities between the two, there are also differences. For many individuals with inflammatory bowel disease, it’s only a mild
Inflammatory Bowel Disease Series: Diagnosing Inflammatory Bowel Disease (IBD) and Monitoring Modalities
Host: Darryl S. Chutka, M.D.
Guests: David H. Bruining, M.D., and Nayantara Coelho-Prabhu, M.B.B.S.
An early diagnosis of inflammatory bowel disease is important in preventing long-term complications. Prompt treatment can improve quality of life, reduce the likelihood of hospitalizations, and help maintain remissions. However, establishing a diagnosis is often challenging due to the nonspecific an
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