Guest: Peter C. Rhee, D.O. Host: Jeffrey S. Brault, D.O. (@JeffBrault) Summary: Spinal cord injuries are often devastating for our patients. What are some of the surgical options that are available for patients to regain function in their upper extremities? Peter C. Rhee, D.O., sheds some light on life and function-altering procedures, providing expert insight on helping a patient plan for this type of procedure. Deeper Dive: American Spinal Injury Association’s International Standards for Neurological Classification of Spinal Cord Injury: https://asia-spinalinjury.org/wp-content/uploads/2016/02/International_Stds_Diagram_Worksheet.pdf Patient Story: https://sharing.mayoclinic.org/2018/03/05/right-handed-once-more-thanks-to-unique-orthopedic-surgery/

Guest: Michelle S. Gittler, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) “Anything that is going to impact the health of the people I serve should be looked at seriously.” Michelle S. Gittler, M.D., outlines the ways in which doctors can, and should, get involved in large-scale advocacy for their patients. She makes the argument for why advocacy should be taught as a core competency in medical school and how to teach it to future physicians. Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR.

Guest: Cara P. Prideaux, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) Sports medicine is a distinct medical specialty combining modalities from several other specialties. What exactly is sports medicine and who can be seen in a sports medicine clinic? What is the testing that should be performed at the sideline at the time of injury? Dr. Cara Prideaux answers these questions and discusses when and how to get the athlete back into their preferred physical activity after an injury.

Guest: Billie A. Schultz, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) Billie A. Schultz, M.D., shares her insights on everything related to concussions, from diagnosis to recovery. She outlines the five domains of concussion symptoms, how to rest your patient after a concussion, and when to get the interdisciplinary team involved in post-concussive care.

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.

Guest: David C. Weber, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) David C. Weber, M.D., shares his expert insight on strokes, intervention, and rehabilitation. He answers questions such as: “How does someone know if they or a loved one is having a stroke? What early interventions are available?” Dr. Weber also goes into some depth about rehabilitation, including when and what to order, and how to counsel patients in finding a facility to meet their needs. Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR.

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.

Guest: Erica Bellamkonda, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) How do we measure and improve specific quality indicators, including those required by various government bodies? Where do you even start? How effective do you need to be when you are completing a project? Dr. Erica Bellamkonda discusses quality improvement projects, including how to choose a project, steps to completing a project, and how to follow up once completed using the PDSA (Plan, Do, Study, Act) strategy. Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR. Deeper Dive: Mayo Clinic Quality Academy offers their Fundamentals of Quality Improvement – Bronze Level course online: https://ce.mayo.edu/quality/content/mayo-clinic-fundamentals-quality-improvement-%E2%80%93-bronze-level-online

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, 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.

Guest: Randy A. Shelerud, M.D.  Host: Jeffrey S. Brault, D.O. (@JeffBrault)  Back pain is very common. Filtering out a serious underlying condition is top priority, but what are the best practices for what comes next? What kinds of treatment plans are available for acute back pain? When should advanced imaging be considered? Dr. Randy Shelerud covers best practices for management of back pain.  Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR.

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.

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.

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan) Host: Jeffrey S. Brault, D.O. (@JeffBrault) What procedures can be performed utilizing ultrasound? What type of tools are required to do these minimally-invasive procedures? How does the procedure unfold and what is the evidence behind the safety and efficacy of these? Dr. Jon Finnoff discusses what’s currently in the translational phase of research, the process of candidate selection, and the how these procedures compare to their traditional counterparts.   Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR and Mayo Clinic Sports Medicine @mayoclinicsport. Deeper Dive: Ultrasound-Guided Cutting Wire Release of the Proximal Adductor Longus Tendon: A Feasibility Study https://doi.org/10.1177/2325967119866010 Ultrasound‐Guided Cutting Wire Release of the Posterior Iliotibial Band: A Feasibility Study https://doi.org/10.1002/pmrj.12340 Ultrasound-Guided Cubital Tunnel Decompression in a Collegiate Swimmer: A Case Report doi: 10.1097/JSM.0000000000000680 Ultrasound-Guided Fasciotomy for Chronic Exertional Compartment Syndrome: A Cadaveric Investigation doi: 10.1016/j.pmrj.2016.09.002 Ultrasound-Guided Fasciotomy for Chronic Exertional Compartment Syndrome: A Case Report doi: 10.1097/JSM.0000000000000777 A Non-Scalpel Technique for Minimally Invasive Surgery: Percutaneously Looped Thread Transection of the Transverse Carpal Ligament doi: 10.1007/s11552-014-9656-4 A Clinical Study of the Modified Thread Carpal Tunnel Release doi: 10.1177/1558944716668831

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.

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.

Guest: Margaret A. Moutvic, M.D.  Host: Jeffrey S. Brault, D.O. (@JeffBrault) When it comes to inflammatory joint conditions, what rehabilitation strategies should you employ with your patients? How should your patient’s exercise when they have joint pain? Dr. Maggie Moutvic discusses managing joint and connective tissue disorders. Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR.

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.

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.

Guest: Mohamad Bydon, M.D. Host: Jeffrey S. Brault, D.O. (@JeffBrault) Dr. Mohamad Bydon discusses harnessing autologous, adipose-derived, mesenchymal stem cells to treat blunt traumatic spinal cord injuries. He details how the the ground-breaking clinical trial is setup, the safety and efficacy goals of the current study, and what they hope to do in phase two. Connect with the Mayo Clinic’s PM&R Department on Twitter @MayoClinicPMR. Deeper Dive: CELLTOP Clinical Trial: First Report From a Phase 1 Trial of Autologous Adipose Tissue–Derived Mesenchymal Stem Cells in the Treatment of Paralysis Due to Traumatic Spinal Cord Injury: https://doi.org/10.1016/j.mayocp.2019.10.008 To learn more about Mayo Clinic’s Neuroinformatics Lab visit here: https://www.mayo.edu/research/labs/neuro-informatics/about For inquiries regarding the study email: neuroinformatics@mayo.edu

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.