February 15, 2019

Mayo Clinic in the News Weekly Highlights for February 15, 2019

By Emily Blahnik

STAT, New voices at patients’ bedsides: Amazon, Google, Microsoft, and Apple by Casey Ross — Mayo Clinic, one of the pioneers of voice in health care, built an Alexa-enabled program to deliver first aid instructions to consumers. More recently, it has begun piloting the use of the technology to deliver post-discharge instructions to patients recovering from surgeries to remove skin lesions. Dr. Sandhya Pruthi, medical director of global business solutions at Mayo, said its study on the use of voice to diagnose cardiovascular disease — it found analyzing speech signals such as tone and intensity could help detect coronary artery disease — points to an exciting future for the technology. Several companies, such as Sonde Health, are developing diagnostic tools based on changes in a person’s voice. The hope is that analyzing subtle shifts in tone, clarity, and cadence will help predict the onset of psychotic episodes, stroke, and other health emergencies. “It opens possibilities to deliver care at a distance,” Pruthi said. “Think about people living in small towns who aren’t always getting access to care and knowing when to get health care. Could this be an opportunity if someone had symptoms to say, ‘It’s time for this to get checked out?’”

Forbes, How Machine Learning Is Crafting Precision Medicine — AI-based precision medicine combines medicine, biology, statistics, and computing. The most promising research in the field is characterized by sustained collaboration across disciplines and institutions. “You do need to work across disciplines now,” says Dr. Liewei Wang of the Mayo Clinic. “It’s not so simple that any individual could do these studies themselves.” As detailed in a 2017 paper, Wang and far-flung colleagues developed a machine-learning algorithm to predict whether a psychiatrist should prescribe a certain drug to a depression patient based on that patient’s unique medical record. The model learned from the genetic data and medical records of more than 800 Mayo Clinic patients over a 10-year period, and could predict with 85–90% accuracy whether the drug would ease depressive symptoms. That’s compared to the 50–55% accuracy of a psychiatrist, says Wang, whose drug selection for their exhausted patients often devolves into a game of pill roulette.

Medium, Will Personalized Medicine Help or Harm Us? by Kim Thomas — …Studies on this scale enable researchers to spot genetic variations that might have a small impact, says Janet Olson, an associate consultant at the Mayo Clinic in Minnesota and a specialist in breast cancer. “We’re looking for things that are not even doubling risk — perhaps just 10 percent of an increased risk,” she says. “So we need a lot larger population to be able to tease out those differences between those with that small genetic variant and those that do not have it.” There have already been some notable discoveries, particularly in the area of pharmacogenomics, which looks at how patients with particular genetic profiles respond to different drugs. It used to be the case that patients with chronic myeloid leukemia, which affects more than 8,000 patients a year in the United States, were treated with the long, complicated, and painful procedure of a bone marrow transplant.

MIT Technology Review, A cell-killing strategy to slow aging passed its first test this year by Karen Weintraub — The small study in people with lung disease, reported in January, is being billed as the first attempt at “senolytics,” or employing drugs to clear people’s bodies of aged, toxic cells. Some researchers think this strategy could eventually be employed in healthy people to delay aging. “This gives us to some extent a green light to go on to larger trials,” says James Kirkland, a Mayo Clinic professor who helped lead the trial, carried out in clinics in Texas and at Wake Forest University starting in 2016.

Daily Beast, Is Harvard Geneticist David Sinclair's ‘Fountain Of Youth’ Pill Real? Sure, If You’re a Mouse. — …Elysium, co-founded in 2014 by a prominent MIT scientist to commercialize the molecule nicotinamide riboside, a type of NAD booster, highlights its “exclusive” licensing agreement with Harvard and the Mayo Clinic and Sinclair’s role as an inventor. According to the company’s press release, the agreement is aimed at supplements that slow “aging and age-related diseases.” Further adding scientific gravitas to its brand, the website lists eight Nobel laureates and 19 other prominent scientists who sit on its scientific advisory board. The company also advertises research partnerships with Harvard and U.K. universities Cambridge and Oxford.

BBC, Could gut bacteria microbes make you fat? by Jessica Brown — Some dieters struggle more than others to lose weight, despite following sensible advice, and this may come down to the bacteria in our guts. Specifically, the enzymes carried within it. “What we eat is available to us, and to the bacteria inside our guts, which digest parts of food we lack the enzymes to do,” says Purna Kashyap, associate professor at the Mayo Clinic and head of its Gut Microbiome Laboratory. “This process generates additional calories that the gut microbiota can give back to us, so it’s a mutually beneficial relationship where bacteria give us more bang for our buck from what we eat,” he says. Kashyap tested to see if, when switching to a lower-calorie diet, gut bacteria can be more efficient in deriving calories from food, which would be helpful when food isn’t plentiful, but could also hinder weight loss.

Quartz, New science shows managing blood sugar isn’t about counting calories or carbs by Chase Purdy — The new Mayo Clinic research offers evidence for the viability of that approach from the standpoint of managing blood sugar levels. The researchers built a model for predicting how different foods impact people’s blood sugar levels, then they set out to test that model. What they found was that by analyzing a person’s gut microbiome, age, level of physical exercise, and other factors, they could very accurately predict how the body reacts to food; more so than if they attempted to do so by counting calories or carbs. “As a clinician, I have seen that my patients do not respond to the same foods the same way—just like not all weight-loss diets work for all people the same,” said Heidi Nelson, one of the study’s co-authors, in a statement.

AARP, College Education Doesn't Protect Against Alzheimer's by Kathleen Fifield — The thinking behind higher education being one such factor affecting or protecting cognition, says Prashanthi Vemuri, a Mayo Clinic neuroscientist who studies cognitive reserve, was that “those with higher ed can withstand more pathologies because their brains are more efficient and more flexible.” (The relatively high level of education of participants is recognized as a potential limitation by the study authors and others, who say that the study didn't compare those with very little education to those with much more schooling. Wilson notes that is possible that effects previously seen on cognitive reserve due to education may have been primarily driven by variations at the lower end of the education-level spectrum.) Both Vemuri and Wilson said that a good explanation for why higher education may not, in fact, impact cognitive reserve as much as once believed is that the schooling occurs decades before the slow creep of dementia begins. "One of the reasons we think education doesn’t seem to impact cognitive reserve very much is that it's so remote in time,” Wilson says. However, he says, things related to education, such as how much you read, or personality traits like conscientiousness, “seem to both have to do with rates of cognitive decline in old age as well as cognitive function.” As a result, he says those areas may be “more fruitful possibilities” for how cognitive reserve works to fend off dementia.

InStyle, Is it Too Late to Get a Flu Shot? by Kasandra Brabaw — Maybe you were busy the day your office offered free flu shots. Maybe you simply forgot. Maybe you purposefully held off, hoping that enough other people would get the vaccine to protect you somehow. But now that we’re in full swing of flu season and surrounded by coughing and wheezing coworkers, friends, and random people on the bus or in grocery stores, choosing to forego the flu shot may seem like a bad idea. But is it too late? The answer is both yes and no, according to Hannah Miller, MD, a family medicine physician at Mayo Clinic Health System. Ideally, people should get a flu shot two weeks before the virus hits their community. “But since we cannot predict when that is, we recommend you get the flu vaccine by the end of October,” Dr. Miller says.

CNN, India wants to make medical tourism a $9 billion industry by 2020 by Manveena Suri — …It's important to be cautious when it comes to predictions, said Johanna Hanefeld, an associate professor of health policy and systems at the London School of Hygiene and Tropical Medicine…"Indian doctors have a reputation for high-quality medical training. A lot of them are returnee Indians who have studied abroad, and then you have large hospital groups such as Apollo, which have become large international brands. They have also gone into strategic partnerships with brands in high-income countries such as the Mayo Clinic," said Hanefeld.

Today, Susan Lucci 'lucky to be alive' after emergency heart surgery by Drew Weisholtz — Susan Lucci is opening up about the emergency heart surgery she had last fall that may very well have saved her life. The longtime “All My Children” star tells People magazine that she experienced shortness of breath three times last fall. She brushed off the first two instances, but the third time took place while she was shopping in Manhasset, New York and was so severe that she said, “It felt like an elephant pressing down on my chest.”… Dr. Sharonne N. Hayes, founder of the Women's Heart Clinic at the Mayo Clinic, says Lucci is a great example of a person who may not be at risk, but could still have heart problems. "She’s a petite woman who looks very healthy and one lesson coming out of that is heart disease really doesn’t care what you wear and how you wear it. It can sneak up on you," she tells TODAY.

Washington Post, ‘This is disgusting:’ Lawmakers blast companies overseeing military homes racked by toxic dangers by Alex Horton — At Fort Bragg in North Carolina, Heather Beckstrom believes her daughter’s epilepsy, her son’s cancer diagnosis and her other son’s cleft palate are linked to the untreated sewer water from a chronically overflowing toilet that sent several inches of water gushing onto the floor. It occurred so frequently and forcefully, she said, that a water line was visible on the stucco from the outside. The Mayo Clinic, the National Institute of Environmental Health Sciences and the National Cancer Institute have suggested that environmental hazards such as untreated wastewater can play a role in those conditions.

Post-Bulletin, Mayo Clinic Minute: Myths about statins — As many as half of all American adults could benefit from taking statins to help lower their cholesterol, but far fewer than that actually do take statins. Mayo Clinic cardiologist Dr. Stephen Kopecky says he thinks many people avoid the cholesterol-lowering drugs because they misunderstand some of the side effects. Dr. Kopecky says statins are generally very safe and could improve the health of a lot of people.

Post-Bulletin, Mayo Clinic Minute: What you need to know about wet macular degeneration — You’re getting older and notice you’re not seeing as well. You try out readers, but everything just seems blurry. And straight lines seem wavy. Dr. Sophie Bakri, a Mayo Clinic retina specialist, says there are two kinds of macular degeneration: wet and dry. Dr. Bakri says that for wet macular degeneration, you’ll likely need to see a retina specialist for a treatment plan that includes regular eye injections.

Post-Bulletin, Paired kidney donation: Mayo Clinic Radio — On the Mayo Clinic Radio podcast, Dr. Carrie Schinstock, a Mayo Clinic nephrologist, and Kay Kosberg, a Mayo Clinic nurse who coordinates the paired kidney donation program across Mayo Clinic's Arizona, Florida and Rochester campuses, discuss the paired kidney donation program at Mayo Clinic.

Post-Bulletin, Screening is an important step in preventing colon cancer — DEAR MAYO CLINIC: Are there ways to prevent colon cancer? What about early symptoms to watch for? I just turned 50, and I’ve heard colon cancer is more common as you get older. I’d like to lower my risk of getting this disease as much as possible…Excessive alcohol use, obesity, lack of exercise and smoking can raise the risk of colon cancer. Therefore, if you drink alcohol, do so only in moderation. That means no more than one drink a day for women and no more than two for men. Don’t smoke. If you do, talk to your health care provider about ways to quit. If you are at a healthy weight, work to maintain your weight by combining a healthy diet with daily exercise. Try to get at least 30 minutes of exercise most days. If you need to lose weight, ask your health care provider about healthy ways to achieve your goal. — John Kisiel, M.D., Gastroenterology, Mayo Clinic, Rochester.

Post-Bulletin, National Eagle Center ready to hatch next big step by Brian Todd — The Eagle Center received $8 million from the state last year to go toward an expansion that, if fundraising goes as hoped, will total $18 million. To go with the state funding, the Eagle Center is working to collect another $10 million in donations over the next three years. So far, just reaching out to local donors, the campaign has raised $2.7 million. The next step will be to reach out to donors regionally then, finally, nationally...Mayo Clinic has talked about the Eagle Center as an asset for Destination Medical Center, Thompson said, and the proof is in the Mayo patients who are seen almost daily, breathing masks covering their mouths and noses, wandering the center.

Post-Bulletin, Answer Man: Klobuchar knows Mayo Clinic from the inside — Dear All-Knowing One: I seem to recall that Sen. Amy Klobuchar, who is now running for president, had surgery of some kind a few years ago at Mayo Clinic. With your inside connections, any idea what the surgery was for? A Future Voter…Dear Voter: I do have some inside knowledge on Sen. Klobuchar’s Mayo procedure, but I can assure you it comes from inside her own book, rather than from a Mayo employee violating patient confidentiality rules. In her book, “The Senator Next Door,” Klobuchar relates that during her first senate campaign in 2006, an initial hip replacement, not done at Mayo Clinic, had become unbearably painful. So in August of that year, a week before a major debate at Farmfest, she had the hip replacement redone, this time by Mayo’s Dr. Robert Toursdale.

KTTC, Mayo Clinic surgeon goes beyond operating room for patient care by Beret Leone — If you’ve ever had to undergo a medical procedure, you know the anxiety that may come with going under the knife. A product taking the medical field by storm is helping ease some of that anxiety for patients and is now available to the general public. It comes from a company that goes by the name of “COVR Medical.” Its product is designed to keep patients covered up when they’re wearing hospital gowns – before, during and after an operation – because in the eyes of its founders, there’s no need to go naked. “I do a lot of hip surgery, and people are actually quite exposed during the operation,” Mayo Clinic Sports Medicine Surgeon Doctor Bruce Levy said. Additional coverage: FOX 47

MedCity Beat, $1 million gift is the largest ever for Rochester's Reading Center — The Reading Center has surged closer to its “Unleashed to Succeed” capital campaign goal with a $1 million gift from the Harper Family Foundation. The donation represents the largest gift in the organization’s almost 70-year history. The funds will help ensure the Reading Center is debt-free by the time it completes construction of its new facility in fall 2019…In recognition of the support, the new facility will be named The Reading Center, Harper Family Foundation Building. The new 10,000 square foot building, located at 2010 Scott Road Northwest, is currently under construction and should be completed by the end of August. The project has also received support from the Minnesota Legislature, along with the Otto Bremer Foundation, Mayo Clinic, and others.

MedCity News, Mayo Clinic CIO in dealing with his own cancer “cringes” at state of IT usability by Arundhati Parmar —Sometimes the proof is in the pudding or as Cris Ross, chief information officer of Mayo Clinic, put it — you have to eat what you cooked. That is what Ross encountered last year after spearheading the EHR conversion to Epic at Mayo and then receiving a Stage 3 cancer diagnosis in the summer of 2018. Suddenly he went from leading the health IT effort at Mayo to a humble patient, subjected to months of chemo, radiation therapy, multiple scans and never ending lab tests and office visits. As he undoubtedly wrestled with his mortality — his care team informed him that the cancer was serious but most likely curable — the cancer also allowed him to experience first-hand how information and technology was being used in the hospital setting.

Pioneer Press, Two Twin Cities women become ‘heart sisters’ after transplants by Molly Guthrey — Kadie Neuharth was in a cardiac intensive care unit almost 2,000 miles away from home last summer when the doctor walked into her room. This time, the news was good. “When you have a minute,” she remembers the doctor saying, “why don’t you go to the next room over and meet your new best friend?” Kadie didn’t know it then, but her new best friend, Laura Lee Jensen, was also almost 2,000 miles away from home. The women were both in their 30s, both from Minnesota and both at the Mayo Clinic in Arizona for heart transplants.

Star Tribune, UnitedHealth Group names former Mayo CEO Noseworthy to board of directors by Christopher Snowbeck — Dr. John Noseworthy, the Mayo Clinic chief executive who retired in December, has been named to the board of directors at UnitedHealth Group, the Minnetonka-based company that stands alongside Mayo as one of Minnesota’s most prominent health care organizations. UnitedHealth Group made the announcement Wednesday morning, with executive chairman of the board Stephen Hemsley calling Noseworthy “an exceptionally talented and compassionate physician.” “His leadership has been decisive in Mayo’s achievement of consistently high performance in health care quality, safety, research and finance,” Hemsley said in a statement. In nine years as CEO at the Rochester-based clinic, Noseworthy helped Mayo raise more than $3.5 billion in its largest philanthropic campaign as the health care system emerged from the Great Recession on stronger financial footing. Mayo became a focus for statewide economic development during his tenure, but also faced tough questions about the cost of its medical services compared with other clinic systems in Minnesota. Additional coverage: Becker’s Hospital Review, Twin Cities BusinessAssociated Press

KARE 11, Winter getting you down? Here's why by Heidi Wigdahl — Seasonal affective disorder (SAD) can also impact people this time of year. According to Mayo Clinic, symptoms specific to winter-onset SAD include oversleeping, appetite changes, weight gain and tiredness or low energy.

Jacksonville Business Journal, "You have to want to make an impact:" Maisha T. Robinson of Mayo Clinic on what Black History Month means to her by Jaimie Wilson — Sometimes, the most formative moments in black history never get written into the books. Sometimes, they stay in the family – told to a friend, remembered by children. Dr. Maisha T. Robinson, a neurologist at Jacksonville’s Mayo Clinic, holds one of those moments dear. “When I was in high school, my father left a note at the bottom of the steps for my sister and I,” Robinson said. “It read: You can if you try. You’ll try if you want to. You’ll want to if you think it’s worth it to you, but you’ll never know if it’s worth it until it’s too late to try. “I think that was a profound moment for both of us, to be told we have the ability to really make an impact within our lives and our community, moving forward, but we have to want to do it. And we have to be engaged enough that we don’t look back and realize we wasted the opportunity.”

First Coast News, Widower carries on wife's mission to end breast cancer after her passing by Lana Harris — Wife and mother Laquita Barnhart knew all too well the questions that consume the minds of people fighting breast cancer. He admired how she lived without losing her spirit…In the summer of 2018, she lost her battle with breast cancer…“She passed at the end of July," said Barney Barnhart, Laquita Barnhart's husband. "I don’t talk about it a lot, so it’s still rough.” “One of my favorite pictures of her was coming out of chemo at the Mayo Clinic, and she just looked beautiful," Barney Barnhart said. "I said, 'let me get your picture,' and she turned and did this big smile and she does a little pose. She was just so positive all the time."

First Coast News, Nuclear medicine revolutionizes cancer treatment in Northeast Florida by Juliette Dryer —The term “nuclear medicine” is enough to make your ears perk up. It is also revolutionizing cancer treatment in Northeast Florida and beyond. Just ask Mary Gusky, who has been treated at Mayo Clinic in Jacksonville since her initial cancer diagnosis about 12 years ago. Gusky, who lives in DeLand, Fla. is a great-grandmother and an administrator at a free healthcare clinic. “I was losing weight,” Gusky said. “And I was losing weight at an enormous rate. And I was going from doctor to doctor and nobody really had an answer.” Gusky finally got her answer at Mayo Clinic, where she was diagnosed with a pancreatic neuroendocrine tumor.

WJCT Florida, New Wolfson Children's Critical Care Tower Coming To Downtown Jacksonville by Bill Bortzfield — A big building boom has also been underway at the Mayo Clinic’s Jacksonville campus where a new treatment center is under construction. It’s being partially funded with a $20 million grant from a South Florida foundation and is part of a larger capital projects expansion that will total about $114 million. Mayo Clinic leadership said it hopes its Jacksonville expansion will accelerate its participation in Florida’s growing market for medical tourism — which is a term that refers to patients traveling for treatment they can’t get at home.

News4Jax, Despite 'Fox' anchor buzz, experts say science is clear: Wash your hands by Jodi Mohrmann — Mayo Clinic's Family Medicine & Pediatric Physician Dr. Alva Roche Green takes handwashing very seriously. In a special report several years ago, she told News4Jax that washing or not washing your hands can mean life or death for some of the most vulnerable in our population. "Imagine that happens to a newborn baby or to a child that has congenital heart disease. I've seen those children get viruses, what we call respiratory syncytial virus or RSV for short, because it's so hard to say, or the flu virus. And those children will actually die from those infections because their immune systems are compromised or they don't have a normal heart and lungs," Green warned.

Arizona Republic, Alzheimer’s disease upends finances, lives for those diagnosed and their caregivers by Carey Henry — Caring for someone with Alzheimer’s can be expensive. People with the disease eventually need round-the-clock supervision and assistance with such things as getting dressed and eating. “The actual direct reimbursable medical care — seeing the doctor, having a blood test, stuff like that — is really a small fragment of all the care a patient needs,” said Dr. Richard Casselli, a neurologist at Mayo Clinic who works with Alzheimer’s patients. “Really, it’s that third-party care that costs a lot.”

KNXV Arizona, Food allergies vs. intolerance: what a dietitian says to know by Nohelani Graf — Nutritionists say there are a growing number of tests claiming to help figure out if you have a food allergy but they warn some could do more harm than good. Registered Dietitian Cathy Deimeke, at Mayo Clinic, says it boils down to knowing the difference between an allergy and an intolerance. Very basically, an intolerance makes you feel bad -- maybe an upset stomach or even severe cramps. An allergy will induce a physical reaction every time, like a rash, throat swelling and trouble breathing, and the reaction could kill you. Deimeke says 90 percent of allergies stem from eight foods: milk, eggs, wheat, soy, peanuts, tree nuts, shellfish and fish. While changing digestive tracks can allow kids to grow out of an allergy, the same can build an intolerance in adults.

KJZZ, How Telemedicine Could Be The Future Of Health Care In Arizona by Lauren Gilger — Last week, in front of the Arizona Senate Health committee, Dr. Bart Demaerschalk used his laptop to give lawmakers a closer look at the possibilities available in telemedicine — and it’s a little more high-tech than you might think. It was part of his live demonstration of the Mayo Clinic’s telestroke system, which has already been used in emergency rooms across rural Arizona. Demaerschalk was there to speak on behalf of Senate Bill 1089, a bill that aims to expand coverage of telemedicine in the state by allowing any health service that’s covered by an in-person insurer to be covered when it’s provided through telemedicine. Currently, state law only requires coverage of telemedicine in certain specialties.

Eau Claire Leader-Telegram, When a kiss is more than a kiss — Often referred to as the “kissing disease,” mononucleosis is a common ailment caused by the Epstein-Barr virus that is transmitted through saliva. While you can get the virus through kissing, you also can be exposed through a cough or sneeze, or by sharing cups or utensils with someone who is infected. According to the Centers for Disease Control and Prevention, up to 95 percent of people will be infected with the Epstein-Barr virus at some point in their lives, with approximately 1 in 4 people developing infectious mononucleosis, or mono. “Mono is very common and contagious, although not as contagious as some infections, such as the common cold,” says Dr. Tina Ardon, a family medicine physician at Mayo Clinic’s Florida campus. Additional coverage: Medical Xpress

Eau Claire Leader-Telegram, Wife, therapist working to make sure man doesn't lose his 'voice' — …Having problems finding the right words, Wayne went to see the couple’s internist at Mayo Clinic Health System in 2014. Doctors ordered testing, including an MRI and CT scan, and it was quickly determined Wayne had primary progressive aphasia, or PPA, which results from the deterioration of brain tissue important for speech and language. Before Wayne was diagnosed with PPA, neither he nor CeCelia had heard of the syndrome, which affects a person’s ability to communicate. People with PPA can have trouble expressing their thoughts and finding and understanding words, and they can lose the ability to speak, write and eventually understand written or spoken language, according to Mayo Clinic.

WKBT La Crosse, If you're thinking about getting pregnant, doctors want you to think about heart health first by Alex Fischer — Dr. Costa Sousou, the chair of the OB-GYN department at Mayo Clinic Health System in La Crosse, recommends coming in for a physical examination and a pre-conception consultation before getting pregnant. That way doctors can help you avoid the increased risk for heart trouble that comes with pregnancy. Dr. Sousou said the strain pregnancy puts on a heart can be especially dangerous for those who already have heart problems. "Pregnancy has an effect on the heart itself. With a normal pregnancy the cardiac output, or the amount of volume that's released by the heart, increases by 30% to 50% totally in the pregnancy. Along with that, the heart rate also rises as well," said Dr. Sousou.

WKBT La Crosse, Proposed parking benefit district proposal could provide extra funding for La Crosse neighborhoods by Jordan Fremstad — "Down the road, if the paid on-street parking works and it begins to generate revenue above and beyond our cost to operate parking in the city of La Crosse, what we are looking at is to be able to take some of that money and give it back to some of those neighborhoods," Flottmeyer said. If the paid parking pilot program works, they would like to expand paid parking to other crowded areas, like Viterbo University, Mayo Clinic Health System, Gundersen Health System and downtown.

Chippewa Herald, Mayo Clinic Health System to host ‘Stories from the Heart’ event — Mayo Clinic Health System in Eau Claire will host “Stories from the Heart” at 6 p.m. Thursday, Feb. 21, in the Luther Building Auditorium, 1221 Whipple St. Heart patients share their stories about the challenges and triumphs in dealing with heart disease. They also will answer audience questions along with a medical panel of Cardiac Center experts, including Andrew Calvin, M.D; Gloria Krueger, physician assistant, and Robert Wiechmann, M.D. WEAU 13 News anchor Judy Clark will emcee.

Chippewa Herald, Student’s brochure for Mayo Clinic focuses on healthy relationships by Pam Powers —Valentine’s may be a day when many think of chocolate hearts and flowers, but it is really a day about relationships. Caroline Allaback, a University of Wisconsin-Stout sophomore, has created a brochure that Mayo Clinic plans to make available for its 60,000 employees nationwide to remind them about the importance of nurturing healthy relationships.

WIZM-Radio, Mayo official acknowledges professional burnout is rising by Drew Kelly — Job fatigue among doctors in Wisconsin is higher than the national average. That’s what a study from the Wisconsin Medical Society shows which the organization says is alarming. A survey of over 1,000 doctors to find out their level of stress and fatigue over the job show that over half experience at least one symptom of burnout.  Tom Grau with Mayo Health System in La Crosse says the ever increasing load of electronic patient records is one factor. “It takes us away from face to face time with patients. They went into medicine because they want to take care of people. With the current system we’re spending more and more time on the computer, and it feels like clerical work.”

Austin Daily Herald, Special delivery: Mayo Clinic’s technology helped with birth by Hannah Yang — While a winter storm was raging outside on what was considered to be one of the coldest days in Minnesota history, Dayoni Hash of Blooming Prairie was fighting a storm of her own — going into labor. Her water had just broken, though she was seven weeks early from the due date. Weather conditions were rapidly deteriorating outside and an advisory was issued for the impending storm, meaning no ambulances were able to get to her house. Yet, the Austin native had to make the decision, along with her boyfriend Roger Loth, to make the drive to Mayo Clinic Health System in Austin to deliver their baby girl safely and to get the proper medical attention needed for the newborn. “The vehicle almost didn’t start,” Hash recalled of the night. “There wouldn’t have been ambulances that could’ve come to get us because of the weather. It would’ve been way worse.” Mayo Clinic Health System-Austin was prepared to receive Hash and her baby on that cold night. The hospital was short-staffed because of the weather conditions, but they were ready to give the best care they could to help with the emergency delivery.

Austin Daily Herald, Mayo Clinic Health System welcomes new family medicine provider in Austin — Mayo Clinic Health System – Albert Lea and Austin is pleased to welcome Jennifer Rivers, certified nurse practitioner, to the Family Medicine department. Jennifer received a Doctorate of Nursing Practice from Augsburg University in Minneapolis, Minnesota.

Fierce Healthcare, Clinic and Leidos announce strategic collaboration by Tina Reed — Mayo Clinic and Leidos have formed a strategic collaboration to accelerate research and development of tools, technologies and therapeutics, it was announced on Thursday. Reston, Virginia-based Leidos, which is a scientific engineering giant, will work with Rochester, Minnesota-based Mayo Clinic to build an ecosystem on Mayo Clinic's Florida campus in Jacksonville aimed at product development. They plan to identify, develop and commercialize products, services and solutions that will create significant value and positive impact for the healthcare industry, healthcare providers, patients and consumers, officials said. Additional coverage: MobiHealthNews, PoliticoMedCity News, HealthExec

Reader’s Digest, 30 Things Doctors Wish You Knew About Cervical Cancer by Denise Mann — An estimated 13,240 new cases of invasive cervical cancer were diagnosed in the U.S. in 2018, according to the American Cancer Society, and another 4,170 women died from cervical cancer last year. “These numbers should be much lower because we have a vaccine to prevent cervical cancer and a screening test that can catch it before it has spread,” says Kathy MacLaughlin, MD, a family medicine specialist at Mayo Clinic in Rochester, Minn.

HealthDay, Kidney Stones on the Rise Among Women by Mary Elizabeth Dallas — Kidney stones are becoming more common, especially in women, new research has found. Better diagnostic tools could be part of the reason for the steady rise in diagnoses, according to Mayo Clinic researchers. By using CT scans, "we are now diagnosing symptomatic kidney stones that previously would have gone undiagnosed because they would not have been detected," lead researcher Dr. Andrew Rule said in a Mayo news release. Rule and his colleagues analyzed the records of more than 7,200 residents of Olmsted County, Minn., who were diagnosed with kidney stones for the first time between 1984 and 2012. Additional coverage: Renal & Urology News

Consumer Reports, Do Sleep Apps Really Work? by Meryl Davids Landau — In addition to limited research and lack of government oversight, some experts worry that cell phones themselves can harm sleep, because people bring the devices to bed to check email and social media. So if you do use a sleep app, be sure to keep the phone face down so the light doesn’t bother you, and keep it in airplane mode so you won’t get calls or texts, says Brynn Dredla, M.D., a neurologist and sleep medicine specialist at the Mayo Clinic in Jacksonville, Fla. Additional coverage: MSN

Mindbodygreen, The Best Diet For Your Blood Sugar, According To Mayo Clinic Research by Gretchen Lidicker — For this particular study, scientists at the Microbiome Program, Center for Individualized Medicine at Mayo Clinic followed over 300 people for six days. They each ate a bagel and cream cheese for breakfast and then ate whatever they wanted for the rest of the day. The researchers collected stool samples from each participant, measured their glycemic responses to the foods they ate by having them wear a blood glucose monitor, and collected information about how much and what they ate and how often they exercised. The results showed that when the researchers considered only factors like carbohydrates or calories consumed, they were able to accurately predict blood sugar response 40 and 32 percent of the time, respectively. But when they used a new model they developed, which accounted for factors like age and the genetic differences in the bacteria living in the guts of the participants, they were able to predict blood glucose sugar responses accurately 62 percent of the time. When you consider how many people are suffering from diabetes, that number is huge.

Healthline, Only 28% of Americans Say They Have Easy Access to Healthy Foods by Brian Mastroianni — …Caitlin Terpstra, RDN, LD, a nutritionist at Mayo Clinic, echoed Hunnes’s thoughts. She said when people head to their grocery stores, they can be overwhelmed by signs. A single store may have a “health section” or signs that say “dietitian approved” and “superfoods,” among others. “How is a consumer to know what all these messages and health claims mean?” Terpstra, who is also not affiliated with the survey, told Healthline. “Especially when a consumer only has a limited time to get their groceries trying to decode these messages is not realistic.” Terpstra also pointed out that cost can be an issue for many consumers looking for healthy foods. “Another barrier is often consumers believe ‘fresh’ is the only option, and during certain seasons, fresh is not financially possible for many people due to produce not being in season,” Terpstra said. “Barriers to accessing healthy foods include: lack of transportation, finances, time in regards to store hours, weather, and food deserts and availability of nutrient-dense foods within a reasonable proximity.”

US News & World Report, What Causes Prostate Enlargement? by Ruben Castaneda — Most men have continued prostate growth throughout their lifetimes, according to the Mayo Clinic. In many men, this continued growth enlarges the prostate enough to cause urinary symptoms, like decreased urine flow. It's not entirely clear what causes the prostate to enlarge over time. It might be attributable to changes in the balance of sex hormones as men grow older, according to the Mayo Clinic.

Physician’s Weekly, Antidepressant Overprescribing Appears Common in Elderly — Potential antidepressant overprescribing appears to be common among elderly patients and involves mostly newer antidepressants used for nonspecific psychiatric symptoms and subthreshold diagnoses, according to a study published online Jan. 23 in Pharmacology Research & Perspectives. William V. Bobo, M.D., M.P.H., from the Mayo Clinic in Jacksonville, Florida, and colleagues used data from the Rochester Epidemiology Project medical records-linkage system to assess new antidepressant prescriptions for elderly residents of Olmsted County, Minnesota (2005 to 2012). Health records were reviewed to identify indications for the prescriptions.

Diversity Woman, The Joy of Walking by Linda Childers — If you’re hoping to lose weight or improve your health, don’t be surprised if your doctor says forget CrossFit or even jogging—instead, lace up your tennis shoes and go for a walk. Sure, we’ve all heard about the myriad benefits that come from being physically active, but it’s not easy to follow through. The Centers for Disease Control and Prevention reports that only half of all adults get enough physical activity to reduce their risk of chronic diseases…The best part is that walking is a universal physical activity that nearly everyone can do, says Karen Newcomer, MD, of the Mayo Clinic Sports Medicine Center in Rochester, Minnesota. “Running or going to a gym to work out can be intimidating for some people,” Dr. Newcomer says. “But regular brisk walking offers numerous health benefits.”

American Council on Science and Health Algorithms To Personalize The 'Best Diet' Are Not Yet Ready For Prime Time by Chuck Dinerstein — Dietary advice revolves around two approaches, fewer calories and or fewer carbohydrates. Caloric restriction reduces weight for nearly everyone; the same is frequently true for a diet lower in carbs and higher in protein. Their impact is more muted concerning those pre-diabetes markers, blood sugar, and Hg A1c. Part of the reason that the effect is not as pronounced as we predict and hope is that genetics, diet, microbiome, and lifestyle interact and vary for everyone. Think of it as an aggregation problem, where the average, in this case, our dietary advice, does not reflect the considerable variation in the sample, that would be the general population. A new study in JAMA applies technology and algorithms to the problem…I should note that the study was performed by Mayo Clinic in collaboration with the company developing the algorithm, DayTwo. Mayo Clinic has an equity position in that company so some might concern themselves with the integrity of their findings. Since the results are just OK, I think we can safely say that conflicts of interest had no role and that corporate “science” does not always report widely favorable results.

MedPage Today, Preventive Care Gets Short Shrift in Inflammatory Bowel Disease by Ashley Lyles — Patients with inflammatory bowel disease (IBD) often miss discussing preventive services with their clinicians, according to a study presented here. Discussions regarding vaccines happened with 45.3% of these patients based on chart review at a single center, reported Amanda Lynn, MD, of Mayo Clinic in Rochester, Minnesota, at the Crohn's & Colitis Congress…"Over a third of patients indicated symptoms of possible depression or anxiety on their intake forms, while only 10% of them had documented discussions regarding these symptoms," Lynn said.

MedPage Today, One-Size-Fits-All Models Don't Predict Postprandial Glucose Spikes by Kristen Monaco — A personalized approach to diet-based glucose control may be most effective for reducing hyperglycemia, researchers suggested. After normoglycemia individuals in the study ate the same food, the range of postprandial glycemic responses varied greatly, Helena Mendes-Soares, PhD, of the Mayo Clinic in Rochester, Minnesota, and colleagues reported in JAMA Network Open. Additional coverage: Medscape

Medscape, HEAT: Hydrogel Coil Superior to Standard Coil for Aneurysm by Pauline Anderson — Compared to receiving a standard platinum coil during an endovascular procedure, patients getting the second-generation hydrogel coil had a significantly lower rate of aneurysm recurrence, and had a similar level of adverse events, new research shows. "This study adds more credibility to the argument that gel coils result in less recanalization," study author Bernard R. Bendok, MD, Chair, Department of Neurological Surgery at the Mayo Clinic in Phoenix, Arizona, told Medscape Medical News. "This study suggests, strongly, that using gel coils likely results in better durability of treatment without increasing adverse outcomes."

Healio, Rose geranium oil may improve nasal symptoms associated with cancer-directed therapy — Rose geranium oil appeared to ease the symptoms of nasal vestibulitis — a common condition associated with cancer treatment — among a small cohort of women receiving breast cancer therapy, according to study results. “Nasal vestibulitis is a side effect of cancer drug treatment, and [it] is particularly common in people treated with taxane therapy,” Elizabeth Cathcart-Rake, MD, hematology-oncology fellow at Mayo Clinic in Rochester, Minn., said in a press release. “These drugs stop cell division to prevent tumor growth.”

Healio, Patients with IBD receive suboptimal preventive care consultations — Despite existing guidelines for preventive care in patients with inflammatory bowel disease, providers fell short of expectations in consultations at a tertiary care center, according to a presenter at the Crohn’s & Colitis Congress. “Many of our IBD patients are at higher risk of things like infections, specific malignancies, metabolic bone disease and mental health disorders not only as a product of the disease itself, but also the therapies employed. What’s important to remember about these is many of them are preventable,” Amanda Lynn, MD, a gastroenterology fellow at Mayo Clinic, Rochester, said during her presentation.

Healio, Humira safe, effective in Crohn’s through 6 years — Humira therapy helped improve both clinical and patient-reported Crohn’s disease outcomes for up to 6 years, according to study results published in Inflammatory Bowel Diseases. Edward V. Loftus Jr., MD, of the Mayo Clinic in Rochester, Minnesota, and Chief Medical Editor of Healio Gastroenterology and Liver Disease, and colleagues analyzed data taken from the PYRAMID registry, an international, postmarketing registry that assessed long-term safety and effectiveness of Humira (adalimumab, AbbVie). “For many of the biologics we prescribe, the FDA has mandated safety registries to track potential adverse events of therapies,” Loftus told Healio Gastroenterology and Liver Disease. “This paper was focused on effectiveness of adalimumab among the registry patients who were naive to adalimumab at baseline.”

Radiology Business, Providers need consensus guidelines for follow-up imaging after benign MRI-guided breast biopsies by Michael Walter — More consistent follow-up protocols after benign concordant MRI-guided percutaneous core needle biopsies (MR-PCNBs) could lead to better overall patient care, according to a case study published in the Journal of the American College of Radiology. “If radiologic-pathologic correlation is concordant with benign pathology, then patients may be recommended for imaging follow-up to confirm stability of imaging findings and to aid in early diagnosis of potentially false-negative results,” wrote Bhavika K. Patel, MD, Mayo Clinic in Phoenix, Arizona, and colleagues. “Studies have reported up to a 4 percent false-negative MR biopsy rate.”

Bustle, Do I Have Tinnitus? The Phantom Ringing Sensation Is More Common Than You Think by Emily Dixon — …You might also find sound therapy, or noise suppression, useful. The Mayo Clinic notes that white noise machines can help mask the phantom sounds you hear, while hearing aid-like masking devices can also minimise the noise. Alternatively, your doctor or specialist might recommend tinnitus retraining, which combines counselling with an in-ear device. The device will play specifically programmed sounds that mask your tinnitus, with the aim of reducing your focus on the symptom. Lastly, the Mayo Clinic recommends lifestyle adjustments that can minimise your tinnitus.

Bustle, What To Do If You Get Headaches Every Day, Because You Shouldn't Just Have To Suffer by Lauren Sharkey — Having a headache for 15 or more days each month — otherwise known as chronic headaches — is thought to affect between 1.7 and four percent of the world's adult population, the WHO reports. These kinds of headaches can last for hours and are split into four categories, reports the Mayo Clinic. "Chronic migraines" usually result in a throbbing sensation and moderate to severe pain. Nausea, vomiting, and sensitivity to light and sound are also common symptoms.

Idaho Press, Clinical trial offers hope for veteran and longtime firefighter to speak again by Riley Bunch — When William “Bud” Paine descended to the lower levels of the Naval Destroyer Escort to stand by on fire watch as welders took to maintenance of the ship, he was handed a canteen and a bandanna. His exposure to insulation material during his service led to a throat cancer diagnosis in 2001, a year of failed radiation treatment and the final option of removing his voice box in 2002….Hope to regain his voice again came by an ad for a new clinical trial on his Facebook feed last spring. The Mayo Clinic campus in Arizona is attempting to give individuals who have had their larynx removed — about 60,000 Americans — the chance to get it back by organ transplant or rebuilding their own with stem cells.

Philadelphia Inquirer, Nick Foles is 30. Carson Wentz is 26. How long can an athlete stay in top form? by Tom Avril —Nick Foles is less agile than Carson Wentz, and his arm is not as strong — two reasons football pundits cite for why the beloved backup quarterback will not be on the Eagles’ roster next season. A third difference between the two does not take an expert to appreciate. At age 30, Foles is four years older...“Something happens to people in their 30s,” said Michael Joyner, a physiologist and anesthesiologist at the Mayo Clinic. “If they train really hard, it will be their later 30s.”

Becker’s Hospital Review, 100 hospital and health system CIOs to know | 2019 Cris Ross. CIO of Mayo Clinic (Rochester, Minn.). Ross joined Mayo Clinic as CIO in 2012, where he oversees all IT functions for the health system, which employs more than 63,000 staff members. Mr. Ross also sits on the HHS Services Health IT Standards Committee and the Markle Foundation Connecting for Health steering committee. He has three decades of experience in health IT, previously serving as CIO of the CVS MinuteClinics and executive vice president and general manager of clinical operability at Surescripts.

Becker’s Hospital Review, 5 things to know about Mayo Clinic's at-home DNA-testing service, GeneGuide by Jessica Kim Choen — Rochester, Minn.-based Mayo Clinic has entered the direct-to-consumer DNA-testing market. More than 26 million people have already taken an at-home DNA test, according to a recent analysis by MIT Technology Review. The majority of these customers — nearly 90 percent — purchased tests from one of two industry giants in the direct-to-consumer genetic-testing space: 23andMe and Ancestry. However, new entrants to the market are increasingly interested in marrying the benefits of clinical consultation with a physician to the convenience of at-home testing.

Science Daily, More efficient system to reprogram stem cells — Induced pluripotent stem cells, the workhorse of many regenerative medicine projects, start out as differentiated cells that are reprogrammed to pluripotent stem cells by exposure to a complex set of genetic cocktails. Mayo researchers now report that using the measles virus vector; they've trimmed that multi-vector process with four reprogramming factors down to a single "one cycle" vector process. They say the process is safe, stable, faster and usable for clinical translation. The findings appear in the journal Gene Therapy. "If we're going to successfully use reprogrammed stem cells to treat patients in the clinic, we need to ensure that they are safe and effective, that is, not prone to the risk of mutation and potential tumors," says Patricia Devaux, Ph.D., Mayo Clinic molecular scientist and senior author of the article. "The measles virus vector has long been used safely at Mayo for treating cancer, so it is very safe. Now that we've combined a multiple-vectors process into one, it's efficient as well."

360 Dx, Mayo Clinic Labs, Numares Collaborate on NMR-Based Diagnostics — Mayo Clinical Laboratories and Numares said today that they are collaborating to develop clinical diagnostic tests that use nuclear magnetic resonance spectroscopy to detect cardiovascular disease, kidney disease, liver cancer, and other diseases.

MobiHealthNews, Disrupt or be disrupted by Laura Lovett — In fact, many health systems are looking at the emerging technologies as an opportunity. For example, the Mayo Clinic has employed social media to engage their patient. “If the care is perfectly good then it's not memorable, but if its bad it’s memorable then you have a bias but social media is starting to change that. When I say social media I use that broadly. I’m talking about Yelp reviews and all sorts of places that patients leave feedback about their hospitals,” he said.  “Mayo Clinic was one of the health systems that was one of the leaders in this area, that embraced those medias and outlets to control the narrative and engage with their patients. … [It] developed a center for social media where they teach these skills to other health systems that are willing to learn and to teach.”

Sleep Review, 4 Precautions to Take When Prescribing Opioids for Refractory Restless Legs Syndrome [Podcast] — Michael Silber, MB, ChB, of the Mayo Clinic College of Medicine and Science and an author of the new guidelines, told Sleep Review, “We’ve known for many years there is a percentage of patients with chronic restless legs who are refractory to other treatments, like dopamine agonists and alpha-2-delta ligands and a significant percentage of these patients benefit from opioids. The drugs have been studied for a while and in low doses are highly effective to manage restless legs.”

Faribault Daily News, Mayo, HealthFinders partner in women’s health care by Anne Kopas — Through an innovative and evolving partnership with HealthFinders Collaborative (HFC), Mayo Clinic Health System women’s health providers have discovered new solutions to provide improved care for Somali women. Kristina Rauenhorst, M.D., a women’s health physician in Faribault, became concerned that perhaps some of her Somali patients were not fully understanding the importance of prenatal care for pregnant women. Even with the use of an interpreter, she had concerns that miscommunications could become a barrier to building relationships with her patients and providing the best care possible. HealthFinders Collaborative, a community health center that provides medical care to underserved populations in Rice County, stepped in to help bridge the communication and culture gap. Bisharo Farah, a community health worker at HealthFinders and a native of Faribault, knew of misconceptions within the Somali community about the health care system and agreed to help.

Neurology Advisor, Migraine History Common in Patients With Spontaneous Coronary Artery Dissection — Many patients with spontaneous coronary artery dissection (SCAD), particularly those with depression and with SCAD-related chest pain, also have a history of migraine, according to a study published in the Journal of the American Heart Association. The records of 585 participants with SCAD confirmed by coronary angiography from the Mayo Clinic SCAD “Virtual” Multi-Center Registry were reviewed, in particular, participant-provided data and records for migraine history, risk factors, SCAD details, therapies, and outcomes.

Medical Design & Outsourcing, Long-term stroke risk cut by carotid surgery or stenting by Nancy Crotti — As many as 100,000 people in the United States undergo either carotid endarterectomy to remove built-up plaque or stent placement to improve blood flow and prevent stroke, according to the Mayo Clinic. The typical patient with a narrowed carotid artery is 70 years old. Life expectancy is another 16 years for women and another 14 years for men. Published in Lancet Neurology, the study followed 4,754 patients in 19 countries. Those patients, who were participants of previous studies comparing the two procedures, had been assigned randomly to undergo endarterectomy or stenting. One of those studies was the Carotid Revascularization Endarterectomy vs. Stenting Trial (CREST), led by Mayo Clinic. Another was the International Carotid Stenting Study, led by University College London. “This was the largest study to date comparing the efficacy and durability of carotid surgery and carotid stenting,” said first author Thomas Brott, M.D., a neurologist on Mayo Clinic’s Florida campus, in a prepared statement. “We found the likelihood of having a stroke on the same side where treatment was performed — even years later — to be remarkably low.”

Next Avenue, How Mindfulness May Reduce Menopausal Symptoms by Edie Grossfield — Have you taken a few minutes lately to stop what you’re doing, unplug from your electronic devices and just focus on your breathing? If you’re a woman who is going through menopause or will be in the near future, this basic, beginning practice of mindfulness could help you reduce menopausal symptoms, according to a recent Mayo Clinic study. In the study, recently published in Climacteric: The Journal of the International Menopause Society, Mayo researchers found that women with a high level of mindfulness had fewer menopausal symptoms. This was true both for the psychological symptoms, such as depression and anxiety, as well as physical symptoms, like hot flashes and bladder issues — although there was a much stronger correlation with the psychological symptoms. The research also found a correlation between lower stress and fewer menopausal symptoms. The study involved 1,744 women age 44 to 65 who received care at Mayo’s Women’s Health in Clinic in Rochester, Minn.

MobiHealthNews, Lessons learned from Mayo Clinic's 'interactive care plan' rollout by Dave Muoio — A patient’s care often extends beyond the time spent within the hospital itself. Unfortunately, even the best efforts of a care team to craft and communicate a long-term health management plan is subject to a raft of pitfalls that, ultimately, can hinder patients’ adherence and outcomes. “[Care plans] are often fragmented, less collaborative and less conversational than we’d like them to be, and it also creates a setting where those involved aren’t aware of what others are doing or even what they should be doing,” Kaley Johnson, principal business analyst at the Mayo Clinic, said during a presentation. “From this problem emerged our vision of how we can increase patients’ participation in their care, support that collaboration between care teams and extend Mayo Clinic’s knowledge, expertise and best practices beyond our walls.

Health Imaging, Surveillance imaging after MRI-guided breast biopsy varies by institution, radiologist by Melissa Rohman — Imaging follow-up protocols vary greatly by institution and radiologist after benign, concordant MRI-guided percutaneous core needle biopsies (MR-PCNB), according to research published online Feb. 7 in the Journal of the American College of Radiology. Because no consensus guidelines for imaging follow-up protocols after benign concordant MR-PCNB exist, conflicting data and unclear management guidelines can lead to variability in radiology practices and uncertainty among breast radiologists and their patients, wrote lead author Bhavika K. Patel, MD, of the Mayo Clinic in Phoenix, and colleagues.

Repubblica, Celiachia: nuovo esame del sangue per la diagnosi – Secondo uno studio americano della Mayo Clinic un nuovo test potrebbe presto evitare la biopsia duodenale per far diagnosi di celiachia nel paziente adulto e per monitorare la guarigione in corso di dieta priva di glutine.

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.

Editors: Emily BlahnikKarl Oestreich

Tags: Alexa, alzheimer's disease, Amy Klobuchar, Barney Barnhart, black history month, blood sugar, Carson Wentz, Cathy Deimeke, cholla cactus, CREST, Criss Ross, Donna Marathon, Dr Bart Demaerschalk, Dr. Alva Roche-Green, Dr. Bhavika K. Patel, Dr. Bruce Levy, Dr. Carrie Schinstock, Dr. Costa Sousou, Dr. Eric Steidley, Dr. Hannah Miller, Dr. Heidi Nelson, Dr. James Kirkland, Dr. Janet Olson, Dr. John Noseworthy, Dr. Kristina Rauenhorst, Dr. Liewei Wang, Dr. Maisha T. Robinson, Dr. Michael Joyner, Dr. Michael Silber, Dr. Nicholas Chia, Dr. Patricia Devaux, Dr. Prashanthi Vemuri, Dr. Purna Kashyap, Dr. Richard Casselli, Dr. Sandhya Pruthi, Dr. Sharonne N. Hayes, Dr. Sophie Bakri, Dr. Stephen Kopecky, Dr. Thomas Brott, Dr. Tina Ardon, Eagle Center, flu shot, food allergies, GeneGuide, gut bacteria, handwashing, headaches, HealthFinders, heart attack, heart transplant, Kadie Neuharth, Kaley Johnson, kidney donation, Laquita Barnhart, laryngeal transplant, Laura Lee Jensen, living donation, macular degeneration, Mary Gusky, medical tourism, menopause, Microbiome., migraine, mindfulness, Mono, Nick Foles, nuclear medicine, Numares, organ transplant, Personalized medicine, precision medicine, pregnancy, restless legs syndrome, Robert Taylor, SAD, SCAD, seasonal affective disorder, Senolytics, Sports Medicine, statins, stem cells, stroke, Susan Lucci, tinnitus, Uncategorized, UnitedHealth, Yellowstone

Contact Us · Privacy Policy