April 11, 2014

Mayo Clinic in the News Weekly Highlights

By Karl Oestreich


Mayo Clinic in the News is a weekly highlights summary of major media coverage. If you would like to be added to the weekly distribution list, send a note to Emily Blahnik with this subject line: SUBSCRIBE to Mayo Clinic in the News.

Thank you.

Karl Oestreich, manager enterprise media relations

Star Tribune
Novel Mayo technique improves outlook for breast cancer surgeries
by Dan Browning

Mayo Clinic likes to say that its team-based, patient-centric approach to medical care increases value. On Tuesday it released the latest evidence — research showing that a novel technique improves outcomes for women with breast cancer, the nation’s No. 2 cause of death for women, after lung cancer…“In breast cancer,Star-Tribune-Logo-300x45 what I think is critical is that multidisciplinary team,” said Dr. Judy Boughey, a professor of surgery at Mayo who was the article’s lead author. “The pathologists here are making me look good … because I’m doing the same [excision] procedure I would do anywhere else.”

Reach: The Star Tribune Sunday circulation is 518,745 copies and weekday circulation is 300,277. The Star Tribune is the state’s largest newspaper and ranks 16th nationally in circulation.

Additional coverage:

KAAL, Mayo Breast Cancer Treatment Sees Success A unique process that doctors at Mayo Clinic Hospital use when removing tumors in breast cancer patients is showing results…"Obviously opening the incision delays the wound healing, increases risk for infection, and takes the patient away from work and away from their family and is associated with more stress and anxiety," Dr. Judy Boughey said.

Breast Cancer: Frozen Section Analysis During Lumpectomy Decreases Need For Reoperation, MedicalResearch.com: What are the main findings of the study?

Dr. Boughey: This study showed that the rate of reoperation after lumpectomy for breast cancer was significantly lower at Mayo Clinic in Rochester compared to national data. Mayo Clinic in Rochester uses frozen section analysis of margins at time of lumpectomy to direct any margin re-excisions during the surgery and therefore has a significantly lower rate of need for a second operation to ensure clean margins. The rate of reoperation was four times higher in the national data set than in the Mayo Clinic data set.

Context: Unique laboratory testing during breast cancer lumpectomies to make sure surgeons remove all cancerous tissue spares patients the need for a repeat lumpectomy in roughly 96 percent of cases at Mayo Clinic in Rochester, a success rate much higher than the rate nationally, a Mayo study shows. During the years reviewed, 13.2 percent of breast cancer lumpectomy patients nationally had to return to the operating room within a month of their initial surgery, compared to 3.6 percent at Mayo in Rochester, which uses a technique called frozen section analysis to test excised tissue for cancer while  patient are still on the operating table. The findings are published in the journal Surgery. More information on this study can be found on Mayo Clinic News Network.

Public Affairs Contact: Sharon Theimer


Channel12 Ariz.
First piece of Mayo Clinic proton beam installed

Channel 12 Arizona NBCCrews installed the first pieces of the new proton beam therapy center at the Mayo Clinic on Monday. The beam will work by isolating and treating cancer cells.

Reach: Channel 12 is an NBC affiliate in Phoenix, AZ.

Additional coverage: KPNX Ariz.KTVK Ariz.

Context: Mayo Clinic in Arizona broke ground in December 2011 for a $182 million facility to house Mayo Clinic's Proton Beam Therapy program — marking the beginning of a new era in cancer treatment. Steven Schild, M.D., is chair of radiation oncology at Mayo Clinic in Arizona.

Public Affairs Contact: Julie Janovsky-Mason


Becker’s Hospital Review
12 Things to Know About Mayo Clinic
by Helen Adamopoulos

Here are 12 key things to know about Rochester, Minn.-based Mayo Clinic, which was recently named one of 100 Great Hospitals in America in 2014 by Becker's Hospital Review. 1. Mayo Clinic — a nonprofit worldwide leader in medical care and research — got its start in 1864, when William Worrall Mayo, MD, opened aBeckers Hospital Review private medical practice in Rochester. The organization officially took on the Mayo Clinic name in March 1914. 2. Mayo Clinic's operating income rose 55 percent from $395.4 million in fiscal year 2012 to $612.1 million in 2013. It saw total revenue of $9.42 billion last year.

Reach: Becker's Hospital Review features up-to-date business and legal news and analysis relating to hospitals and health systems. Content is geared toward high-level hospital leaders (CEOs, CFOs, COOs, CMOs, CIOs, etc.), and we work to provide valuable content, including hospital and health system news, best practices and legal guidance specifically for these decision-makers. Each of the 12 annual issues of Becker's Hospital Review reaches a qualified audience of approximately 18,500 healthcare leaders. 

Context: On Jan. 27, 1864, English-born Dr. William Worrall Mayo first notified the public about his medical practice in Rochester, Minn., planting the seeds of what would eventually become an international medical organization with more than 59,000 expert physicians, scientists and health care professionals, attracting millions of patients from across the globe. This year marks 150 years of continuous service to patients, and Mayo Clinic is launching a yearlong recognition that will honor a legacy of medical accomplishments and a model for the future of health care.

Public Affairs Contact: Kelley Luckstein


Florida Times-Union
Editorial: A major battle to combat child obesity

Nearly four of every 10 children in our community are either overweight or flat-out obese, say area health experts…“We’re seeing so many children in our community Florida Times-Union newspaper logostruggle to be at healthy weights,” said Dr. Alva Roche Green during a recent session with the Times-Union editorial board. A pediatrician at the Mayo Clinic, Roche-Green added that it’s “not an exaggeration to say childhood obesity is at a crisis level” across Jacksonville and Florida in general.

Reach: The Florida Times-Union reaches more than 120,000 daily and 173,000 readers Sunday.

Context: Alva Roche Green, M.D., is a Family Medicine physician at Mayo Clinic in Florida.

Public Affairs Contact: Kevin Punsky


Red Wing Republican-Eagle
MCHS report highlights growing improvements
by Anne Jacobson

Mayo Clinic Health System made substantial changes in 2013 toward better care and lower costs. These included more emphasis on primary care teams and launching Patient Online Services, according to MCHS officials.

Red Wing Republication Eagle logo

Reach: The Red Wing Republican Eagle has served residents of Red Wing, Minn., since 1857, The Red Wing Republican Eagle is owned by RiverTown Multimedia, a subsidiary of
Forum Communications and has a daily circulation of  more than 5,400.

Context: Mayo Clinic Health System held a public discussion on its 2013 annual report April 7 in Red Wing, Minn. Thomas Witt, M.D., president and CEO of the MCHS Cannon Falls, Lake City and Red Wing said now the three medical centers and their affiliated clinics work more seamlessly together and with the Mayo Clinic “hub” in Rochester.

Public Affairs Contact: Kristy Jacobson

US News & World ReportHernia Repair Recovery Often Longer Than Expected People who undergo surgery to repair an abdominal hernia may underestimate how long their recovery will take, new research indicates. "It may be that people expect, when they've seen their neighbors after laparoscopic gall bladder surgery and they're back taking a walk the next day, that they'll be able to do the same thing with laparoscopic ventral hernia repair," said study senior author Dr. Juliane Bingener-Casey, a gastroenterologic surgeon at Mayo Clinic in Rochester, Minn. Additional coverage: NIH Medline PlusMy Fox Twin CitiesHHS Healthfinder.govPhiladelphia InquirerMSN Healthy Living.comYahoo! HealthMy Fox LAMy Fox BostonMy Fox PhillyFox 5 VegasMy Fox AtlantaMedIndia.NetMy Fox Dallas-Fort WorthWinnipeg Free Press8 News Now Las Vegas (CBS); WDRB (Louisville); Fox 12 OregonKALB (CBS in Alexandria, La.); KPLC-TV (NBC in Lake Charles, La.); WAFF (Huntsville, Ala.); KTBS  (Shreveport, La.); WTOC (Savannah, Ga.); KOAM-TV (CBS in Pittsburg, Kan.); KX News (CBS in Bismarck); WSMV (NBC in Nashville); KULR (NBC in Billings, Mont.); WFMJ (NBC in Youngstown, Ohio); News 9 (Oklahoma); KVTN (CBS in Reno, Nev.);  WECT (NBC in Wilmington, N.C.);  WATE (ABC in Knoxville, Tenn.); WebMD13 ABC (Toledo, Ohio); KNDO (NBC in Yakima, Wash.); My Fox NYFox CarolinaKTTC RochesterABC 7 (Fort Myers, Fla.); WKOW (ABC in Madison, Wis.);  CBS8 (San Diego); WBAY-TV (ABC in Green Bay, Wis.); CBS 46 (Atlanta); Medical Research

AP, Researchers Using Math to Whittle Away at Jet Lag Lauran Neergaard, Lots of apps claim they can help you fight jet lag. Now Michigan researchers say mathematical formulas suggest it's possible to adjust to new time zones a bit faster than previously thought, and they created their own free app to help… "Before we really believe it, it has to go through testing," cautioned sleep-medicine specialist Dr. Steven Altchuler, an assistant professor of psychiatry at the Mayo Clinic College of Medicine, who wasn't involved in the project. But "there's very little risk of harm if someone wants to try these things."  Additional coverage: The Republic Ind., Newsday, Mail UK

Forbes, Beating Jet Lag: 8 Ways You're Doing It Wrong And How To Do It Right by Andrew Bender, Now that humankind has been flying across time zones for generations, it’s easy to forget that our bodies were not designed to travel long distances at high speeds… Everyone agrees that first and business class seats are preferable. For sleep experts it’s not so much for the nicer meals and cocktails but the wider seats and deeper recline for a more solid sleep. Still, “Sometimes you’re stuck with what you can afford,” says Dr. Clayton Cowl, a specialist in aerospace and transportation medicine at the Mayo Clinic in Rochester, Minn., meaning economy class. Yet even within economy class, there are ways to suffer less, if you plan strategically…

Star TribuneOn-screen doctor visits are the new house call by Allie Shah, Video doctor appointments are emerging as a more convenient way to diagnose and treat minor ailments, but skeptics caution there’s no substitute for the old-fashioned office visit… Blue Cross and Blue Shield of Minnesota has offered video chats for a couple of years and the Mayo Clinic has dabbled in the emerging technology with a pilot program for expectant mothers…That’s why Rochester mom Kate Bomgaars has done Skype visits with her Mayo doctor… As a participant in a pilot program through the Mayo Clinic’s Center for Innovation, Bomgaars skipped the routine office visits with her doctor and instead used her smartphone and other tools provided by the Mayo to self-monitor. The ability to video chat with her doctor gave her peace of mind throughout her pregnancy, she said, especially since she travels a lot. “Hands down, it allowed the flexibility in my lifestyle,” she said.

Chicago Tribune, Mayo Clinic Medical Edge: For some, supplement is necessary to ensure adequate iron intake by Richa Sood, M.D., Women's Health Clinic, Mayo Clinic, Rochester, Minn., DEAR MAYO CLINIC: I'm a 43-year-old woman recently diagnosed with iron deficiency. Tests show my ferritin is very low, but my hemoglobin is in the normal range. Isn't hemoglobin usually low if you don't have enough iron?

Chicago Tribune, Mayo Clinic Medical Edge: Paying attention to diet may help prevent additional gout flare-up by Thomas Osborn, M.D., Rheumatology, Mayo Clinic, Rochester, Minn., DEAR MAYO CLINIC: What causes gout? I've had one attack and am not on any treatment but am watching my diet. Is it possible that I won't have additional attacks or need treatment for it, or is it likely to come back again?

Chicago Tribune, Mayo Clinic Medical Edge: Surgery can usually treat urinary incontinence, but less invasive options are available by Anita Chen, M.D., Gynecologic Surgery, Female Pelvic Medicine and Reconstructive Pelvic Surgery, Mayo Clinic, Jacksonville, Fla., DEAR MAYO CLINIC: I'm 43 and have had trouble with urinary incontinence since having my fourth child at 41. It seemed manageable until about 6 months...

Boston Herald, Mayo Clinic Medical Edge: The risk of sustaining a concussion is higher after already having one by Allen Brown, M.D., Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minn., DEAR MAYO CLINIC: My daughter, 17, was hit while playing soccer last fall and suffered a mild concussion. Her doctor says it's OK for her to play again in the spring, but I'm worried. Isn't she more likely to get another concussion if she's had one already? Does having had one concussion affect her long-term?

Irish Times, Taoiseach welcomes Irish link-up with prestigious Mayo Clinic by Eoin Burke-Kennedy, Enterprise Ireland has teamed up with the prestigious Mayo Clinic in the US to co-develop and commercialise 20 new medical technologies in Ireland over the next five years… Speaking at the announcement, Mayo Clinic vice president Jeff Bolton said: “This collaboration with Enterprise Ireland provides a unique way of furthering the research and development of novel technologies that have high potential to make a different in patient care, alleviating the burdens of human disease.” Additional coverage: Yahoo! Finance UK, Independent.ie, AIB Corporate Banking, Business & Leadership

News Talk.ie, AUDIO: Enterprise Ireland and Mayo Clinic to launch partnership, A new medical technologies partnership between Enterprise Ireland and the Mayo Clinic in America is been launched this morning. The 16-million US dollar programme will fund Irish researchers to work with leading clinicians in the US with the aim of creating 10 high value medical technology spin-out companies in Ireland over the next 5 years. The Taoiseach Enda Kenny and the Health Minister James Reilly will attend the launch in Dublin this morning.

100 Reporters, (Non)profit Hospitals: The Art of Acquisition by Rita Healy, Recent research suggests art may prove a healing experience for those who produce it. Many hospitals today go one step further, and claim art as a healing experience for those who view it…. At the Mayo Clinic, the policy is “to neither capitalize contributed works of art nor record the related contribution revenue,” according to its I.R.S. return. Tourists from throughout the world may take Mayo’s 90-minute tours in groups of 25 to view such priceless treasures as a Rodin sculpture, Tiffany, Chihuly and Tagliapietra glass, Miró lithographs, and a mother of pearl box and book donated by Jordan’s King Hussein and Queen Noor.

City News Toronto, Painful skin condition made Flaherty’s health a public matter by Helen Branswell… In the wake of Flaherty’s sudden death Thursday, experts who treat bullous pemphigoid say the condition itself is unlikely to have directly triggered his death. But side-effects of the high dose steroids he had taken to try to bring the condition under control could potentially have increased his risk of heart disease, suggested Dr. Julia Lehman, a dermatologist with the Mayo Clinic in Rochester, Minn. Additional coverage: CTV News

Advance Healthcare Network, CAP Awarded More Than $1.25 Million in CDC Grants, College of American Pathologists (CAP), the world's largest organization of board-certified pathologists, has been awarded two grants from the Centers for Disease Control and Prevention (CDC). The funding, totaling more than $1.25 million, will be used to improve the adoption of evidence-based laboratory testing guidelines and to standardize reporting of biomarker test results to cancer registries…. "By implementing guidelines into clinical practice, hospitals and patients can be assured that the laboratory is following consistent procedures based on scientific evidence and expert consensus opinion," said Raouf Nakhleh, MD, FCAP, a pathologist at the Mayo Clinic in Jacksonville, Fla., and lead on the CAP's CDC project to improve the impact of laboratory practice guidelines.

WKBT La Crosse, Study: Childhood obesity rates more than double over past 15 years by Kyle Dimke, Childhood obesity rates have more than doubled over the past 15 years, according to a new study by JAMA Pediatrics. The Centers for Disease Control said that in 2012, more than one-third of children and adolescents were overweight or obese… "We have reset our fatness look in the United States. So we think kids that are really pretty heavy are actually pretty normal. So that whole problem starts in that we really don't know what you're supposed to look like anymore," Dr. CJ Menagh, a pediatrician at Mayo Clinic Health System, said.

Times-Herald, Funds Sought For 8-Year-Old With Mystery Illness, Eight-year-old Amethyst “Amy” Hiestand is currently seeing specialists at the Mayo Children’s Clinic in Minnesota, but her mother has run out of money to fund the diagnostics and treatment and is asking for more donations from the community… “This trip to Mayo was a miracle,” said Busby. “Now she needs another miracle to get to see all the doctors she can and have the tests run that she needs while she is there.”

MPR, Eat fat to lose weight, maybe, If you want to lose weight, should you cut fat out of your diet, or keep it in? Are carbs your friend or your enemy? NPR recently looked into the fat-free food fad of the 1990s and found that the fat-free cheese we were eating actually contributed to the nation's growing obesity crisis. Guest: Katherine Zeratsky: Nutritionist and dietician at Mayo Clinic.

Australian Financial Review, Executives perfect pioneers for genomic medicine by Jill Margo, Much thought has gone into identifying a population group that could lead the rest of us into the new world of genomic medicine. The Mayo Clinic in Rochester in the United States runs an elite personal health program for executives. The program is intensive, expensive and based on cutting-edge research. The executives from this program have been identified as the perfect ­pioneers. They can afford it and are already on the program. They are also “early adapters”, willing to embrace the new culture of genomics. Happy to invest more in their relationship with their physician, they are curious about the complexities of health, says Matt Ferber, an associate professor at the Mayo Clinic.

ATP World Tour, Del Potro Updates Fans On Wrist Recovery, Juan Martin del Potro shared news about his recovery from recent left wrist surgery, posting a Facebook photo and message for his fans on Wednesday. “Hello, everyone! Here’s a picture of my first visit to the Mayo Clinic after the surgery,” wrote the 25 year old. “Dr. [Richard] Berger was pleased with the examination and I now have a shorter splint. Thanks for your messages!”

KTTC, Mayo volunteers recognized, Volunteers don't expect to get recognition, but on Wednesday, Mayo Clinic honored those who give their time to help others…."It's fun to come together to see each other, to participate, to hear the speakers," said volunteer Lynn Wightman. "Mayo does a great job of thanking us even though it's something we enjoy doing and would do it regardless." Dr. John Noseworthy, President and CEO of the Mayo Clinic, spoke to the volunteers as well. Additional coverage: FOX47

Cleveland Plain Dealer, Circumcision topic prompts active online discussion, debate by Angela Townsend, A Plain Dealer story posted Tuesday on cleveland.com about a study on circumcision that recently appeared in the journal Mayo Clinic Proceedings has elicited a lot of reader feedback. Readers did not hesitate to share their thoughts on circumcision. Opinions ranged from calling the procedure -- the surgical removal of the foreskin of the penis -- "barbaric," to something necessary to ensure the health of boys, to a decision best left to a boy to make when he is old enough to do so.

Vos Iz Neias?, Prestigious Mayo Clinic Report: Benefits Of Infant Male Circumcision Far Outweigh The Risks, A new report by the prestigious Mayo Clinic states that conclusions by Australian and U.S. researchers has determined that the benefits of infant male circumcision outweigh the risks by over 100 to 1. Additional coverage: babble.com

Cleveland Plain Dealer, To circumcise or not? New findings underscore benefits; practice in babies declining in U.S by Angela Townsend, The findings of a new study published recently in the journal Mayo Clinic Proceedings are providing more evidence for the health benefits of infant male circumcision. But even as the rate of circumcision in men ages 14 to 59 increased to 81 percent in the United States from 2000 to 2010, the rate in newborns has dropped.

NY Times, Circumcision Benefits Outweigh Risks, Study Reports by Nickolas Bakalar, A review of studies has found that the health benefits of infant male circumcision vastly outweigh the risks involved in the procedure. But the study, published online in Mayo Clinic Proceedings, also found that while the prevalence of circumcision among American men ages 14 to 59 increased to 81 percent from 79 percent over the past decade, the rate of newborn circumcision has declined by 6 percentage points, to 77 percent, since the 1960s

Huffington Post, Are You Drinking Drugs? By Rachel Sarnoff, An EPA study released earlier this year found trace residues of at least 25 different drugs in drinking water. Scientists examined samples from 50 wastewater plants and tested for 56 different drugs; they found medication to treat high blood pressure was found in the highest quantities, but over-the-counter drugs like ibuprofen and prescription drugs such as hydrocodone were also found. This makes sense, considering a 2013 Mayo Clinic study that found 70 percent of Americans now take prescription drugs, compared to 48 percent just five years ago. The drugs get into our water when we excrete them or flush old drugs down the toilet.

Arizona Business Magazine, TGen’s Barrett awarded $200,000 research grant, The Pancreatic Cancer Action Network and the American Association for Cancer Research (AACR) awarded a $200,000 grant today to Dr. Michael Barrett of the Translational Genomics Research Institute (TGen). Dr. Barrett, an Associate Professor in TGen’s Clinical Translational Research Division, was one of 14 “outstanding scientists” across the nation named to receive a total of $5 million in grants for pancreatic cancer research.

Omaha World-Herald, Cancer, Mayo Clinic visits don’t sideline Papio’s Zikas, Nolan Zikas has learned at a young age to put things in perspective. Last Thursday on a cold, windy day at Eagle Hills Golf Course, Zikas shot an 86 during his first invitational of the season… Zikas had a doctor’s note allowing him to ride a cart, but last Thursday he walked the 18 holes just three days after undergoing chemotherapy at the Mayo Clinic. Zikas said he’ll go there every two weeks for more treatments.

Today.com, Boy's bracelets raise over $8,000 to help cure kids like him of cancer by Jasmin Aline Persch, At first, it was a crafty way for a 10-year-old boy with a rare melanoma to kill time on trips to the Mayo Clinic in Rochester, Minn., about two hours away from his home. Now, Graham Fowler's hobby of making colorful bracelets has raised more than $8,000 — money he’s donating to childhood cancer research “so they find a cure and no one goes through this,” he told TODAY.com.

Post-Bulletin, Garden project wins health award, A local garden project for children and teenagers was given a Live for Others — Health Community Award on Tuesday by Olmsted County Public Health Services. The award is named for Dr. Lyle Weed, who died in 1983. He was an microbiologist, a humanitarian and an exemplary volunteer. After his retirement from Mayo Clinic and Mayo Graduate School, Dr. Weed volunteered for ten years at Olmsted County Public Health Services.

ESSENCE, Fighting Fibroids by Hilary Beard… A groundbreaking 2013 Mayo Clinic study of women ages 29 to 59 with symptomatic fibroids found that fibroids significantly impact Black women’s lives—far more so than previously understood. “If you look at fibroids compared with other diseases, the degree to which fibroids affect your entire life is astounding,” says Elizabeth Stewart, M.D., the study’s lead author and chair of the division of reproductive endocrinology and infertility at Mayo Clinic and Mayo Medical School.

MPR, For Alzheimer's patients, music can be a light in the darkness by Liz Baier…Searching for a long-lost memory can be a frustrating experience for Alzheimer's patients and their families. But research shows music can help reclaim some of those memories and offer temporary lucidity. At assisted living facilities across the United States and Canada, music is helping patients with advanced Alzheimer's rekindle some of their memories.While listening to music won't repair a damaged brain or bring back total memories, it can provide stimulation to pieces of those feelings, said Ron Petersen, director of the Alzheimer's Disease Research Center at Mayo Clinic.

MobiHealthNews, Nine northwest health systems agree to make patient access to physician notes easier by Jonah Comstock, Nine health systems and organizations in Washington and Oregon — representing more than a million patients — have pledged to open up physician notes to patients via electronic medical records by the end of 2015. That increases the total number of patients with access to their physicians’ notes by 50 percent — from 2 million to 3 million altogether.… All three original study sites have now adopted Open Notes as a standard practice, as has the Portland VA Medical Center, the Mayo Clinic and Cleveland Clinic. Chanin Wendling, Director of eHealth at Geisinger Health System, talked about their OpenNotes initiative at HIMSS earlier this year.

Medical Xpress, Many new parents unaware of safety guidelines by Stephanie Stephens, A new parent's health literacy, defined as their ability to obtain, interpret and understand basic health information, can affect their ability to follow recommendations to protect infants from injury, finds a new study in the American Journal of Preventive Medicine…"Injury prevention is so important, and the fact that many parents are not consistently following recommendations should alarm pediatricians," said Richard White M.D., an assistant professor of internal medicine and pediatrics at the Mayo Clinic Florida. "It is possible that parents, especially new ones, may be overwhelmed by the volume of information provided during well-care visits.

Savannah Morning News, Healthy Kitchen: Fiber-rich foods important to health by Diane Stewart, Someone commented that I use black beans a lot in my cooking. Legumes are high in fiber, and fiber is a good component of a healthy diet…The sheet was from the Mayo Clinic and said that sufficient fiber and adequate fluid intake moved “quickly and relatively easily through your digestive tract and helps it function properly. A high-fiber diet may also help reduce the risk of heart disease and diabetes.”

HealthCanal, Mayo Clinic Shares Lessons Learned from Genomics Clinic for Sequencing-based Cancer Care and Diagnostics…Konstantinos Lazaridis, M.D., a Mayo Clinic hepatologist and director of the Individualized Medicine Clinic, says the clinic is a natural extension of Mayo’s commitment to putting the needs of the patient first and that leaders in the Mayo Clinic Center for Individualized Medicine saw this opportunity as an imperative. Since opening the clinic, more than 30 percent of patients on a diagnostic odyssey have received answers through whole-exome sequencing.

WDIV Detroit, Is it better to weight lift before or after cardio workout? By Mayo Clinic News Network, Whether you do weightlifting before or after an aerobic workout is up to you. Research hasn't definitively shown that one way is better than another. Consider the factors that fuel the debate about when to do weightlifting…

The Hospitalist, Movers and Shakers in Hospital Medicine by Michael O'Neal, The latest hospitalists to receive awards, earn promotions, or assume new leadership roles. Plus, HM group contracts, mergers, and acquisitions…John Larson, MD, has been named Family Physician of the Year for 2013 by the Wisconsin Academy of Family Physicians. Dr. Larson serves as regional assistant medical director for Mayo Clinic Health System and often plays the role of a hospitalist, among many others, as part of his job.

Medscape, Psychiatric Symptoms May Precede Cognitive Decline by Laird Harrison, Elders with nonpsychotic psychiatric symptoms run an increased risk for mild cognitive impairment (MCI), a new study shows. Agitation, apathy, anxiety, irritability, and depression all independently correlated to cognitive impairment, whereas delusion and hallucination did not, the researchers found. "These baseline psychiatric symptoms were of similar or greater magnitude as biomarkers (genetic and structural MRI) in increasing the risk of incident mild cognitive impairment," the researchers, led by Yonas E. Geda, MD, Mayo Clinic in Scottsdale, Arizona, write.

Pioneer Press (US News), 8 steps to fall asleep fast by Laura Mcmullen, Of course you wish you were sleeping. It's just not happening. And here you are, in the wee hours of the morning, staring at the insides of your eyelids. So how do you snag at least a few hours of zzz’s before the birds start chirping? We asked the experts. Read on for the advice of Eric Olson, co-director of the Center for Sleep Medicine at the Mayo Clinic in Rochester, Minn., and Harneet Walia, a doctor in the Cleveland Clinic's Sleep Disorders Center. Additional coverage: Yahoo! News

Prevention, 20 Ways To Sleep Better Every Night…17. Consider kicking out furry bedmates, Cats can be active in the late-night and early morning hours, and dogs may scratch, sniff, and snore you awake. More than half of people who sleep with their pets say the animals disturb their slumber, according to a survey from the Mayo Clinic Sleep Disorders Center.

Le Sueur News-Herald, Le Sueur hospital and clinic celebrates completion of multi-million dollar construction by CJ Siewert, Minnesota Valley Health Center in Le Sueur celebrated the completion of a multi-million dollar construction renovation Monday, showcasing its newly remodeled hospital wing with an open house… The $6.6 million construction and renovation project, named The Build, includes a new dedicated emergency entrance and ambulance bay; a 5,000-square-foot centralized entrance and lobby area; a 12,164-square-foot, 22-examination room clinic, operated by Mayo Clinic Health System.

Star Tribune, Florida targets 'medical tourism' Florida lawmakers have a new vision for the tourism industry. Forget Mickey Mouse and the beaches. Their goal is to make Florida an international destination for people seeking top-notch medical care. The Mayo Clinic, which operates a hospital in Jacksonville, Fla., has similar ambitions in Minnesota.

Florida Times-Union, Katie Ride for Life to mark its 10th year by David Crumpler…‘THE GIFT OF EXTRA LIFE’ Gary Goff, 62, has a hero he never met — a 17-year-old whose lungs he received in a transplant a little more than two years ago. The Jacksonville resident had been battling chronic obstructive pulmonary disease when he was put on the transplant list at the Mayo Clinic. The recovery process after he received a new pair of lungs was rough at first, but Goff was in good enough shape at the one-year mark that he got his doctor’s OK to do the Katie Ride’s 5K walk.

Redbook, Stressed? Flabby? Tired? It Could Be Your Hormones by Lisa Mulcahy, "When friends ask me about yoga, I encourage them to try it. Data shows that it can affect brain chemistry and reduce stress and improve mood. Specifically, it increases a chemical called gamma-aminobutyric acid [GABA]. One study showed that after a single yoga session, GABA levels increase enough to stimulate the areas of your brain that stop you from feeling depressed and anxious. That said, yoga isn't for everybody, and other exercises and meditation also have benefits to mood. The key is to explore and find what works for you." —Maria Collazo-Clavell, M.D., an endocrinologist at the Mayo Clinic in Rochester, MN

WDIV Detroit, Tips for diabetes and prediabetes meal planning, by Mayo Clinic News Network, Poor diet can obviously lead to health problems and weight gain. Conversely, proper food choices help people become healthier and manage certain conditions. For those with diabetes andprediabetes

KAAL, Austin City Council Passes Temporary E-Cigarette Ban… And while experts agree more research is needed, they said the ordinance will help protect people until that information is available. "I think it's good for the public safety, there's just too many unknowns yet with e-cigarettes," said Deb Skare, a tobacco cessation specialist at the Mayo Clinic Health System in Austin.

Ottawa Sun, Growing debate over the safety of e-cigarettes: Good or bad by Aeden Hellmer, …Dr. Jon Ebbert of the Mayo Clinic can see the potential good, but said efforts to research and develop safe and effective products are being “hamstrung” by regulators, while retailers are peddling potentially unsafe products with seemingly free reign. “You have to get approval to investigate these products, but there are huge hurdles in this enormous regulatory framework,” says Ebbert. Additional coverage: Edmonton Sun

Star Tribune, Dayton: Lawmakers 'hiding behind their desks' on marijuana issue, Gov. Mark Dayton said Minnesota legislators are “hiding behind their desks” on a proposal to legalize medical marijuana…The governor offered to enroll the children in a Mayo Clinic study that could provide relief, but so far the parents have rejected the offer, saying similar studies never worked in other states. Additional coverage: Pioneer Press, MPR

The Cannabist, Chat: WebMD hosts panel to talk marijuana and health by Aleta Labak, The online medical information clearinghouse WebMD is hosted a chat about marijuana and health on Tuesday with a panel of medical experts, including a Colorado doctor from the CU Hospital (bio info via Scribble Live): Michael Barnes, MD: Clinical Director of the Center for Dependency, Addiction and Rehabilitation (CeDAR) at University of Colorado Hospital. J. Michael Bostwick, MD: Psychiatrist at Mayo Clinic and author of a review of marijuana research.

Weather Channel, 15 Shocking Facts You Don't Know About Weed by Annie Hauser, Is marijuana nature’s miracle medicine or a dangerous, largely unknown entity? It really depends on whom you ask…Anecdotally, it’s been shown to reduce pain and nausea, as well as other symptoms, in people with various medical conditions, J. Michael Bostwick, a Mayo Clinic psychiatrist wrote in a review of studies on medical marijuana published in Mayo Clinic Proceedings.

MedPage Today, Marfan Syndrome: New Challenges, Bernard J Gersh, MB, ChB, D.Phil: Hello. I'm Bernard Gersh from the Mayo Clinic and with me today—and it is a great pleasure to have him—is Dr Juan Bowen, who is director of the Marfan and Thoracic Aorta Clinic. Juan, this is a multidisciplinary clinic, correct?

MedPage Today, Stroke: Is lack of a monitoring recommendation a limitation to new oral anticoagulants, Does the lack of a blood-monitoring recommendation for new oral anticoagulants create a barrier to their wider adoption in place of warfarin for stroke prevention? Three well-known specialists gave us their thoughts: Andrew Naidech, MD, MSPH, of Northwestern University in Chicago; Mary Kalafut, MD, of Scripps Memorial Hospital La Jolla Comprehensive Stroke Center in La Jolla, Calif.; and Kevin M. Barrett, MD, of the Mayo Clinic in Jacksonville, Fla.

eWeek, Smartphone App Helps Cardiac Rehab Patients Improve by Nathan Eddy, In the study, 44 patients at Mayo Clinic who were hospitalized following a heart attack and stent placement were divided into two groups. Patients who attended cardiac rehabilitation and used a smartphone-based app to record daily measurements such as weight and blood pressure had greater improvements in those cardiovascular risk factors, Mayo Clinic researchers found in a recent study… "Results of this study reinforce the importance of cardiac rehab," R. Jay Widmer, Mayo Clinic fellow and the study’s first author, said in a statement.

Reuters, Exclusive: Heart docs seek curbs on kidney-zapping hypertension devices Bill Berkrot, Several leading U.S. and European heart doctors are calling for curbs, or even a moratorium, on using devices meant to lower blood pressure by zapping kidney arteries, following a surprising failure of the technology in a clinical trial… Some cardiologists, including Dr. John Burnett of the Mayo Clinic in Rochester, Minnesota, and ACC President Dr. Patrick O'Gara, said a formal review of the products should be undertaken. Additional coverage: CNBC, Huffington Post

WKBT La Crosse, Doctors: flu season mild this year… While an increase in vaccinations do play a factor in the mild season, some doctors say there's more to it than just a shot. "I would like to believe that we're doing a better job at vaccinating and also think we're doing a better job of letting people know if you have these symptoms, you're better off staying home, being sick, getting well, being selfish, and keeping your germs to yourself. That will cause a quicker recovery and less spread to influenza to others," Mayo Clinic Health System Infection and Disease Control Specialist Kelly Dickson.

La Crosse Tribune, Goodbye, influenza; we hardly knew you…“There’s still some activity going on, but there’s been a significant downswing since it peaked in January,” said county public health nurse Christine Gillespie…Mayo Clinic Health System-Franciscan Healthcare confirmed it had far fewer cases this season, but a spokesman said cases were more severe than normal.

WZZM Mich., New test developed to detect colon cancer by Joshua Aldredge, A colonoscopy is the best way for doctors to detect colon cancer, but many people avoid the procedure. Now a new, non invasive test could change that… "If one compares the results that we saw with Cologuard, for example the 94 percent detection rate for the earliest stage cancers, that would compare very well with the reported detection rates for colonoscopy, which are in the 92 percent to 96 percent range based on the most recent follow up studies," said Dr. David Ahlquist, a Mayo Clinic Gastroenterologist.

AZ Family,Proton beam therapy facility under construction at Mayo Clinic Cancer Center by Catherine Holland, Work crews are installing the first pieces of equipment that will deliver proton therapy treatment to cancer patients at the Mayo Clinic's new Cancer Center in Phoenix. "This is a really great milestone in Mayo Clinic's history here in Arizona and for cancer treatment for our patients," Chris Hilgemann, the director of facilities project development and technology, said Monday morning as crews connected parts of a two-story gantry to a massive crane.

Oncology Times, Myeloma: ‘Conditional Survival’ Concept Identifies Patients with Extended Life Expectancy by Mark Feurst…Asked for his opinion for this article, Joseph Mikhael, MD, Consultant in Hematology/Oncology and Associate Professor of Medicine at the Mayo Clinic Scottsdale, said, “I support the concept of multiple myeloma as a chronic condition. We need to do more than classify patients based on progression-free survival or overall survival. I appreciate those two endpoints, but they don't always capture how patients do in the long-term.”

Medical Xpress, Tissue testing during breast cancer lumpectomies, Unique laboratory testing during breast cancer lumpectomies to make sure surgeons remove all cancerous tissue spares patients the need for a repeat lumpectomy in roughly 96 percent of cases at Mayo Clinic in Rochester, a success rate much higher than the rate nationally, a Mayo study shows. Additional coverage: Science Codex

WKMG Orlando, New therapies sought for triple-negative breast cancer, By Mayo Clinic News Network, Have you heard of triple negative breast cancer? It lacks the three main hormone receptors including estrogen receptor (ER), progesterone receptor (PR) and the human epidermal growth factor receptor (HER2).

Portland Press Herald, Plenty of ongoing research trying to figure out the full impact of concussions by Mark Emmert… Aynsley Smith, an associate professor of orthopedics in the sports medicine program at the Mayo Clinic in Rochester, Minn., is monitoring all of these efforts. She is Mayo’s resident concussion expert, which means she’s one of the most plugged-in academicians in the world when it comes to brain injuries. And she is the first to acknowledge that what is unknown about concussions far outweighs what we do know.

News4Jax, Pollen problems need attention, People are having a lot of symptoms of itchy watery eyes, itchy runny nose, and sneezing congestion… Dr. Arveen Thethi is a senior allergist with Mayo Clinic and says because of the brutal winter we had -- the pollen is blooming a little late -- leading to harder hitting allergies.

WJXT Fla., Fighting spring allergies, The official start of spring brings more than just sunshine. It also brings a seemingly constant layer of yellow pollen across everything. More than 30 million Americans are reported to have either nasal allergies and/or sinusitis every year… . Today, we welcome Dr. Arveen Thethi an allergy and asthma expert from Mayo Clinic to talk about allergies and the importance of sorting out symptoms and getting the right treatment.

MedPage Today, Is Consent After the Fact OK? By Elbert Chu, At the American College of Cardiology meeting earlier this week, the HEAT PPCI study's use of post-treatment consent caused a stir. The protocol treated patients with approved drugs used according to label indications and was approved by three IRB boards in the U.K., where the trial was conducted. Still, the process raised ethical issues among attendees…David R. Holmes, MD: "Different countries and societies vary on those principles used to protect patients. In some countries all patients are entered into national registries which provide a tremendous resource for scientific data used to optimize clinical practice. In other countries or, for example, in states like Minnesota, patients can refuse to have any data which is completely de-identified used for research."

Ivanhoe Broadcasting, Lasers Targeting Epilepsy, For eight years, 30-year-old Nicole Dehn couldn’t drive. In 2005—she had a seizure while driving and lost her license. “I was very, very depressed.  I mean it’s a huge let down,” Nicole told Ivanhoe. Nicole had her first epileptic seizure when she was just six months old and they got progressively worse. …“You actually remove a piece of the skull temporarily and then the surgeon has to go and physically remove or cut away the epileptic tissue,” Jerry Shih, MD, Director, Comprehensive Epilepsy Program, Mayo Clinic, Florida, told Ivanhoe.

Arizona Republic, Renewed push can make Arizona a biotech hub, More than a decade ago, Arizona began an effort to be a player in the bioscience industry. We've come a long way. But the state will not become a world-class bioscience hub without another big push… The road map envisions partnerships that stretch from Ventana Medical Systems north of Tucson, to downtown Phoenix's bioscience campus and the proposed one around Mayo to medical devices manufacturer W.L. Gore in Flagstaff. This corridor of bioscience enterprise can extend south into Mexico and north to Canada.

Phoenix Business Journal, The List: Decker pushing Mayo biosciences into ‘world class’ territory by Angela Gonzalez, Dr. Wyatt Decker has been CEO of Mayo Clinic Arizona for three years, working with Arizona State University to develop a medical school and bioscience center in the Valley. Once again, Mayo ranked No. 1 on the Phoenix Business Journal’s biosciences list, ranked by number of employees.

Phoenix Business Journal, The List: Mayo clinic, Arizona state university partnership expanding with biosciences by Angela Gonzalez, Mayo Clinic and Arizona State University are closer to opening a medical school and creating a biosciences center that will bring high-tech, high-wage jobs to the area. For every high-tech job, five to seven other jobs are created, said Dr. Wyatt Decker, CEO of Mayo Clinic Arizona.

Phoenix Business Journal, The Top 5 Phoenix-area bioscience firms for 2014 by Dale Brown, As it has done since 2006, Mayo Clinic grabbed the No. 1 ranking on the Phoenix Business Journal’s annual Bioscience Firms list, which was published today. The list was ranked by number of local employees. Mayo Clinic topped the charts with 5,913.

Star Tribune, Letter of the Day (April 6): Pentagon funds and the Mayo Clinic by Kim Norton, The March 27 article “Mayo Clinic aims for more Pentagon funding” gives us hope that the extraordinary amount of funding the Pentagon receives could at last be directed toward helping our servicemen and women, rather than unneeded weapons systems.

Eau Claire Leader-Telegram, Woman facing third transplant hopeful by Christena O’Brien, Cathy Emerson never expected she'd have to undergo another organ transplant. But the 45-year-old Eau Claire woman - who received a pancreas from a deceased donor in 1999 and a kidney from her brother, Greg Emerson, in 2001 - will undergo her third transplant Friday at Mayo Clinic in Rochester, Minn… For donors, the incision is small, and there are no negative consequences for them long term, said Dr. Mikel Prieto, surgical director of the kidney and pancreas transplant program at Mayo Clinic in Rochester and a transplant surgeon.

Post-Bulletin, U.S. House resolution marks Mayo Clinic anniversary, The office of Rep. Tim Walz announced Thursday that the entire Minnesota delegation to the U.S. House of Representatives joined a resolution, along with other congressmen, recognizing the 150th anniversary of Mayo Clinic.

Savannah Morning News, Bookworm: Live stress free with 'Mayo Clinic Guide' by Terri Schlichenmeyer, Lately, it seems as though everything sets your teeth on edge. The neighbors are way too noisy. Customer service… isn’t. Your in-laws are a bunch of ingrates. And your co-workers? Let’s not go there. You’re over just about everything: overworked, overloaded and overwhelmed. But when you read “The Mayo Clinic Guide to Stress-Free Living” by Amit Sood, M.D., M.Sc, you might start to feel overall better. Additional coverage: St. George Daily Spectrum

WQOW Eau Claire, C.A.R.E. Fair takes a proactive approach to help educate and save lives by Jesse Yang… Kaye Holt, a nurse practioner at Mayo Clinic Health System, said, "Sun exposure is the number one cause for skin cancer and repeated exposure and sun burns increase your risk for skin cancer." Lee said, "I've had cancer on my nose, and I have a spot on my nose right now that I was kind of concerned about. And she told me to go have it checked."

WDAF Kansas City, Hospital Partnership, Stormont-Vail Health Care's partnership with the Mayo Clinic of Minnesota took effect April 1st. Patients will be able to go to Stormont-Vail in Topeka, and consult with specialists remotely from the Mayo Clinic.

Hutch News, Hutchinson Kansas, Topeka hospital is new partner with Mayo Clinic, Doctors at a Topeka health care system can now consult electronically with experts at the Mayo Clinic, potentially sparing patients with unusual and complex medical conditions a trip to the renowned Minnesota institution for diagnosis and treatment. Stormont-Vail Healthcare is the first Kansas hospital to become part of the Mayo Clinic Care Network, a process that took nearly a year's work and became official April 1.

Charlotte Observer (AP), Topeka hospital is new partner with Mayo Clinic, Doctors at a Topeka health care system can now consult electronically with experts at the Mayo Clinic, potentially sparing patients with unusual and complex medical conditions a trip to the renowned Minnesota institution for diagnosis and treatment. Stormont-Vail Healthcare is the first Kansas hospital to become part of the Mayo Clinic Care Network, a process that took nearly a year's work and became official April 1. David Hayes, the network's medical director, said Mayo started the care network about three years ago to find partners with quality regional hospitals, The Topeka Capital-Journal reported.

WGNS Radio, Tennessee Near the Top in a Nation That is Tops in Prescription Drug Use by Robert Rickman, The evidence is staggering.  Mayo Clinic researchers have reported that 70 percent of Americans take prescription drugs, which makes the U.S. number one among 14 other industrialized countries for per-capita prescription drug use. The Tennessee Medical Association reports that Tennessee is second only to West Virginia for prescription drug abuse.

Pioneer Press (AP), Top-paid Medicare doctors say they have reasons by Ricardo Alonso-Zaldivar…As for No. 4 on the payments list, the Mayo Clinic in Minnesota says a large number of tests are billed under the name of its Dr. Franklin Cockerill, chairman of laboratory medicine and pathology. According to the Medicare database, Cockerill was paid more than $11 million. "Dr. Cockerill is a salaried employee of Mayo Clinic and is not making big money from Medicare," said spokesman Bryan Anderson. Medicare officials said multiple providers should not be using a doctor's identification number to bill. Additional coverage: Pioneer PressUSA TODAYWashington PostBloombergLA TimesStar TribuneFOX Business News, The Willis Report

Washington Post, Data uncover nation’s top Medicare billers… Franklin Cockerill, with the Mayo Clinic in Rochester, Minn., is number 4 on the list with $11,068,463 in reimbursements. As the government-required director for Mayo Clinic Laboratories, Cockerill is routinely listed as the billing physician on more than 23 million tests a year, a Mayo spokesman explained. “When anything is billed out to Medicare, it will have Dr. Cockerill’s name on it,” said Andy Tofilon, Marketing Administrator with Mayo Medical Laboratories. “He is the chair of a large laboratory medicine practice and the buck stops at his desk.”

Minneapolis/ St. Paul Business Journal, Meet the Mayo doctor who's the Alan Smithee of Medicare payments by Mark Reilly, Among the exclusive ranks of U.S. physicians pocketing millions of dollars from Medicare payments, a Mayo Clinic pathologist appears to take in more than almost anyone, according to newly released data. But it's not so, Mayo officials say. The Associated Press, which  analyzed Medicare payment data and found that just 344 physicians nationwide made at least $3 million from Medicare payments, ranked Mayo's Dr. Franklin Cockerill as No. 4 overall. He was  paid more than $11 million in 2012, according to the database.

Eau Claire Leader-TelegramSome local physicians with large Medicare reimbursements specialize in costly eye treatments by Chris Vetter… While totals listed in the study represent physician reimbursements, those physicians don’t receive all that money, said Susan Barber Lindquist, spokeswoman for Mayo Clinic Health System in Eau Claire. “Philosophically, data transparency is a good thing,” Lindquist said. “Patient safety and high quality care are our priorities. We’re always using data to look for ways to improve patient outcomes and the value we provide our patients.”

Medicina E Tecnologia, Estudo da Clínica Mayo mostra que pacientes em reabilitação cardíaca usando aplicativo mobile tem recuperação melhor, Os pesquisadores descobriram que 20% dos pacientes que usaram o aplicativo foram readmitidos em 90 dias, comparados a 60% dos pacientes que ...

La Salud, Identifican importante vía celular en cáncer de prostate…“El descubrimiento de esta nueva e importante vía de la destrucción del receptor de andrógenos, permitirá algún día desarrollar tratamientos más eficaces para una proporción considerable de pacientes con cáncer de próstata que desarrollan resistencia a la terapia antiandrogénica normal”, comenta el Dr. Haojie Huang, bioquímico de Mayo Clinic y autor experto del trabajo.

Diario Imagen, Los riesgos que se viven en los hospitals por Elsa Rodríguez Osorio…Sue Seykora, especialista en dietética del Sistema de Salud de Mayo Clinic, ofrece algunas sugerencias para planificar las comidas y ayudar a mantener controlada la diabetes o evitarla por completo. Contar los carbohidratos es un método que permite planificar las comidas. Additional coverage: Am.com Mexico

CNN Espanol, Órganos humanos, el próximo paso en la impresión 3D por Brandon Griggs, El proceso emergente de la impresión 3D, que utiliza modelos digitales creados por computadora para crear objetos reales, produjo todo desde juguetes hasta joyería y comida… “Esta es una emocionante y nueva área en la medicina. Tiene el potencial para convertirse en un progreso muy importante”, dice el Dr. Jorge Rakela, una gastroenterólogo en la Mayo Clinic de Phoenix, Arizona, y miembro del comité asesor médico de la American Liver Foundation.

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