Mayo Clinic Talks

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. The patient is more likely to feel...

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 play a crucial role in identifying ...

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 should these conditions be managed? ...

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 through a very complex, emotional jour...

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 gradual decline in cognitive abilitie...

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 which can be used for both aggressive a...

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, or PSA is very effective in detectin...

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 of labor and delivery.
• Compare...

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 clinical implications.

Learn ...

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 signs/symptoms, risk factors, d...

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 and contrast causes, risk factors...

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-invasive breast cancers.
• Identif...

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 of benign breast tumors and the...

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 treated appropriately, healing can be...

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 discrimination, just to name a few. Some med...

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 imaging studies and the treatment dep...

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 diagnosis is commonly delayed or d...

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 important in disease management, overall tr...

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 DOAC’s. How do the newer agents compar...