September 21, 2018

Mayo Clinic in the News Weekly Highlights for September 21, 2018

By Emily Blahnik

The Atlantic, Wiping Out the Brain’s Retired Cells Prevents a Hallmark of Alzheimer's by Ed Yong — In 2016, Darren Baker and Jan van Deursen from the Mayo Clinic announced that they had discovered a new way to prolong the life of mice: They cleansed the rodents of retired cells. Over time, the cells of complex organisms accrue damage in their DNA, which threatens to turn them into tumors. Some cells defuse this threat by entering a state called senescence: They don’t die, but they permanently stop growing and dividing. These retired cells accumulate as we get older, and despite their name, they’re not idle. They secrete molecules that trigger inflammation, and they’ve been implicated in some of the health problems of old age. By clearing them from mice, Baker and van Deursen slowed the aging process in many of the rodents’ organs, and in some cases extended their life. Now the duo has shown that the same approach could benefit the brain by preventing degenerative diseases that afflict neurons. Additional coverage: MIT Technology Review, Evolving Science

New York Times, New Era in Virtual Reality Therapy for Common Phobias — Children may someday use VR to learn to cope with anxiety, said Stephen Whiteside, director of the Mayo Clinic Pediatric Anxiety Disorders Clinic, where a study targets kids with schoolwork anxieties. In the VR scenario, a classroom teacher hands back a school paper with a bad grade. "You hear the voices of other kids laughing and saying you didn't do so well," Whiteside said. "When I first watched it, I had a visceral response myself. It made you nervous." The Mayo researchers say children prefer the VR experience to traditional exposure therapy. Next they'll test whether it works as well. Whiteside said VR researchers everywhere must demonstrate benefits that outweigh treatment costs, which can reach $200 per session in some specialty clinics. "The cheaper and more accessible it gets," Whiteside said, "the easier that will be." Additional coverage: ABC News, CNBC, Star Tribune, Herald-Whig

New York Times, Kidney Stones Are More Beautiful Than You Might Think by Emily Baumgaertner — Kidney stones, the painful urinary deposits that affect more than 10 percent of people worldwide, are surprisingly dynamic, forming much like microscopic coral reefs, according to new research that could provide insights into how to better diagnose and treat the condition. The findings, published last week in the journal Scientific Reports, challenge assumptions by many doctors that kidney stones are homogeneous and insoluble…When doctors find that ugly, boring lump and discard it, they are throwing away the most precise record book we have — a minute-by-minute, layered history of the kidney’s physiology,” said Bruce Fouke, a geology and microbiology professor at the University of Illinois, who led the project…Dr. Fouke and his fellow researchers examined more than 50 kidney stone fragments from six Mayo Clinic patients using various light and electron microscopes. They identified organic matter and calcium crystals with ultraviolet light, which uses different wavelengths to make distinct minerals glow.

Washington PostFive myths about anger by Soraya Chemaly — Myth No. 3: 'Anger management' means stifling explosive rage.: Breathe deeply. Count to 10. Go for a walk. Those tricks might have helped Adam Sandler’s protagonist in “Anger Management,” a man desperate to stifle his volcanic outbursts. The Mayo Clinic likewise offers “10 tips to tame your anger” that include exercising, taking a timeout and using humor. But the “self-silencing” of anger has been studied for decades, and it is clearly implicated in depression, anxiety, eating disorders, self-harm and suicide.

Globe and Mail, Do cheat meals help or hinder weight loss? by Dave McGinn — Trying to lose weight can feel impossible, and in the long run, it is for most people. In fact, approximately 95 per cent of people who lose weight will gain it back within one to five years. But what if you could cheat, just once in a while, to keep yourself motivated?...Eating a strict diet that is so joyless it makes people yearn for a reward on a cheat day isn’t sustainable, says Dr. Donald Hensrud, director of the Healthy Living program at the Mayo Clinic and editor of The Mayo Clinic Diet. “It sets up a dichotomy that’s tough to maintain over time,” he says.

Prevention, How Long Does the Flu Last and How Long Is It Contagious? by Brittany Risher — The influenza virus can be in your body for one to four days before you begin to experience symptoms. Then it'll hit you—hard. “You will be feeling relatively fine, and—boom—you are suddenly exhausted, have muscle and joint aches, and need to lay down in bed,” explains Gregory Poland, MD, professor of medicine and director of the Mayo Clinic Vaccine Research Group. Typically the first symptoms are fever, chills, muscle and body aches, and/or fatigue. Then you may notice other symptoms such as sore throat and dry cough. The fever can last two to four days, while other symptoms can last for up to a week. “You may not feel totally up to speed for more than two weeks,” Dr. Poland says.

The Guardian, A sub-two-hour marathon is not as fanciful as some might imagine by Sean Ingle — “It is now a significant step closer,” says Dr Michael Joyner, an expert in human performance at the Mayo Clinic in Minnesota. “We might see something like a Tiger Woods effect – when he arrived on the golfing scene he was a quantum leap forward, yet eventually there was a catch-up.” Joyner, who wrote an academic paper 27 years ago suggesting that it was physiologically possible to run a 1:58 marathon, says that if more athletes concentrate on the distance earlier in life it could also make a difference. “There was an 18‑year‑old Ethiopian who ran the 5,000m in 12:43 last month,” he says. “That’s 10 seconds faster than Mo Farah’s personal best. What might he do over 26.1 miles in a few years?” Additional coverage: Sydney Morning HeraldThe Conversation

Post-Bulletin, Is artificial intelligence a natural fit for health care? by Anne Halliwell — What role can artificial intelligence play in the future of health care? That was a big topic this week at the 2018 Individualizing Medicine conference, held Wednesday through Friday in Rochester, where researchers discussed ways to individualize treatments using AI. Meanwhile, AI is already making its way into radiology studies at Mayo. Bradley Erickson, a neuroradiologist at Mayo, is working on a way of predicting tumor genomics using images — not tissue screening. Using normal MRI scans, the clinic has developed an artificial intelligence program that can predict which molecular markers a brain tumor has, and which treatments are likely to be effective.

Post-Bulletin, Methodist-Kahler nursing graduates: 'It was a different time' by Matthew Stolle — This weekend, graduates of the Methodist-Kahler School of Nursing, a school that shuttered nearly a half-century ago, will gather this weekend in Rochester to celebrate the 100th anniversary of its founding. Though the school closed in 1970, amid a nationwide shift in educational standards for registered nurses, its alumni association stayed active through the decades, sustained by pride and a strong sense of identification graduates had for the school. The nursing school encompassed a different era — or eras — in its lifetime.

KAAL, Genetic Sequencing, Impact on Prescribing Topic at Mayo Individualized Medicine Conference — You've likely heard of companies like 23andMe that use genetic information found in DNA to tell you about your past. Now, doctors are using similar tests to determine the future of your health. It's an effort to eliminate some of the trial and error in prescribing medications and prevent possibly harmful side effects from occurring. "Your genome, the DNA that your mom and dad gave you, can determine how you will respond to those drugs and there's a big variation," Dr. Richard Weinshilboum with Mayo Clinic said. That's where pharmacogenetics comes in, sequencing DNA and using that information to determine what drugs and what doses might be most effective.

KTTC, Online history gives clues to heart ills — Online searches about heart disease peak in the winter, a new study says. That's when deaths from heart disease top out, too. Heart disease is the leading cause of death worldwide, and more than 600,000 people die from heart disease in the United States every year… Online search data could help estimate heart disease rates in specific regions, the researchers said. The study was published Sept. 4 in the journal Mayo Clinic Proceedings.

Minneapolis/St. Paul Business Journal, Mayo Clinic and Medica partner to develop new insurance products by Katharine Grayson — Medica and Mayo Clinic will partner to create health insurance products as part of an agreement the organizations announced Thursday. Minnetonka-based Medica and Mayo also will jointly develop undisclosed services through the arrangement, which won't involve creating a new company. The insurer and Rochester, Minn.-based health care provider haven’t set a timeline for when they will launch their first product, Medica spokesman Greg Bury said. Products will probably include health plans for employers and may eventually include products of the individual market, he said. “We are pleased to collaborate with Medica on the development of products that will include access to Mayo Clinic for patients who would benefit from expert specialists and resources,” said Dennis Dahlen, chief financial officer of Mayo Clinic, in a statement. “Our relationship with Medica and future product offerings support a collaborative model of care delivery and coordination of services with better outcomes for patients with complex and serious illness.” Additional coverage: Star TribuneHealthLeaders MediaPost-Bulletin, KROC-AMHealthExec

WCCO, Families Leaving MN After Research Shows Higher MS Rates by Liz Collin — Dr. Claudia Lucchinetti chairs the neurology department at Mayo Clinic in Rochester. “Low Vitamin D tends to be associated with a great risk of MS,” Luchinetti said. She recommends people keep Vitamin D levels over 100 to offer some protection from MS. Smoking and obesity also increase the risk. But because there’s no exact cause, she admits prevention is nearly impossible. “I think ultimately people need to consider where can they get the best place for them to get good care to have support, their family, try to manage the stress in their life,” Dr. Lucchinetti said. In her quest to find better treatments, Dr. Lucchinetti created the world’s largest tissue bank of MS lesions by analyzing brain biopsies. Her research has led to a more personalized approach to treatment. “The greatest unmet need in MS remains our limited ability to really target that slow gradual progression,” Dr. Lucchinetti said.

KMSP, Mayo study links ovary removals with increased risk of kidney failure by Leah Beno — A new study by the Mayo Clinic shows a correlation in women who have their ovaries removed and an increased risk of kidney failure. That risk can go up more than 7 percent for some women, according to the study. Keeping in mind that hysterectomies are the most common medical procedures other than C-sections and, of that group, 50 percent have their ovaries removed, this impacts a lot of women. The study looked specifically at more than 1,600 premenopausal women living in and around Rochester over the span of 14 years. It’s a large increase in risk,” said Dr. Andrea Kattah, a Mayo Clinic Nephrologist. It is said to be the first study that has shown an important link between estrogen deprivation in younger women and kidney damage. Kattah helped lead recent research, which is somewhat controversial within the medical community. Additional coverage: HealthDay, Medical Xpress

Star TribuneHype or hope? Unlocking genes to block diseases by Jeremy Olson — …Some doctors, though, fear that the promise of genomic medicine has been oversold, and that the stampede to genetics research has come at the expense of other pursuits in health care. “I like to tell people to drink the Kool-Aid in small doses,” said Dr. Michael Joyner, a Mayo anesthesiologist who spoke at the conference. He described a “hype-filled biomedical narrative” that, he argues, has led people to believe that genetic medicine has accomplished more than it really has. For example, he said, a leading researcher once claimed that the dozen or so genes responsible for diabetes would be discovered by 2008. In reality, a much more complex combination of genes and lifestyle choices are responsible. Joyner worries that hype draws attention and funding to genetics research and away from public health and preventive efforts that already are proven to ward off cancers and other diseases. “The promise and the ideas of what might happen have just gotten way, way out in front,” he said.

MPR, Mayo issues an apology 156 years in the making by Bob Collins — For 156 years, the Santee Dakota people have waited for what happened in a casino conference room in Santee, Neb., a few weeks ago.The Mayo Clinic apologized for the desecration of Marpiya Okinajin, known as “Cut Nose,” who was hanged in 1862 in Mankato, Minn., one of 38 Native Americans executed under orders from President Abraham Lincoln in the largest mass execution in U.S. history. Additional coverage: Omaha World-HeraldStar Tribune

Florida Times-Union, Compton donation to Mayo accepted by his second transplant surgeon by Gary Smits — Heart surgeon Si M. Pham once held Erik Compton’s heart and life in his hands. Compton offered his thanks on Tuesday at the Atlantic Beach Country Club. Compton, the former University of Georgia golfer and two-time heart transplant recipient, donated $25,000 from the Erik Compton Foundation to the Mayo Clinic Transplant Center. Pham, who performed Compton’s second heart transplant in 2008, accepted the donation on behalf of the Mayo Clinic. “Dr. Pham is not only one of the top heart surgeons in the country but also an outstanding person who is dedicated to bettering lives,” Compton said. “Through his life’s work and research Dr. Pham continues to advance the field of organ transplantation and the lives of patience around the country. Because I live it, I’m reminded of it every day, and am honored to support his research as well as represent the transplant community every day on the golf course.” Additional coverage: PGA Tour

Florida-Times-UnionCharlie Patton: For more than four decades it has been mostly fun by Charlie Patton — Forty one years and seven months. That’s how long I have worked at One Riverside Ave., home to the Florida Times-Union and, in a distant past, to the Jacksonville Journal. That all ended Friday, Sept. 7, my last day before I retired with a mixture of reluctance and celebration from a job I mostly loved for more than four decades…Meanwhile, as the Times-Union’s health reporter, I’ve watched the Mayo Clinic invest more than $500 million in its Jacksonville campus, witnessed the construction of Baptist MD Anderson Cancer Center’s new building in San Marco, and written about changes at St. Vincent’s HealthCare, which is preparing to build a new cardiovascular center on James Street at its Riverside campus.

Chippewa HeraldMayo Clinic Health System receives state grant to improve rural emergency care by Barbara Lyon — A $47,000 matching grant from the Wisconsin Department of Health Services was received by Mayo Clinic Health System to train emergency medicine advanced practice providers in point-of-care ultrasound — a technology used to provide timely diagnoses for trauma and critical care patients. The grant is part of more than $300,000 awarded to support development of eight training sites to ensure access to quality health care in rural and underserved areas of the state. It will be applied toward training equipment, instructor training, quality improvement infrastructure and the first several courses that will be available to physician assistants and nurse practitioners who practice at MCHS critical access hospitals in Barron, Bloomer, Menomonie Osseo, and other rural emergency medicine providers throughout Wisconsin.

WKBT La Crosse, Local dietitian talks about the CDC's encouraging study on what kids are drinking by Alex Fischer — Children in a CDC study from 2013 to 2016 preferred water nearly 44% of the time and milk 21%. Jamie Pronschinske, a local dietitian with Mayo Clinic Health System, told News 8 it's reassuring milk and water are still the top two beverages for kids. Pronschinske added that it's important for kids to drink milk because it's difficult for children to get needed calcium and vitamin D without it. She said children over the age of two should have two to three servings of milk daily.

WEAU Eau Claire, Road to Resilience — Sara Carstens, R.N., discusses adverse childhood experiences and the virtual “Road to Resilience” program, aimed at helping children cope. Additional coverage: WQOW Eau Claire

WEAU Eau ClaireLocal agencies take part in special training for crisis intervention by Sarah Winkelmann — About 25 people from multiple agencies in the Chippewa Valley spent all week training on trauma informed care. On Friday, they put their new skills into action through scenarios that were played out with actors. Actors were portraying different mental illnesses and working with officers on how to best handle the situation. “To decipher communication skills, how to get their point across and just technical effectiveness skills for them,” said Brandon Olson, a RN at Mayo Clinic Health Systems. Olson was one of several nurses who helped guide the actors on how to react and then just let the scenario play out during a scene with a female in the road who won't move.

WEAU Eau ClaireVolunteers gather for annual 'Day of Caring' by Courtney Everett — Friday, nearly 1,000 local volunteers joined together for the annual "Day of Caring." The event through United Way of the Greater Chippewa Valley brings together community members for local service projects. More than a dozen employees from Mayo Clinic Health System participated. Friday, their team did landscaping work at Lakeshore Elementary school in Eau Claire. Volunteers around the area helped out about 40 nonprofits and public service organizations with more than 60 projects.

KAUS AustinHealth care providers gearing up for flu season in Minnesota — Health care providers across the state are beginning to get stocked up with flu vaccination. KAUS News spoke with Dr. Sara Scherger from the Department of Pediatric and Adolescent Medicine with Mayo Clinic Health Systems in Austin and Albert Lea who stated that the earlier that one can receive a flu shot, the better.

KAUS AustinMayo Clinic documentary to air on public television September 25th — An advance screening of the newest Ken Burns documentary “The Mayo Clinic, Faith, Hope, Science” was held earlier this week at the clinic in Rochester. KAUS News spoke with Dr. John Wald, Medical Director Public Affairs and Marketing with Mayo Clinic about the documentary.

NY 1, The Mayo Clinic: Faith, hope and science — Award-winning filmmaker Ken Burns sat down with Errol Louis to talk about his new documentary "The Mayo Clinic," which charts the history of the world-renowned medical center and explores the changing landscape of patient care. Additional coverage:,  Fortune, FOX 5 New York

Patheos, The Religious History of the World’s Most Famous Hospital — A week from tonight, PBS will debut a Ken Burns-produced (though not directed) documentary about the Mayo Clinic, the world-famous medical center based in Rochester, Minnesota. Though religious themes are barely hinted at in the trailer, the film is subtitled Faith • Hope • Science. That combination of words makes perfect sense to me: my rather devout dad just retired after a 45-year career as a world-class pediatrician and medical researcher and remains highly active in a Southern Baptist church. But on my Facebook feed, I’ve noticed the subtitle rubbing some people the wrong way. One doctor friend complained that placing faith and hope ahead of science was the medical equivalent of offering “thoughts and prayers.” Another commenter insisted that religious faith can only obstruct scientific progress. But the actual history of medicine and religion, and of the Mayo Clinic, is much more complicated than that.

MedPage Today, Machine Tops Humans in Fibrotic Lung Disease Classification by Ian Ingram — In a comment that accompanied the study, David Levin, MD, of the Mayo Clinic in Rochester, Minnesota, highlighted that due to the rare presentation and varied forms, radiologic diagnosis of interstitial lung disease can be a challenge, as can the further diagnosis of pulmonary fibrosis even for subspecialist radiologists. "Although the results show that deep learning methods can classify fibrotic lung disease with essentially equivalent performance to subspecialist radiologists, there are several limitations," Levin said, noting in part that as deep learning algorithm is improved with ever-increasing amounts of data, only 929 scans made up the training set.

MedPage Today, Behavioral Therapy Slows Cognitive Decline in MCI by Judy George — A behavioral intervention appeared to slow cognitive and functional decline in older black individuals with mild cognitive impairment, a randomized clinical trial found…These findings are "intriguing and I would suggest a bigger study should be done," said Ronald Petersen, MD, PhD, of the Mayo Clinic in Rochester, Minnesota, who was not involved in the study. "The population studied is at higher risk for cognitive decline and this intervention appeared to work, although it was single-blinded and there was attrition," he told MedPage Today. "Nevertheless, it is encouraging that behavioral interventions may be beneficial in these participants." Additional coverage: Medscape

Parade, Dog Owners Are Officially Happier Than Cat Owners by Becky Hughes — …Why look on the bright side? Finding positive ways to think about and deal with stressful situations can lead to a happier, healthier life by easing the strain of stress on your body and mind. Mayo Clinic reports that optimistic people tend to benefit from lower rates of depression, increased life spans, better heart health and even greater resistance to the common cold. Now that’s something to smile about!

Radiology Business, Baseline mammography education necessary for optimal breast screening outcomes by Subrata Thankar — Improving women’s understanding of baseline mammograms and their importance is necessary, according to new research published in the Journal of the American College of Radiology. The researchers, led by Robert K. Horsley, MD, of the Mayo Clinic in Phoenix, said most women are unaware of the term "baseline mammogram." They are also unfamiliar with decreasing rates of false positive, which has led to decreases in costs, discomfort and additional testing, Horsley and colleagues sought to evaluate women's knowledge and perception of baseline mammograms using a HIPAA-compliant questionnaire. The survey included basic demographic information including age, race and education. Additionally, patients were asked about their screening frequency and knowledge of baseline mammograms, including perceptions about the importance of such tests.

ALS Research Forum, Scientists Go Long To Navigate C9orf72 Repeat Sequences — Understanding how repeats expand in the C9orf72 gene is critical to determine how the most common genetic form of ALS develops and progresses…. Now, a research team led by Leonard Petrucelli and John Fryer at the Mayo Clinic in Jacksonville, Florida report that long-range next sequencing technologies can be used to navigate these expanded sequences in the C9orf72 gene. The approach is one of a growing number of techniques being developed to detect repeat expansions in the C9orf72 gene and estimate their size. The study is published on August 21 in Molecular Neurodegeneration.

OncLive, Singh on the Role of Chemotherapy in Bladder Cancer — Parminder Singh, MD, hematologist/oncologist, Mayo Clinic, discusses the evolving role of chemotherapy in the treatment of bladder cancer. Chemotherapy is believed to be immunosuppressive, but recent findings indicate it can make a tumor “hot,” meaning that it will allow the body to naturally fight the disease with its immune system. Singh concludes that chemotherapy will evolve in bladder cancer treatment to be used with immunotherapy.

Brainerd Dispatch, 3 things for better health — Need to be motivated to start the week off on a healthy note? Just try one or more of three things to start the week off on the right path…3. Make time for unstructured play. The Mayo Clinic noted a recent report, by the American Academy of Pediatrics, which stresses the importance of letting children play. "They say unstructured play allows for proper development and relieves toxic stress. Dr. Angela Mattke, a Mayo Clinic pediatrician, agrees that this type of playtime is important for good health."

Business Times, Pontiac Land, Mayo Clinic to partner on expansion of Mayo's Rochester campus by Nisha Ramchandani — Mayo Clinic and real estate developer Pontiac Land Group are collaborating to expand Mayo’s Rochester campus to meet the growing demand for additional clinical space. The 11-floor expansion of the Gonda Building includes four floors for new clinical space - which will deliver an additional 200,000 square feet of clinical space - and seven floors for a premium hotel. The partnership will help speed up a long-planned expansion, they said in a joint release. While plans for the development are still being finalised, Mayo Clinic plans to invest US$190 million into the clinical expansion and use the additional space for the Mayo Clinic Cancer Center and Outpatient Procedure Center.

Hot Springs Village Voice, Villager hopes to find relief through Mayo Clinic by Lewis Delavan — Crippling pain has long puzzled Destiny Rodgers’ physicians, and has led to to a referral to the Mayo Clinic. The Villager was hospitalized in 2011 for acute idiopathic pancreatitis, transferring from a Hot Springs hospital to the University of Arkansas for Medical Sciences medical center, where she was treated for about a month…She typically has one or two hospital visits per week, as well as testing. Her father has suffered from a rare abdominal issue, and was previously treated at the Mayo Clinic. The possibility of an inherited genetic condition was one factor in doctors referring her to the Minnesota clinic. The clinic has been triaging her symptoms with needs of other potential patients for evaluation by Mayo’s neurological and GI departments, and development of her treatment plan. It is unknown if she has systemic or autoimmune issues, or some combination.

Wagazine, RX for Wellness: Get a Pet — If laughter is the best medicine, then a pet is the primo prescription. “No one can speak of his pet without laughing,” says Mayo Clinic oncologist Ed Creagan, who speaks and writes extensively on the therapeutic powers of companion animals. Medical research confirms that the furry, feathered, and finned have a happy effect on the health and healing of humans. “The data are overwhelming that pets change the healing of body, mind and soul,” Creagan says.

Becker’s Hospital Review, Physicians' choice: Best hospitals for treating key conditions by Megan Knowles — In a survey asking physicians to rank their hospital preferences for the treatment of several conditions, Rochester, Minn.-based Mayo Clinic was ranked highest for the treatment of six of the 10 conditions, and Houston-based MD Anderson Cancer Center took the top spot in treating all five cancer types, a Medscape survey found. Additional coverage: Medscape, WebMD, Morning Star

AJMC, Mayo Clinic Report Suggests Changes to Next COPD GOLD Update by Allison Inserro — A Mayo Clinic team critiqued the 2018 update to the Global Initiative for Chronic Obstructive Lung Disease guidelines, recommending several changes to the next update. A team of pulmonary clinicians and researchers from the Mayo Clinic recently critiqued the 2018 update to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines and recommended several changes to the next major update to GOLD. The 2018 guidelines are considered a minor update to the 2017 report, but the clinicians noted the burden of chronic obstructive pulmonary disease (COPD) worldwide and in the United States, where it is the third-leading cause of death.

Neurology Live, Eugenia Trushina, PhD: Mitochondria as a Therapeutic Target for Alzheimer — At the Alzheimer’s Drug Discovery Foundation’s 19th Annual Conference in Jersey City, New Jersey, Eugenia Trushina, PhD, an associate professor of neurology at Mayo Clinic Rochester, presented her and her colleagues work with a small molecule that targets mitochondria as a possible treatment for Alzheimer disease.

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.

Editor, Karl Oestreich;  Assistant Editor: Emily Blahnik

Tags: A.L.S., alzheimer's disease, anger, artificial Intelligence, behavioral therapy, bladder cancer, Brandon Olson, Chemotherapy, cognitive decline, COPD, Dennis Dahlen, Destiny Rodgers, diet, documentary, Dr. Andrea Kattah, Dr. Angela Mattke, Dr. Bradley Erickson, Dr. C. Michel Harper Jr., Dr. Claudia Lucchinetti, Dr. David Levin, Dr. Donald Hensrud, Dr. Ed Creagan, Dr. Eugenia Trushina, Dr. Gregory Poland, Dr. Jan van Deursen, Dr. John Fryer, Dr. Leonard Petrucelli, Dr. Michael Joyner, Dr. Parminder Singh, Dr. Richard Weinshilboum, Dr. Robert K. Horsley, Dr. Ronald Petersen, Dr. Sara Scherger, Dr. Si M. Pham, Dr. Stephen Whiteside, Erik Compton, fibrotic lung disease, flu, flu vaccination, folic acid, Genomics, heart disease, Individualized medicine, Jamie Pronschinske, Josh Murphy, kidney failure, kidney stones, mammography, marathon, Medica, MS, multiple sclerosis, ovary removal, pet therapy, rural healthcare, Sara Carstens, Scottsdale Medical School, Transplant Center, Uncategorized, vaccines, virtual reality

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