Simply PM&R

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.

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.

Ultrasound-Guided Surgery – A Peak Behind the Curtain at the Future of Medicine

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

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.

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.

Managing Painful Joint and Connective Tissue Disorders

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.

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.

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.

Advances in Stem Cell Therapy for Spinal Cord Injuries

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

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.