Mayo Clinic Talks

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 clinicians are often...

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.  Ea...

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 care cl...

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 the patho...

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...

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? Doe...

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 compli...

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 ...

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 ...

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...

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 p...

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 e...

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 impo...

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 dia...

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 a...

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...

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 retina ar...

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 ch...

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 thei...