Concussion-101

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.