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Mayo Clinic Talks

Mayo Clinic Talks

Stay on top of your primary care practice with podcasts from your colleagues at Mayo Clinic. Curated. Portable. Trusted. Offering continuing medical education - CME - for select episodes. Family medicine, primary care, general internal medicine topics for physicians, nurse practitioners and physician assistants.

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Episodes

Mayo Clinic Q&A: Medical vs. Public Masking

This episode is shared from Mayo Clinic Q&A and was recorded on Monday, April 6th, 2020.

Guest:  Gregory A. Poland, M.D.  (@drgregpoland)

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)

To prevent the spread of COVID-19, the Centers for Disease Control and Prevention (CDC) now recommends that Americans wear cloth masks in public settings where other social distancing measures are difficult to maintain. The CDC considers cloth masks an additional, voluntary public health measure.

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, a Mayo Clinic COVID-19 expert, explains the difference between medical masking and public masking, and discusses the proper way to put a mask on and off to prevent the spread of disease.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Use of Cloth Face Coverings to Help Slow the Spread of COVID-19
2020-04-07
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Advanced Directives in Healthcare

Guest: Janet Vittone, M.D.

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

Janet Vittone, M.D., outlines the difference between different advanced directive documents and the importance of discussing these with all of your patients. She shares tips on when and how to broach the topic with patients, especially those in early adulthood. Drs. Vittone and Chutka also discuss ensuring that the right people are aware of your wishes, should you become incapacitated.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Living wills and advance directives for medical decisions, by Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/living-wills/art-20046303Patient education video: https://www.mayoclinic.org/healthy-lifestyle/consumer-health/multimedia/advance-directives-awarness/vid-20114292
2020-04-07
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COVID-19 Miniseries Episode 11: Mayo Clinic Q&A - Antibody Testing and Collaboration in Science

This episode is shared from Mayo Clinic Q&A and was recorded on April 3, 2020. 

To claim credit visit: https://ce.mayo.edu/covid19podcast 

Guest:  Gregory A. Poland, M.D.  (@drgregpoland

Host: Halena M. Gazelka, M.D. (@hmgazelkamd

Dr. Greg Poland returns to share an update on the COVID-19 pandemic in this episode shared from Mayo Clinic Q&A to discuss the latest in antibody testing, coronavirus immunity, and whether or not it?s safe to wear contact lenses. 

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-04-06
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COVID-19 Miniseries Episode 10: How to Mitigate Drug-Induced Sudden Cardiac Death From Hydroxychloroquine

This episode was recorded on April 3, 2020

Claim credit here: https://ce.mayo.edu/covid19podcast

Guest:  Michael J. Ackerman, M.D., Ph.D. (@MJAckermanMDPhD)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

The administration of hydroxychloroquine and azithromycin, along with other very common medications could result in drug-induced sudden cardiac death caused by drug-induced QT prolongation, in some patients. In order to avoid the wrong medication, for the wrong patient, at the wrong time, Dr. Michael Ackerman shares how to assess your patient?s risk, how to find and measure their QTc value, and neutralize the threat.

Deeper Dive:

Link to Journal Pre-Proof:
https://mayoclinicproceedings.org/pb/assets/raw/Health%20Advance/journals/jmcp/jmcp_covid19.pdf

Giudicessi JR, Noseworthy PA, Friedman PA, Ackerman MJ. Urgent guidance for navigating and circumventing the QTc prolonging and torsadogenic potential of possible pharmacotherapies for COVID-19 [published online ahead of print March 25, 2020]. Mayo Clin Proc. https://doi.org/10.1016/j.mayocp.2020.03.024.

FDA Emergency Use Authorization (EUA) of hydroxychloroquine sulfate: https://www.fda.gov/media/136538/downloadMayo Clinic Connected Care - Genetic Heart Rhythm Diseases https://connect.mayoclinic.org/page/genetic-heart-rhythm-disorders/tab/covid-19/#

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-04-04
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Mayo Clinic Q&A: The ?Unprecedented Challenge? of Fighting COVID-19

This episode is shared from Mayo Clinic Q&A.

Guest: Elie Berbari, MD (@DODElie)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

The ongoing fight against the COVID-19 pandemic has heavily burdened front-line health care providers. "Our nation and our medical community is facing an unprecedented challenge," says Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic. 

On the Mayo Clinic Q&A podcast, Dr. Berbari discusses how Mayo Clinic is minimizing exposure to staff, while providing safe and compassionate care to patients. 

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-04-02
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Mayo Clinic Q&A: How Does SARS-CoV-2 Make People Sick?

This episode is shared from Mayo Clinic Q&A and was recorded on March 31, 2020.

Guest:  Gregory Poland, M.D.

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

A novel coronavirus is a new strain that has not been seen before in humans. SARS-Co-V2 is a novel virus, causing the disease COVID-19. Because COVID-19 is a new disease, much is still being learned about how it spreads and the severity of illness it causes. 

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, infectious disease expert and head of Mayo Clinic?s Vaccine Research Group, explains the science behind how the virus makes people sick, and what the virus does to the body. Dr. Poland will also discuss the latest information on clinical trials and vaccine research to fight the disease outbreak.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-31
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A Rheumatologist?s Approach to Osteoarthritis

Guest: Alicia M. Hinze, M.D., M.H.S. (@alicia_hinze)

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

Alicia M. Hinze, M.D., M.H.S., provides an overview of osteoarthritis and other rheumatologic conditions. Dr. Hinze shares her approach to distinguishing between osteoarthritis and inflammatory arthritis, along with risk factors for developing osteoarthritis over time, including genetics, professions, prior injuries, and age. She shares recommendations for conservative therapies and at what point surgical intervention should be considered.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-31
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COVID-19 Miniseries Episode 9: Recommendations on Ibuprofen

This episode was recorded on Monday, March 30, 2020.

Claim credit here: https://ce.mayo.edu/covid19podcast

Guest:  Matthew P. Van Cuyk, Pharm.D., R.Ph. 

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006

Should we be using ibuprofen to treat patients with COVID-19? Does this fall into the modifiable risk category? Dr. Matthew Van Cuyk breaks down recent events and literature around ibuprofen use in patients with COVID-19. 

Deeper Dive:

Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? The Lancet Respiratory Medicine. March 2020. https://doi.org/10.1016/S2213-2600(20)30116-8HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19ASHP Coronavirus Resource Center: https://www.ashp.org/Pharmacy-Practice/Resource-Centers/CoronavirusAssessment of Evidence for COVID-19-Related Treatments: Updated 3/27/2020

For the most up to date COVID-19 information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2020-03-31
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Mayo Clinic Q&A: Point-of-Care Manufacturing to Help Fight COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded on March 26, 2020.

Guest:  Jonathan M. Morris, M.D. & Mark Wehde

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

When it comes to fighting the COVID-19 pandemic, Mayo Clinic is relying not only on clinicians, but also engineers. Supply chain management and manufacturing capabilities are being readied to help in the fight against COVID-19.

On the Mayo Clinic Q&A podcast, Dr. Jonathan Morris, co-director of Mayo Clinic's 3D Anatomic Modeling Lab, and Mark Wehde, chair of Mayo Clinic's Division of Engineering, discuss personal protective equipment and mobilizing the manufacturing sector to help in the fight. They?ll share how they?re utilizing 3D printing to jump start conventional scalable manufacturing processes to retro-engineer pieces of respiratory equipment and solve today?s problems in the fight against COVID-19.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-30
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COVID-19 Miniseries Episode 8: Azithromycin and Hydroxychloroquine

This episode was recorded on March 27, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Christina G. Rivera, Pharm.D., R.Ph.; Ryan W. Stevens, Pharm.D. (@Stevens_AK)

Host: Raymund R. Razonable, M.D. (@RazonableMD)

Chloroquine emerged as an early COVID-19 treatment option in China and there has been increasing interest in the use of hydroxychloroquine and azithromycin. What data is available for the safety and efficacy of the drugs in the fight against SARS-CoV-2? Dr. Christina Rivera and Dr. Ryan Stevens provide a breakdown of recent research.

Deeper Dive:

Gautret P, Lagier JC, Parola P, et al. Hydroxychloroquine and Azithromycin as a treatment of COVID-19: preliminary results of an open-label non-randomized clinical trial. International Journal of Antimicrobial Agents. March 2020. https://doi.org/10.1016/j.ijantimicag.2020.105949Yao X, Ye F, Zhang M, et al. In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clinical Infectious Diseases. March 2020. https://doi.org/10.1093/cid/ciaa237Guidance on patients at risk of drug-induced sudden cardiac death from off-label COVID-19 treatments https://mayocl.in/2WQhxzI

For the most up to date COVID-19 information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-27
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Mayo Clinic Q&A: Shifting from Me to We

This episode is shared from Mayo Clinic Q&A and was recorded on March 25, 2020.

Guest: Greg Poland, MD (@drgregpoland)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

Greg Poland, MD, answers trending questions from listeners. Is it safe to order take-out or have groceries delivered? Can pets get coronavirus? What about our summer plans? What?s next for social distancing and is it working?

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-26
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Opioid Edition 10: Side Effects Management

Guest: Molly A. Feely, M.D. (@mollyfeelymd)

Host: Tracy McCray

Episode 10 of 10: Dr. Molly Feely, who is board-certified in palliative care, internal medicine, and family medicine now practicing full-time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects. 

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-03-26
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COVID-19 Miniseries Episode 7: Anosmia - What?s Currently Known

This episode was recorded on March 25, 2020.

Guest:  Erin K. O'Brien, M.D. (@ErinOBrienMD)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006

Claim credit here: https://ce.mayo.edu/covid19podcast

What?s currently known about anosmia as a symptom of COVID-19 infection? Should we be using it as a screening tool? What causes it to occur when someone is infected with SARS-CoV-2 and what?s the prevalence in symptomatic vs otherwise asymptomatic individuals? Dr. Erin O?Brien gives an up-to-date overview of current reports, treatment options, and what you need to know about anosmia.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-25
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COVID-19 Miniseries Episode 6: Mayo Clinic Q&A - The Latest Updates

Guest:  Greg Poland, MD (@drgregpoland)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

Claim credit for this episode at https://ce.mayo.edu/covid19podcast

On today's Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious disease expert and head of Mayo Clinic's Vaccine Research Group, shares the latest information on the COVID-19 pandemic

Dr. Poland discusses the importance of testing for SARS-CoV-2, work being done on antiviral medications; and how long social distancing might need to last, emerging reports of loss of smell in survivors, and the use of azithromycin and hydroxychloroquine.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-24
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Answering any Question You?ve Ever Had About Liver Function Testing

Guest: John J. Poterucha, M.D.

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

You can think of liver functions tests as falling into two buckets ? markers of inflammation and perturbation and markers of liver function. Dr. John Poterucha answers any question you?ve ever had about liver function testing, including how to interpret the results plus when and what additional testing may need to be ordered as follow up.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-24
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Mayo Clinic Q&A: Coping with Uncertainty

This episode is shared from Mayo Clinic Q&A.

Guest: Beth Rush, PhD

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

We are in the midst of uncertain times. Dr. Beth Rush, a Mayo Clinic neuropsychologist, shares tips for you and your patients about coping with uncertainty by creating a structured schedule. Listen in as she shares more tips for taking care of your mental health and finding comfort amid the uncertainty.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-23
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Mayo Clinic Q&A: Inflection Point

This episode is shared from Mayo Clinic Q&A and was recorded on March 19, 2020.

Guest: Greg Poland, MD

Host: Tom Shives, MD and Tracy McCray

 

Have we acted sufficiently to flatten the curve? When will we know? What does effective safe isolation look like?

Infectious diseases expert Dr. Gregory Poland, a Mayo Clinic infectious diseases expert and head of Mayo Clinic?s Vaccine Research Group, answers new questions on COVID-19. How are we as a nation faring? What do you do when someone in your house is sick? 

Dr. Poland discusses preventive measures to stop the spread of the virus, what to do if you do get sick, and the potential for effective treatments and a vaccine.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-20
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Mayo Clinic Q&A: Isolation and Flattening the Curve

This episode is shared from Mayo Clinic Q&A and was recorded March 18, 2020.

Guest: Clayton T. Cowl, M.D., M.S. (@ChestPresident

Host: Tom Shives, M.D. and Tracy McCray

In epidemiology, the idea of slowing a virus' spread so that fewer people need to seek treatment at any given time is known as "flattening the curve." It's a phrase you've likely heard in the news, and it is an important goal for governments and health care leaders during the COVID-19 pandemic.

On the Mayo Clinic Q&A podcast Dr. Clayton Cowl, chair of Mayo Clinic's Division of Preventive, Occupational and Aerospace Medicine, explains how isolation can stop a spike in the number of new coronavirus cases. 

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-03-19
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Opioid Edition 9: Monitoring and Considerations for Tapering

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd

Host: Tracy McCray

Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic?s Continuing Medical Education.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-03-19
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Mayo Clinic Q&A: Taking Precautions in Long Term Care Facilities

This episode is shared from Mayo Clinic Q&A and was recorded March 17th, 2020. 

Guest: Brandon P. Verdoorn, M.D.

Host: Tom Shives, MD and Tracy McCray

Long-term care facilities are taking steps to prepare and respond to the COVID-19 (coronavirus) outbreak. With guidance from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services, long-term care facilities are restricting visitors in most cases.

On the Mayo Clinic Q&A podcast, Dr. Brandon Verdoorn, a Mayo Clinic geriatrician and medical director of Charter House, a continuing care retirement community affiliated with Mayo Clinic in Rochester, explains how staff are taking steps to keep residents safe and prevent spread of the coronavirus.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-18
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Mayo Clinic Q&A: Current Blood Supply Needs During the COVID-19 Pandemic

This episode is shared from Mayo Clinic Q&A and was recorded March 16th, 2020.

Guest: Justin Kreuter, MD (@KreuterMD)

Host: Dr. Tom Shives and Tracy McCray

With recommendations to stay home during the COVID-19 pandemic, the U.S. now has a critical blood shortage. Blood donation collections have plummeted due to canceled blood drives and concerns about being out in the community. Almost half of U.S. blood collectors are reporting that they only have a two-day supply or less of blood products.

On today's Mayo Clinic Q&A podcast, Dr. Justin Kreuter, transfusion medicine specialist with the Mayo Clinic Blood Donor Center, explains how new blood donors are needed to step up and fill the void.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-17
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Demystifying Polycystic Ovary Syndrome

Guest: Alice Y. Chang, M.D. (@AliceChangMDMSc)

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

Polycystic Ovary Syndrome (PCOS) has a prevalence of between 5-10% American women of child-bearing age. With a variety of symptoms, different diagnosis methods, misunderstood criterion, and both genetic and environmental causes, PCOS can be easily missed, especially in patients whose symptoms have developed sporadically. Alice Y. Chang, M.D., breaks down this complicated condition, including treatment strategies based on the patient?s primary concern related to the disease.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Ferriman-Gallwey Hirsutism Scoring System: https://education.endocrine.org/ferriman-gallwey-hirsutism-system
2020-03-17
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Opioid Edition 8: Family & Patient Counseling

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, an internal medicine physician at Mayo Clinic in Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference.

Claim CME credit at ce.mayo.edu/opioidpc.

2020-03-12
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Hand and Wrist Disorders

Guest: Peter C. Amadio, M.D. (@AmadioPeter)

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

Dr. Peter Amadio discusses carpal tunnel, de Quervain's tenosynovitis, and others hand and wrist conditions and gives a few key pearls for helping your patients control symptoms and when to consider surgery.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-10
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COVID-19 Miniseries Episode 5: SARS-CoV-2 and The Valley of Death

Episode Recorded March 5, 2020

To claim credit click here: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Colin M. Bucks, M.D.

Why are we seeing very different severity and mortality rates as COVID-19 moves from country to country? Where are we at currently in regard to a COVID-19 vaccine? What does the pathway look like moving forward? Dr. Greg Poland lays out what you need to know about immunity and coronaviruses.  

Watch Dr. Poland teach Jimmy Kimmel and Guillermo how to wash their hands:

https://youtu.be/sJfsyhQ0oBs

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

For the most up to date COVID-19 information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2020-03-06
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Opioid Edition 7: Treating Opioid Addiction

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What?s the difference between dependency and addiction? 

Claim CME credit at ce.mayo.edu/opioidpc.

2020-03-05
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The Skinny on Bariatric Surgery

Guest: James A. Madura, II M.D.

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

Obesity is prevalent and places our patients at significantly higher risk for a variety of health conditions. Which patients stand to benefit the most from bariatric surgery? What does insurance coverage for these procedures look like? Dr. James Madura discusses bariatric surgery and the safety and efficacy of the procedures.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-03-03
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Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.

Claim CME credit at ce.mayo.edu/opioidpc.

2020-02-27
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COVID-19 Miniseries Episode 4: Prepare for a Pandemic

Episode Recorded February 25, 2020

To claim credit, click here: https://ce.mayo.edu/covid19podcast

Guest: Pritish K. Tosh, M.D. (@DrPritishTosh)

Host: John M. Wilkinson, M.D.

?At this point, we need to prepare for a pandemic within the United States and try to shift our mode from thinking about taking care of 1 or 2 of these patients, if it were to come up, to really transforming thinking about, well how we?re going to do this across the country??

- Pritish K. Tosh, M.D. 

As the spread of COVID-19 expands and index cases become harder to trace the advice is shifting to community preparedness for a pandemic. Family physician, Dr. John Wilkinson, sits down with infectious disease expert Dr. Pritish Tosh to discuss updates for health care providers on the COVID-19 outbreak.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

For the most up to date COVID-19 (Novel 2019 Coronavirus) information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2020-02-26
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Armchair Physician with a Retrospectoscope: Leg Pain Edition

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan)

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

Diagnosing leg pain can be very challenging. Dr. Jonathan Finnoff walks through a case study near and dear to Dr. Chutka, offering pearls for your practice along the way.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-02-25
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Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn?t receiving prescriptions from multiple physicians?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-02-20
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Location! Location! Location! How to Effectively Decipher Hip Pain

Guest: Aaron J. Krych, M.D. (@DrKrych)

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

Hip pain is common, but the pain generators don?t always present in a typical fashion. When do you order x-rays or MRI?s? Dr. Aaron Krych, orthopedist, covers beyond the classic symptoms into atypical presentations you won?t want to miss. He?ll also cover how to help your patient decide when it?s time for a hip replacement and how long should you expect a hip arthroplasty to last.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-02-18
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Opioid Edition 4: Treating Special Populations & Situations

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient?s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? 

Claim CME credit at ce.mayo.edu/opioidpc.

2020-02-13
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Harnessing Pharmacogenomics in your Current Practice

Guest: Eric T. Matey, Pharm.D., R.Ph. (@MateyPh)

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

Pharmacogenomics can help us predict an effective therapeutic response or avoid an adverse drug reaction before ever starting a medication. Listen in for the scoop on what this is and how it?ll impact your practice from a leading pharmacogenomics pharmacist at Mayo Clinic, Dr. Eric Matey.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Pharmacogenomics for Your Practice ? Online CourseUse of Codeine and Tramadol Products in Breastfeeding Women - Questions and Answers https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/use-codeine-and-tramadol-products-breastfeeding-women-questions-and-answersPharmGKB is a comprehensive resource that curates knowledge about the impact of genetic variation on drug response for clinicians and researchers https://www.pharmgkb.org/The Genetic Information Nondiscrimination Act (GINA) of 2008 https://www.genome.gov/about-genomics/policy-issues/Genetic-Discrimination
2020-02-11
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Opioid Edition 3: Family Practitioners - Assessing the Patient

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? 

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-02-06
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How to Approach the Diagnostic Challenge of Lupus

Guest: Ronald R. Butendieck, Jr. M.D.

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

Lupus can be challenging to diagnosis. Dr. Ron Butendieck discusses common presentation and some of the more enigmatic symptoms. What role does genetics play? Geography? Race? Dr. Butendieck details when you should include lupus on your differential and how to approach lab testing and treatment.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus https://doi.org/10.1002/art.40930
2020-02-04
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COVID-19 Miniseries Episode 3: Inside an Outbreak ? Expert Perspective

Guest: Colin M. Bucks, M.D.

Host: Amit K. Ghosh, M.D.

?I think that fear can be valuable?we?re at a time when it?s just fine to be fearful if it provokes you to vigilance and discipline?You?re disciplined because you?re afraid, that keeps you sharp, but panic is dangerous. I don?t mind fear, panic is dangerous.? - Colin M. Bucks, M.D.

What is it like in the field during an outbreak? What global response lessons have we learned from SARS and Ebola? Dr. Colin Bucks discusses how access to information accelerates response time in present day outbreaks and the role public education, infrastructure, disparities, and access to supplies, plays in helping to contain one.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit click here: https://ce.mayo.edu/covid19podcast

For the most up to date COVID-19 (Novel 2019 Coronavirus) information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Other Resources mentioned in the episode:

Ontario The SARS Commission: Spring of Fear http://www.archives.gov.on.ca/en/e_records/sars/report/index.htmlLancet Infectious Diseases - Immunogenicity of chimeric haemagglutinin-based, universal influenza virus vaccine candidates: interim results of a randomised, placebo-controlled, phase 1 clinical trial https://doi.org/10.1016/S1473-3099(19)30393-7
2020-01-31
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COVID-19 Miniseries Episode 2: 2019 Novel Coronavirus (2019-nCoV): What You Need to Know

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)

Host: Justin D. Kreuter, M.D. (@KreuterMD)

In a special crossover episode from Mayo Clinic Lab Medicine Rounds, Dr. Justin Kreuter discusses what we know so far, what clinicians should be looking for, and what this means for lab testing with Dr. Matthew Binnicker.

Time Stamps

00:00 Podcast Intro

00:41 What do we know so far about the novel coronavirus?

02:35 How does this novel coronavirus stack up to influenza?

04:35 Is there still value in getting your flu shot now (this year) if you haven?t gotten it yet?

05:08 Where should people go to get the latest and best information related to the novel coronavirus?

06:36 What should the health care provider be looking for related to the novel coronavirus?

08:18 I?m glad you mentioned the incubation period, is that something we know with this novel coronavirus?

09:15 What do the laboratorians need to have in mind and what does this mean for the hospital clinical labs?

10:50 So, people can test positive for the coronavirus without having this specific novel coronavirus strain?

12:02 So if somebody sent a sample down to a clinical lab, and I was truly positive for the novel coronavirus, I could have a negative result?

12:45 Can you elaborate on when a physician should pick up the phone relative to the new novel coronavirus outbreak?

14:43 Is there a risk to laboratory personnel for the infection to spread when they are handling the samples?

15:20 When should we be suspecting this novel coronavirus?

16:03 What should someone do if they suspect their patient has novel coronavirus?

16:33 As this is an evolving outbreak, where should folks go for the latest information?

WHAT IS LAB MEDICINE ROUNDS?

A Mayo Clinic curated podcast for physicians, laboratory professionals, and students; hosted by Dr. Justin Kreuter (the Bow Tie Bandit of Blood) and featuring trending topics from subject-matter experts.

Subscribe to Lab Medicine Rounds at: https://podcasts.apple.com/us/podcast/lab-medicine-rounds/id1478310691

For feedback and suggestions email [email protected]

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit click here: https://ce.mayo.edu/covid19podcast

Deeper Dive:

For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2020-01-31
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COVID-19 Miniseries Episode 1: How to Respond and What the Numbers Really Mean

Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine Conference

Speaker: Pritish K. Tosh, M.D. (@DrPritishTosh)

Dr. Pritish Tosh, a Mayo Clinic infectious disease, emergency preparedness, pandemic planning, and biodefense expert; gives a concise overview of the 2019 novel coronavirus (2019-nCoV) and what the numbers really mean.

Want to attend live next year? https://ce.mayo.edu/internal-medicine/content/33rd-annual-selected-topics-internal-medicine-2021

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Click here to claim credit: https://ce.mayo.edu/covid19podcast

Deeper Dive:

For the most Up-To-Date COVID-19 information visit:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.htmlWHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
2020-01-31
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Opioid Edition 2: Managing Acute and Chronic Pain

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of ?starting low and going slow.? What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-01-30
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A Deep Dive into Hyperbaric Oxygen Therapy

Guest: Gary N. Toups, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

What is hyperbaric oxygen therapy? What types of conditions outside of decompression illness can benefit from it? Dr. Gary Toups gives a fascinating look at the history of the practice and current advances in the field. He also discusses what conditions and types of non-healing wounds can benefit from oxygen therapy and which are not good candidates. 

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Healing with Hyperbaric Oxygen Therapy https://youtu.be/Uc0FiCEd1fQ?list=PLnAoNb5Mx-v68JrYbNCDavCSZ5lnFNaMf Hyperbaric Oxygen Therapy at Mayo Clinic https://www.mayoclinic.org/tests-procedures/hyperbaric-oxygen-therapy/about/pac-20394380 
2020-01-28
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Opioid Edition 1: The Opioid Crisis and Pain Management

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

2020-01-23
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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 Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015 American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866 
2020-01-21
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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 https://ce.mayo.edu/ or on Twitter @MayoMedEd

2020-01-15
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?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 shouldn?t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2020-01-07
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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 them on Twitter @MayoClinicSport.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old; N Engl J Med 2006; 355:763-778 DOI: 10.1056/NEJMoa055643 https://www.nejm.org/doi/full/10.1056/NEJMoa055643?query=recirc_curatedRelated_articlePhysical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.htmlBeneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019 http://dx.doi.org/10.1136/bjsports-2018-099254
2019-12-31
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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 Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2019-12-24
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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 changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure? 

Find more GRIT in Medicine episodes here

Deeper Dive: 

The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1
2019-12-17
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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 in on how to help these patients quit and what quitting looks like for this patient population.

Connect with the Mayo Clinic?s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2019-12-10
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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 https://ce.mayo.edu/ or on Twitter @MayoMedEd.

2019-12-03
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