Handle with Care to Giving Bad News

Brought to you by: Mayo Clinic Talks Podcast HOST: Nicole Nfonoyim-Hara GUESTS: Catherine W. Njathi-Ori, M.D. and Natalie H. Strand, M.D. “On a scale of 1 to 10, what's your pain?” If you’ve just broken a bone or are seeking treatment for endomitosis, it’s likely the first question you’ll be asked. But what if your pain is dismissed or minimized due to your age, race, or gender? In this episode of the RISE for Equity podcast, host Nicole Nfonoyim-Hara unpacks the latest evidence around bias in pain management—and effective strategies for a holistic approach to care—with Mayo Clinic physicians Catherine Njathi-Ori and Natalie Strand. Catherine W. Njathi-Ori, M.D., is an anesthesiologist specializing in acute pain management based in Rochester, Minnesota. Natalie H. Strand, M.D., is an Associate Professor in the Department of Anesthesiology, Division of Pain Medicine. She serves as the Director of Pain Research and the Director of Neuromodulation for Mayo Clinic Arizona. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/    Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.    “We need to be humble as providers, because there definitely will be cultural influences on how patients are going to respond to how they're feeling…. While we have the visual and the numeric skills, we have to acknowledge that pain is more complex.” — Catherine Njathi-Ori, M.D. “People I think are well-meaning in medicine for the most part. I really believe that. But just because you're well-meaning doesn't mean you're not biased. People often can't see their own blind spots. When you don't have diversity in your division or department, or you don't have diversity on your admissions committees, or you don't have diversity in your surgical teams and anesthesia teams, how is anybody supposed to see their own blind spots?” —Nathalie H. Strand, M.D.

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Amanda K. Lorenz, M.D. Giving our patients bad or unexpected news is one of the most difficult, but also one of the most important responsibilities we have as health care clinicians. This is when our patients need us the most and we need to do this with compassion and empathy. This is best done face to face and ideally once we have established a good relationship with our patient. Unfortunately, this isn’t always possible. A clinician in the emergency department telling a patient they’ve suffered an MI or a radiologist explaining a worrisome finding on mammogram may have just recently met the patient. What’s the best way to give our patients bad news? Can we become better at this? What can we expect from our patients after they hear the news? And how much information should we share with them? These are all topics we’ll discuss with our guest, Amanda K. Lorenz, M.D., a palliative medicine physician. Our topic for this podcast is “Giving Bad News”. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Ali J. Ainsworth, M.D. A successful pregnancy is a complicated process. It involves a combination of precise timing as well as anatomic and physiologic conditions which need to be intact and functioning normally. When pregnancy is unable to be achieved, it can be due to a problem in the female, the male, or both. It’s relatively common and can result in significant frustration. Psychological problems also commonly result. The topic for today’s podcast is infertility; it’s causes, evaluation and management. My guest is Ali J. Ainsworth, M.D., a specialist in reproductive endocrinology and infertility from the Department of Obstetrics and Gynecology at the Mayo Clinic. June is Infertility Awareness Month Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Robert M. Jacobson, M.D. Immunizations are one of the greatest success stories in modern medicine and it’s estimated that they’ve saved more lives and prevented more disabilities than any other medical intervention. They’re probably responsible, more than any other medical advance in contributing to our increased longevity as a population. They’re also extremely cost-effective and their benefits far outweigh the very small risks they carry. This podcast will review new information regarding immunizations and how we as clinicians can increase our patients’ immunization rates. Our guest is Robert M. Jacobson, M.D., a pediatrician, and expert in immunizations from the Department of Pediatrics at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Brought to you by: Mayo Clinic Talks Podcast Host: Nicole Nfonoyim-Hara Guests: John Halamka, M.D., M.S., and Sonya Makhni, M.D., M.S., M.B.A. On this episode of the RISE for Equity podcast, Dr. John Halamka and Dr. Sonya Makhni join host Nicole Nfonoyim-Hara to explore the multifaceted realm of Equity in Artificial Intelligence (AI). Delving into AI's applications in healthcare and various industries, this episode sheds light on its potential to transform patient care experiences. Listeners gain a deeper understanding of how AI is reshaping healthcare and are equipped with insights to recognize its presence and benefits within the healthcare landscape. This episode also serves as a beacon illuminating the transformative potential of artificial intelligence in improving patient care experiences. John D. Halamka, M.D., M.S., is a dedicated leader in advancing technology and policy for information exchange among healthcare stakeholders. Currently serving as President of the Mayo Clinic Platform, Dr. Halamka collaborates on research addressing algorithmic bias. With a rich background in education, including 25 years as a professor at Harvard Medical School, he is committed to nurturing the next generation of healthcare technology professionals. Sonya Makhni, M.D., M.S., M.B.A., serves as the Medical Director of Mayo Clinic Platform. Her focus spans data systems transformation, ML operations, AI bias mitigation in healthcare, health equity, innovation, change management, and novel care delivery models. Additionally, she is a Senior Associate Consultant in Hospital Internal Medicine at Mayo Clinic. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/ Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.  “Wonderful thing about AI is it captures knowledge and democratizes access to that knowledge. Any doctor anywhere, any patient anywhere can get the benefit of the best knowledge gathered across our entire population” – Dr. John Halamka “It's equal parts up to the technology and equal parts up to us to understand how to harness the technology and hold ourselves accountable in terms of making sure the technology developers and the technology users are ensuring that we are, in actuality, also pursuing a raised bar of clinical practice.” – Dr. Sonya Makhni

Host: Joshua D. Luciew, MPAS, P.A.-C. Guest: Brittany A. Strelow, DMSc, P.A.-C., M.S. Air pollution is a pervasive issue that surrounds us every day, with varying degrees of severity depending on our environment. As we go about our daily lives, we unknowingly inhale harmful substances that are present in the air. But what happens when this exposure is magnified, and individuals such as first responders are continuously exposed to severe air pollutants, like fire smoke? In the United States alone, fire departments respond to a fire every 21 seconds, exposing numerous individuals to the dangers of smoke inhalation.  Tune in as we delve into smoke inhalation injury, exploring who is most at risk, and how this silent killer can have long-term effects on our health. National EMS Week is May 19 – May 25 Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/.

HOST: Andy Herber, P.A.-C. GUEST: Ronald S. Go, M.D. Join our host, Andy J. Herber, P.A.-C., as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting. Providers are frequently tasked with evaluating all aspects of the CBC. A keen understanding of this laboratory test is essential to providing quality care for patients. Ronald S. Go, M.D. returns as a guest to discuss abnormal platelet test results and its implication on patient management. Learn more about our Lab Medicine Edition here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Michele A. Hanson, M.D. There are a variety of things a woman can do to increase the odds of successful pregnancy. One of the most important is receiving regular prenatal care. It provides major benefits to both the mother and the unborn child. It’s been shown to reduce the risk of pregnancy complications as well as the risk of complications to the fetus. It’s one of the best ways to increase the likelihood of a healthy pregnancy. When should prenatal care begin? What does good prenatal care consist of? How often should a woman be seen for prenatal care?  In this podcast, we’ll be covering these topics and more as we discuss “Prenatal Care” with my guest, Michele A. Hanson, M.D., a family medicine physician at the Mayo Clinic. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

HOST: Andy Herber, P.A.-C. GUEST: Ronald S. Go, M.D. Join our host, Andy J. Herber, P.A.-C. as he discusses the complete blood count (CBC), which is one of the most ordered laboratory tests in the primary care setting. Providers are frequently tasked with evaluating all aspects of the CBC.  A keen understanding of this laboratory test is essential to providing quality care for patients.  Joining us again to discuss white blood cell count abnormalities is renown Mayo Clinic Hematologist, Ronald S. Go, M.D. Learn more about our Lab Medicine Edition here Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Host: Darryl S. Chutka, M.D., [@chutkaMD] Guest: Tanios S. Bekaii-Saab, M.D. Although esophageal cancer is not a common malignancy, when found it often has a poor prognosis. It’s about four times more likely to occur in a male than a female. Although a variety of malignancies can develop in the esophagus, most tend to be either squamous cell or adenocarcinoma. Fortunately, the rates of esophageal cancer have been decreasing slightly over the past decade. Despite the fact that esophageal cancer often produces symptoms, the survival rate has not been very good, although due to new and improved treatments it has been improving. The topic for today’s podcast is esophageal cancer and my guest is Tanios S. Bekaii-Saab, M.D., the division chair for Hematology/Oncology at the Mayo Clinic in Phoenix, Arizona. We’ll discuss the risk factors for esophageal cancer, its common presenting symptoms, how to establish a diagnosis and the various treatment options available. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.