March 9, 2018

Mayo Clinic in the News Weekly Highlights for March 9, 2018

By Emily Blahnik




Slate, Type 1 Diabetes Is No Longer Just for Kids by Amy McKinnon — Exactly how many adults with Type 1 diabetes are misdiagnosed each year in the United States is hard to track. Regina Castro, an endocrinologist at the Mayo Clinic, estimates that anywhere between 10 to 30 percent of adults diagnosed with Type 2 each year may in fact have Type 1. In 2015, the year for which data is most recently available, 1.5 million adults were diagnosed with diabetes, which is how, even taking the conservative end of Castro’s estimate, you get to the possibility that tens of thousands if not hundreds of thousands go misdiagnosed each year. “It is under-recognized and more prevalent than we think,” said Castro.

Washington Post, Thousands of cheerleaders may have been exposed to mumps at national competition by Lindsey Bever — The Mayo Clinic states that the virus is spread by saliva — by “breathing in saliva droplets of an infected person who has just sneezed or coughed” or from “sharing utensils or cups with someone who has mumps.” There is no specific treatment, but the virus usually clears up within a few weeks and can be prevented through vaccination, according to the Mayo Clinic.

Washington Post, Day-care workers used melatonin gummy bears to make 2-year-olds nap, police say by Cleve R. Wootson Jr. — The Mayo Clinic also deems melatonin “generally safe” but recommends that people take it after consulting with a doctor. The hormone can negatively interact with drugs that mitigate seizures, diabetes medications and “anticonvulsants in neurologically disabled children.”

New York Times, The Price They Pay by Katie Thomas and Chalres Ornstein — These are the stories of Americans living daily with the reality of high-cost drugs. And there are millions of others just like them….Carter Knutson, 68, Bloomington, Ill: At the Mayo Clinic in Rochester, Minn., Mr. Knutson had begun a two-pronged treatment aimed at attacking a large tumor threatening his pulmonary artery. As chemotherapy dripped into his bloodstream, he learned that his insurance company wouldn’t cover the second phase, a pill called Xeloda that he could take at home. Doctors at Mayo wrote to the Knutsons’ prescription benefits manager, CVS Caremark, to explain that Mr. Knutson’s kidney disease made him a bad candidate for the usual treatment, with the chemotherapy drug cisplatin.

New York Post, New research shows unexpected side effects of popular painkillers by Rebecca Santiago — Acetaminophen is “safer” than most painkillers on this list, Dr. Stephen Pavela of the Mayo Clinic Health System in La Crosse, Wisc. tells The Post. “It doesn’t upset the stomach; in low doses, it’s not going to hurt any organs like the kidney or liver,” he says. But Pavela thinks more research is needed into the emotional side effects.

ABC News, Some UK supermarkets to ban selling energy drinks to anyone under 16 by Katie Kindelan — The amount of caffeine in one of the energy drinks, 150 mg, is roughly equivalent to two-and-a-half cups of instant coffee, if they are eight ounces each, according to the Mayo Clinic. It's unclear how much caffeine is safe or unsafe for teens or young children, since studies of its effects are not permitted in children.

Post-Bulletin, Buildings go blue for colon cancer — The Mayo Clinic Plummer Building is one of more than 60 Minnesota landmarks that will be lighted blue on Monday for colorectal cancer awareness month. Gov. Mark Dayton proclaimed the month of March 2018 Colorectal Awareness Month in Minnesota. The buildings and landmarks will be lit up to show support for colorectal cancer patients, while raising awareness of the importance of screening.

Post-Bulletin, Genetic test may be appropriate for woman with family history of breast cancer — DEAR MAYO CLINIC: I recently was diagnosed with breast cancer at 65. I have a strong family history of the disease. However, my doctor hasn’t mentioned genetic counseling or testing. Is this something I should bring up?...Whether you decide ultimately to have the genetic test or not, you may want to ask your health care provider to connect you with a genetic counselor. He or she will be able to help you navigate the risks and benefits of genetic testing. (Adapted from Mayo Clinic Health Letter) — Lonzetta Neal, M.D., Breast Diagnostic Clinic, Mayo Clinic, Rochester.

KAAL, Study Finds Cancer Survivors are at Higher Risk for Heart Failure — A new study out of Mayo Clinic has found breast cancer and lymphoma survivors are at a higher risk of heart failure. The study found patients who were treated for these two types of cancer are more than three times likely to develop congestive heart failure. Dr. Hector Villarraga, a Mayo Clinic Cardiologist and senior author of the study said the research will help doctors monitor patients for heart damage, during and after chemotherapy. "We can also look at special things inside the muscle that we've been exploring that can tell me; hey this heart could be damaged in the future. So we detect that and that's working with our oncologist. We can start the patient on cardio prevention or cardioprotection," Villarraga said.

KTTC, Billy Graham's connection to southeast Minnesota by Francisco Almenara-Dumur — While he never held one of his famous Crusades in town, he did go to Mayo Clinic many times for treatment in the 70s and 80s. "When he was here, it was remarkable, he was here as a patient receiving care for his health concerns, but he made a special effort to get out into the corridors, he talked to the patients and staff," Matthew Dacy, Director of Mayo's Heritage Hall, said. "Even as a patient he recognized the teamwork philosophy at mayo and and the compassion that he received that he could give back to other people."

507 Magazine, From Frankenstein to artificial intelligence by Nicole Nfonoyim-Hara — This year marks the 200th anniversary of Mary Shelley’s classic, macabre tale “Frankenstein.” Two centuries later, this harrowing story of science, morality, and death continues to haunt our imaginations… Mayo Clinic has an entire department dedicated to bioethics research. This month the Biomedical Ethics Research Program in collaboration with the Rochester Public Library, will be launching their Bioethics at the Cinema series. Its aim is to use pop culture to raise awareness and engage the community in dialogue about bioethical issues. Dr. Richard Sharp, director of the research program, says, “Through film, we hope to explore ethical concerns that might be difficult, if not impossible, to describe fully in words. Film is also a great way to raise awareness of these issues among younger people. … Our hope is that this series will cultivate that wonder in a new generation.”

KAAL, Local Company Makes Affordable Microscopes Through 3-D Printing by Marissa Collins — An organization with Mayo Clinic called InSciEd Out created its own science curriculum but was using very expensive microscopes in their programs. "In order to engage the entire classroom during the program they wanted to have a low-cost microscope option," said Chad Attlesey, Principal Engineer at Area 10 Labs in Rochester.

Star Tribune, A salute to the Mayo Clinic's retiring servant-leader by Bill George and Richard Davis — Leadership requires visionary and talented leaders, and we applaud the achievements of the leader of one of Minnesota’s most important institutions, Dr. John Noseworthy of Mayo Clinic. Noseworthy recently announced that he will retire at the end of this year, capping a successful nine-year tenure as CEO and president. As trustees of Mayo Clinic, we have observed firsthand Noseworthy’s leadership and can share some insights as to what his approach offers others, whether in health care or other sectors.

WKBT La Crosse, School officials detail how they deal with threats on social media by Jordan Fremstad — Marjory Stoneman Douglas High School continues to be the focus for school safety across the country. The recent mass shooting created serious questions about threats on social media and mental health in youth as well… Area mental health experts said these threats can involve students with mental health issues. "They are not thinking straight," said Dr. Chelsea Ale, of Mayo Clinic Health System. Ale said people who are suicidal or depressed fail to process the results of their actions. "The brain is not activating in typical regions that are associated with planning and associated with think through consequences," Ale said.

WKBT La Crosse, Health officials call doctor burnout a concern by Madalyn O’Neill — Dr. John Arce is in his second year of Mayo Clinic Health System's family residency program and can tell you the symptoms of a burnout, which include exhaustion and depersonalization. “It just means you're trying to draw from an empty energy bank,” Arce said. But that knowledge doesn't stop it from happening to him and his colleagues. "Sometimes we as doctors aren't the best patients,” he said. “We don't see the symptoms in ourselves."

WXOW La Crosse, Doctors stress importance of depression screenings for teens by Jeremy Culver — Parents, has your teen been screened for depression? if not, local physicians say you should make that a priority… Doctors at Mayo Clinic say most screenings come back normal, but others will surprise parents on being depressed. "It's not we're trying to find something wrong with you or that it's bad or you're bad," Dr. C.J. Menagh said. "We're trying to intervene very early that you feel the best you possibly can as fast as you can."

La Crosse Tribune, Top 2 execs at Mayo-Franciscan in La Crosse to leave posts by Mike Tighe — Two top executives at Mayo Clinic Health System-Franciscan Healthcare in La Crosse announced Tuesday that they are leaving their posts — one, to focus on patient care, and the other, to retire. Dr. Tim Johnson will leave his position as Mayo Clinic's regional vice president for southwest Wisconsin in September to treat patients. Joe Kruse plans to retire by the end of the year from his position as regional administration chairman for Mayo Clinic Health System's southwest Wisconsin region. Additional coverage: WKBT La Crosse, WIZM-AM, WXOW La CrossePost-Bulletin

Hudson Star-Observer, Mayo to purchase Hudson property by Rebecca Mariscal — With the approval of a conditional use permit by the Hudson Common Council on Monday, Feb. 26 Mayo Clinic Health System is set to move forward with the purchase of land in Hudson off Stageline Road, north of the Hudson 12 Theatre near the intersection of Interstate 94 and Highway 35. Preliminary plans are for a 100,000-square foot medical facility with a clinic and outpatient surgical function. The 9.2-acre area is zoned properly for Mayo's intended use, but the permit covers what Community Development Director Mike Johnson calls a grey area in the code, as the location would not be a hospital or dental clinics like the city has dealt with before.

WOKV Jacksonville, Mayo Clinic selected for new state grant to continue research of a low toxicity cancer treatment by Sarah Thompson — It's another significant milestone for the Mayo Clinic and its research of cancer treatments. Mayo is one of only 8 organizations picked for a new state grant from the Florida Department of Health, with the money intended to help support researchers in their efforts to improve prevention, diagnosis, treatment, and to develop cures for cancer and tobacco-related diseases.

First Coast News, 'Can a brother get a heart?': Jax native, former NFL player in need of a heart transplant — Room 245 at the Mayo Clinic has become the Leonard Larramore’s home for the past five months. “You have CHF, your heart is down to like 7 percent, your heart is supposed to beta at 50 percent or better,” Larramore said. The Jacksonville native used to play in the NFL. His short career with the Buffalo Bills ended after a pair of injuries.

Orlando Sentinel, LifeBridge 10000 developing cancer therapy with electric fields by Naseem S. Miller — …Meanwhile, the pioneer of the field, Novocure, has seen relatively slow adoption of its approved device. “It’s a cool technology, but I like technology,” said Dr. Dan Trifiletti, a radiation oncologist at Mayo Clinic in Jacksonville. Other physicians may hesitate, because, “it’s new. It’s weird. We don’t understand it. Also there are logistical issues with wearing the device,” said Trifiletti. Trifiletti, who is involved in research with Novocure and conducts his own research in the field, said he offers to patients who are candidates for it. “The thing about it for me is that if I was the patient, I would want it offered to me,” he said. “I’m not an advocate, but I think patients should know about it.”

Becker’s Healthcare, 250+ hospital execs rank 5 most innovative hospitals by Jessica Kim Cohen — Rochester, Minn.-based Mayo Clinic ranked as the No. 1 most innovative hospital, according to a recent Reaction Data survey of more than 250 hospital leaders.

Elite Daily, Can Baths Help Headaches? Here's How Soaking In The Tub Can Take Your Pain Away by Caroline Burke — Nothing can put a massive dent in your day quite like a banger of a headache: that shooting pain behind your eyes, the thumping that almost feels like the bass in a song… Taking a hot bubble bath might just be able to cure that headache that's been plaguing you for hours, and it mostly has to do with the heat. According to Mayo Clinic, temperature therapy is a very real way in which some people cure their headache woes, and taking a hot bath definitely counts as a type of temperature therapy.

Huffington Post, 6 Things You Need To Know About Children And Vitamins So You Can Choose The Best Ones For Your Child — These days, it seems like there are vitamins for everything — from vitamins to boost memory, to those that will improve heart health. But how do we best determine what kinds of vitamins our children need? Should all kids be taking the same vitamins across the board?.. According to the Mayo Clinic, most healthy children don’t require multivitamins, but a multivitamin might help your child if he has a restrictive diet, developmental growth issues, food allergies or a chronic disease.

Rheumatology Advisor, Early Data Often Exaggerate Effect of Treatments for Chronic Conditions — Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials, according to research published online in the Mayo Clinical Proceedings. Fares Alahdab, MD, from the Mayo Clinic in Rochester, MN, and colleagues assessed meta-analyses (MAs), published between January 1, 2007, and June 23, 2015, in the 10 general medical journals with highest impact factor to identify randomized controlled trials (RCTs) evaluating a drug or device in patients with chronic medical conditions.

Harvard Business Review, Putting Humans at the Center of Health Care Innovation — The Mayo Clinic Center for Innovation (CFI) was established in 2008, becoming the first healthcare innovation center to employ a team of in-house designers. Under the banner of the Mayo Clinic motto, “the needs of the patient come first,” it utilises human-centered design to transform the experience and delivery of healthcare. Interdisciplinary teams of service designers, clinicians, project managers, information technology specialists, innovation coordinators, hospital staff members and patients have undertaken projects including redesigning the clinical exam room, unchanged for 100 years, and creating flagship offerings for connected care including e-consults, video visits and patient applications.

Golf Digest, Decades later, Tom Lehman reveals the cancer diagnosis at the height of his career by Sam Weinman — “I never had to deal with Stage 4 cancer or go through chemo or any of those awful things,” Lehman said. “Mine was early Stage 1 cancer, so why should I make a big deal out of it?” If there’s a reason now it’s because Lehman is set to play in the PGA Tour Champions’ Cologuard Classic this week. As it happens, Cologuard, an at-home colon cancer screening product, was developed by the Mayo Clinic’s Dr. David Ahlquist, who had diagnosed Lehman’s condition decades earlier. It explains why to Lehman, early detection is more than a catchy phrase.

Atlanta Journal-Constitution, Heart issues affecting younger people — Many of the heart disease risk factors are the same for everyone. Lifestyle choices, such as lack of exercise, obesity, smoking and drinking alcohol excessively, are risk factors that affect many adults. But Dr. Regis Fernandes, a Mayo Clinic cardiologist, says such behaviors seem to be more prevalent in younger people now than in the past. Ian Roth talks with Fernandes about the other big reason millennials, people born between 1982 and 1994, may be at higher risk for developing heart disease at a younger age than previous generations.

SELF, What Does It Mean if You Get Every Single Cold Going Around the Office? by Korin Miller — Someone who is immunocompromised might have infections crop up more frequently, last longer, and be harder to treat than illnesses in people with fully-functioning immune systems. Other people might experience this due to having a primary immunodeficiency disorder (i.e., a genetic predisposition for a weak immune system), according to the Mayo Clinic.

SELF, 9 Allergy Remedies Allergists Actually Use by Korin Miller — Though human bodies are mind-blowing machines (hello, snowboarder who finished a race with a broken neck), they can also have some pretty weird vulnerabilities. Exhibit A: allergies… Allergies happen when your immune system overreacts to a substance and create antibodies to battle it, according to the Mayo Clinic.

MedCity News, Rock Health project uses patient stories to highlight the impact of digital health startups by Stephanie Baum — One example of the kind of stories Rock Health is highlighting to refocus the conversation from investment to impact is Ambient Clinical Analytics and its work with sepsis detection. The story of Kevin Kronmiller, a computer scientist with the Air Force, who was rushed to a branch of the Mayo Clinic in Jacksonville, Florida a couple of weeks after he had a liver transplant, is an example of a patient who benefited from the company’s analytics tool. Developed by the Mayo Clinic’s innovation team, AWARE is designed to detect sepsis. It uses electronic sepsis detection by monitoring patients at risk of sepsis in a hospital—especially in the emergency room or intensive care unit. It uses algorithms to analyze a patient’s vital signs and can determine very quickly if they go into the range of sepsis—then alerts doctors.

Neurology Advisor, Gait Difficulty in Parkinson Disease May Be Associated With More Progressive Disease Course by Sheila Jacobs — A large retrospective cohort study conducted at the Mayo Clinic in Jacksonville, Florida, compared clinical characteristics among the 4 Parkinson disease subtypes: tremor dominant (TD), gait difficulty, akinetic-rigid (AR), and mixed. The investigators identified a total of 1003 patients with PD, 694 of whom visited their clinic more than once, with a median length of time of 3.7 years between the initial and the final visits. Data were compiled on motor/nonmotor symptoms at the initial and final visits. The median patient age at PD onset was 64 years.

KSNT Kansas, 5 nutrition tips to maximize your workouts — Did you know when and what you eat can have an impact on your workout? Eating and exercise are connected. According to Dr. John M. Murphy, Family Medicine, Mayo Clinic Health System, you can maximize the effectiveness of your workouts by using a few tips…

India Today, Here's why you should never, ever, order drinks with ice — According to an article by HuffPost, ice machines is restaurants tend to be contaminated with bacteria, mold or the germs on one's hands…In the article, Dr Pritish Tosh, an infectious diseases physician and researcher at the Mayo Clinic, had also mentioned that the main issue was the threat of ice being cross contaminated if it touches the other foods being served.

Atlanta Journal-Constitution, How a flu shot can lower your risk of a heart attack — Amid the most intense flu season in more than a decade, a new study published in the The New England Journal of Medicine confirms that the flu virus significantly raises your risk of having a heart attack within a week of being diagnosed... “It’s been shown that if you get a flu shot, it will lower your risk of having a heart attack or stroke by about 50 percent during that flu season,” says Dr. Stephen Kopecky, a Mayo Clinic cardiologist.

Markets Insider, Mayo Clinic's Dr. Paul Limburg to join Exact Sciences medical leadership — Exact Sciences Corp. (Nasdaq: EXAS) today announced that Paul J. Limburg, M.D., M.P.H., has been appointed the company's co-chief medical officer. Dr. Limburg is a gastroenterologist and a professor of medicine at Mayo Clinic. He is also a co-leader of the Cancer Prevention and Control program within Mayo Clinic Cancer Center.

Cancer Therapy Advisor, Are African-American and Hispanic Patients With Myeloma Receiving the Best Care? by Bryant Furlow — Ethnicity and race, however, predict different outcomes and treatment patterns, according to analyses of information from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database by medical oncologist Sikander Ailawadhi, MD, of the Mayo Clinic in Jacksonville, Florida, and colleagues.1-3. “We know there's differential drug utilization by ethnicity — but not exactly why,” Dr Ailawadhi said.

MobiHealthNews, Artificial intelligence is getting the hype, now what are the applications? by Laura Lovett — Artificial intelligence is a hot topic right now—but whether or not it is going live up to what some are calling the new healthcare reform is still up for discussion. Mayo Clinic Chief Information officer Christopher Ross and Pricewaterhousecooper Managing Director James Golden, tackled questions about the future of AI at HIMSS18…“A lot of times people come and talk to us about doing and AI project and they say just give us your data,” said Ross. “The data is important, it’s the raw material that is to be used, but the truth of the matter is that the clinical knowledge…is incredibly important. To go into that data curated well managed, available through a modern infrastructure and supported by some technical know-how then you get a much more valuable proposition.”

Healthcare IT News, AI's potential runs up against lingering data issues by Jonah Comstock — Artificial intelligence has huge potential to transform care, but the healthcare system needs to crawl before it can walk, according to a panel of speakers from IBM Watson, the Mayo Clinic, and the American Medical Association at an after hours dinner at HIMSS18 Monday. “I think this AI stuff is absolutely real, but at the same time we haven’t finished the first job, which is creating systems that are usable by clinicians,” Mayo Clinic Chief Information Officer Cris Ross said.

Allure, This Is What Endometriosis Pain Feels Like — and How to Treat It by Korin Miller – According to Mayo Clinic, alcohol consumption, never having giving birth, high estrogen levels, a low BMI, and uterine abnormalities can also be risk factors. Up to 50 percent of women with endometriosis may have trouble getting pregnant, according to Mayo Clinic.

India TV, Breast cancer survivors at higher risk of heart failure, says study — "The majority of patients do not develop heart failure, but our research helps us recognise the factors associated with it and the importance of appropriate heart care following cancer treatment," said lead author Carolyn Larsen, cardiologist at Mayo Clinic -- a US-based non-profit. "Our research suggests that periodic cardiac imaging to monitor for heart damage may be needed for some cancer patients even if they have no signs of heart damage initially after chemotherapy," Larsen added.

The Standard Hong Kong, Farming for DNA answers — Aquariums are arranged in neat, illuminated rows. Fins, tails and flashing stripes are visible in every direction. At the Mayo Clinic campus in Rochester, Minnesota, zebrafish act as research stand-ins for us. They are tiny heralds of solutions for patients with some of medicine's most intractable problems…Biochemist Stephen Ekker is the director of the Mayo Clinic Zebrafish Facility - or the "Fish Farm." As he gestures toward the aquariums bubbling all around, he explains: "With the combination of vertebrate biology like us, new gene-editing tools such as Crispr, new real-time imagers, and the ability to scale so we can test many scientific questions in parallel, the potential for zebrafish to impact and study health and disease seems limitless."

Healthcare Dive, To cut healthcare costs, more employers are offering second opinion services by Valerie Bolden-Barrett — If the high number of misdiagnoses isn’t reason enough for a second opinion, maybe the number of second opinions that change the original diagnoses is. A recent Mayo Clinic study found that 88% of the patients who came to the clinic for a second opinion learned that their diagnosis had been changed or moderately altered. Only 12% of the patients in the study left the clinic with the same diagnosis.

Alzforum, Parental Age of Onset Helps Predict Amyloid Accumulation in Sporadic AD, Too — While a simple family history-based screening tool could help cut down on expensive PET scan screen failures, Prashanthi Vemuri at the Mayo Clinic in Rochester, Minnesota, sounded a note of caution. “The metric appears to have low specificity based on the data shown. Given that the associations only hold true in APOE4 carriers and women, additional longitudinal studies with greater numbers are needed to evaluate its utility as a prescreening measure,” she wrote to Alzforum.

OncLive, Castle on Staging Modalities for Men With High-Risk Prostate Cancer — Erik P. Castle, MD, professor of urology, Mayo Clinic, discusses traditional imaging modalities and newer counterparts that are used to detect prostate cancer. Unless a patient with high-risk prostate cancer has a life expectancy of less than 5 to 10 years, they’re likely to undergo treatment, Castle says. For those patients, standard imaging like CT scans and bone imaging are used. However, physicians are slowly transitioning from classic technetium-99 bone scans to sodium-fluoride PET imaging.

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Tags: 3-D printing, allergies, artificial Intelligence, Billy Graham, Breast Cancer, burnout, Cancer, cancer treatment, Center for Innovation, Christopher Ross, colds, colon cancer, depression, diabetes, Dr. C. J. Menagh, Dr. Carolyn Larsen, Dr. Chelsea Ale, Dr. Dan Trifiletti, Dr. David Ahlquist, Dr. Erik P. Castle, Dr. Fares Alahdab, Dr. Hector Villarraga, Dr. John Arce, Dr. John M. Murphy, Dr. John Noseworthy, Dr. Lonzetta Neal, Dr. Paul Limburg, Dr. Prashanthi Vemuri, Dr. Pritish Tosh, Dr. Regina Castro, Dr. Regis Fernandes, Dr. Richard Sharp, Dr. Sikander Ailawadhi, Dr. Stephen Ekker, Dr. Stephen Pavela, Dr. Steve Kopecky, Dr. Tim Johnson, endometriosis, energy drinks, flu shot, Genetic testing, genetics, headaches, heart health, heart transplant, Joe Kruse, Leonard Larramore, melatonin, mumps, painkillers, parkinson's disease, prostate cancer, Social Media, Tom Lehman, Uncategorized, Vitamins, Zebra fish

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