August 16, 2019

Mayo Clinic in the News Weekly Highlights for August 16, 2019

By Emily Blahnik

Wall Street Journal, Deals Give Drugmakers Rights to DNA Data by Melanie Evans — Deals between drugmakers and hospital systems to mine the genetic profiles of hospital patients are triggering concerns over the control of valuable genetic data. Drugmakers have been spending hundreds of millions of dollars for access to patient information because of the data’s potential to help unlock disease insights and discover new drugs. They are striking deals to sequence patients’ genetic code, including with hospital systems like Geisinger in Pennsylvania, Mount Sinai Health System in New York and Mayo Clinic in Minnesota…Agreements generally bar hospitals from sharing data with other companies, or the drug companies from sharing data with hospitals’ rivals, according to interviews with drug-company and hospital officials involved in the deals. “They didn’t want us giving data to their competitors,” said researcher Dr. James Cerhan of the Mayo Clinic, which will sequence 100,000 patients under an agreement with Regeneron Pharmaceuticals Inc.

Advisory Board, 5 years ago, Mayo Clinic made 3 huge bets. Are they paying off? by Jackie Kimmell — In 2014, Mayo Clinic celebrated its 150th anniversary—a moment when the storied health system might have been expected to rest on its laurels, or at least to double down on its historical strategy. Mayo's then-CEO, John Noseworthy, decided on a very different approach. In a commentary published at the time, he shared a striking vision of the health system's future in 2020. While emphasizing Mayo's continued commitment to its core values, he announced three strategic bets that seemed unexpected and risky—especially compared to the usual hospital growth playbook…

STAT, Five things I wish I knew earlier in my journey with chronic pain by Tom Bowen — Here are five things I wish I had known earlier in this journey, much of which I learned while attending a three-week outpatient program at the Mayo Clinic Pain Rehabilitation Center in 2012 and again in 2018. Each of these would have made my journey easier and might help others living with chronic pain.

Associated Press, Virginia health officials find 7 sites with Legionella germs — Virginia health officials say they’ve found the bacteria that causes Legionnaires’ disease at seven locations in one county, including schools and a hospital. The Richmond Times-Dispatch reports health officials have been scouring sites in Chesterfield County following 10 recent cases of Legionnaires’ disease among older adults and people with underlying medical conditions. Legionnaires’ disease is a severe type of pneumonia. The Mayo Clinic says it can be treated with antibiotics and most people contract it by inhaling the germs. Health officials say they usually see about three cases each summer.

Post-Bulletin, Heard on the Street: Williams joins Mayo's board of trustees by Jeff Kiger — At its quarterly meeting on Friday, the Mayo Clinic Board of Trustees elected Williams to replace Dr. Heidi Nelson, who recently left Mayo Clinic. Nelson was the first female surgeon at Mayo Clinic. Williams, who started at Mayo Clinic 1990, is the chairwoman of the Department of Medicine. She is also a member of the Mayo Clinic's Executive Operations Team, the executive committee of the Center for Regenerative Medicine and a leadership team orchestrating Mayo Clinic’s 2030 strategic plan.

Post-Bulletin, Family Time: Suffered a loss? Introduce your kids to 'supportive listening' by Lindy Lange — Healing Adventures Camp offers a helping hand and a listening ear to kids who have experienced the death of a loved one. Organized by Mayo Hospice, the no-charge-to-families day camp is open to kids ages 6 to 17 and starts with a visit from a furry friend. “Kids and parents can be anxious coming to camp. Our therapy dogs (provided by Caring Canines and Mayo Clinic Hospice pet therapy volunteers) are there to greet them with a friendly face,” said Amy Stelpflug, volunteer coordinator, Mayo Clinic Hospice. “They are available to give a hug, to help with the transition.”

Post-Bulletin, Mayo will send 100K DNA samples to drug maker by Jeff Kiger — Mayo Clinic's Biobank is preparing to start sending the genetic code of 100,000 patients to a private drug maker as part of an "exchange." The agreement, signed in June, is with Tarrytown, N.Y.-based Regeneron Pharmaceuticals. Mayo Clinic has promised to process 100,000 patient blood samples, prepare the DNA and ship them to Regeneron for sequencing, according to Dr. Keith Stewart. Stewart is the medical director for the Mayo Clinic Center for Individualized Medicine. Regeneron is a 31-year-old drug maker that posted revenue of $1.93 billion for the second quarter of 2019. It produces a wide variety of drugs. It's currently in the news for working on an experimental treatment for Ebola. Like Mayo Clinic, the Geisinger Health System in Pennsylvania has a similar DNA-sharing agreement with Regeneron. Additional coverage: Becker’s Hospital Review

Post-Bulletin, Our view: Thumbs up, thumbs down — Thumbs up to Two Discovery Square: With One Discovery Square just about ready for occupancy by a mix of innovative bio-tech-related firms, plans have been filed for Two Discovery Square to be built. The new building, five stories tall, will be adjacent to One Discovery Square. The entire project is part of Destination Medical Center's Discovery Square sub-district. The intent is for firms in Discovery Square to use the proximity to Mayo Clinic as an incubator and generator of new ideas. The list of tenants in One Discovery Square so far includes Boston Scientific, Royal Philips from Amsterdam, and Epic Systems.

KROC-Radio, New contract, new buses for mayo clinic employee shuttle service by Kim David — Busses began showing up on Rochester streets last month that not only looked different from others operating in the city. They also marked a change in a longtime Mayo Clinic transportation contract. Clinic spokesman Dan Pulford says Mayo decided to contract with Groome Transportation for its employee shuttle service, ending a relationship with First Student that dated back to the 1980s. The new contract took effect July 1st and Groome’s white, low riding buses were introduced to the city. Pulford says the busses are a bit smaller than the First Student vehicles but are more accessible for those with mobility issues.

Star Tribune, Let's invest in alternatives to mining for northeastern Minnesota by Michael Paymar — …In 2013, when the Mayo Clinic was hinting that further expansion would occur outside of Minnesota, the state determined there was a compelling interest to make public investments in the Rochester area. The Destination Medical Center (DMC) was created. A public and private investment of $5.6 billion is to be directed to the Rochester area over a 20-year period. These investments are expected to provide dramatic growth with a promise of 35,000 new jobs. PolyMet is promising 350 jobs. While not an apples-to-apples comparison, a future DMC-like investment could be made on the Iron Range in exchange for permanently abandoning sulfide mining.

Star Tribune, With kale and tai chi, Minnesota hospitals try a new way to keep patients healthy by Jeremy Olson — Large or small, broke or flush, almost every hospital in the state has invested in a strategy known as “population health” to identify and address the problems keeping patients from optimal health. The projects range from large-scale investments, such as wellness centers created by Mayo Clinic in Cannon Falls and CentraCare in Long Prairie, to web apps that nudge patients to make healthier choices.

Pioneer Press, Minnesota woman who crochets to help the homeless hospitalized, awaits transplant by Mary Divine — After helping thousands of homeless people keep warm through the years, Elizabeth Sammons now finds herself needing help. Sammons is the Lonsdale, Minn., woman who has crocheted and collected scarves — more than 2,500 — and given them all away. Sammons, who was born with a heart defect and suffered heart failure at age 25 in 2009, started her scarf project while recovering from a heart transplant in June 2015. She calls it Crocheting with a Cause. Now, Sammons is back at the Mayo Clinic in Rochester for a second heart transplant and a kidney transplant. She’s been in the hospital for more than a month awaiting a donor match. After the transplant surgery, she’ll need to remain in the hospital for three weeks and in Rochester for three months, she said. Additional coverage: MSN

Jacksonville Daily Record, Mayo Clinic adding $34 million parking garage — More parking is coming to Mayo Clinic. The city issued a permit Wednesday for Batson-Cook Co. to build a 1,000-space, five-level parking garage at the 4500 San Pablo Road S. campus. The job cost is $34 million and will include retail space. Mayo Clinic announced in September the garage will be built next to the Cannaday Building and be completed in 2020.

ASU, New ‘liquid biopsy’ blood test improves breast cancer diagnostics — A new type of blood test for breast cancer could help avoid thousands of unnecessary surgeries and otherwise precisely monitor disease progression, according to a study led by the Translational Genomics Research Institute (TGen), Mayo Clinic in Arizona and the Biodesign Institute at Arizona State University. TGen is an affiliate of City of Hope, which contributed to this study along with Cambridge University… “This data represents an exciting strategy to improve the sensitivities of liquid biopsies, which have been challenging for breast cancer,” said Karen Anderson, a researcher at the Biodesign Institute, a medical oncologist at Mayo Clinic Arizona and one of the study’s contributing authors. “This work represents highly collaborative efforts across multiple institutions, and with the generosity and foresight of our patients who have contributed to this study.” Additional coverage: Forbes, Fierce Biotech

KJZZ-Radio, TGen Develops Personalized Liquid Biopsy To Monitor Breast Cancer by Nicholas Gerbis — A woman living in the U.S. has a 1-in-8 chance of receiving a breast cancer diagnosis in her lifetime, according to the American Cancer Society. Now, the Translational Genomics Research Institute, or TGen, has developed a liquid biopsy called "targeted digital sequencing," or TARDIS, to better monitor the disease. Mayo Clinic in Scottsdale, Arizona State University's Biodesign Institute and TGen's parent institute, City of Hope, also contributed to the research, as did the University of Cambridge.

Mankato Free Press, Prevent injuries by cross training by Michael Hendel — Cross training simply means doing different types of exercise and can be as simple as switching between activities throughout the week. Doing so can help prevent injuries by giving your muscles and joints a break. When you do the same exercises over and over, you can overuse a particular muscle or joint, leading to injury. By varying your routine, the work is spread among different parts of your body. This helps keep you balanced by strengthening muscles and joints that might not be used if you stuck to just one activity. — Michael Hendel, M.D., is an orthopedic surgeon with Mayo Clinic Health System in Mankato.

Mankato Free Press, Tug of war kicks off United Way campaign — The Mayo Clinic Health System in Mankato team pulls during a tug-of-war competition Wednesday to start the Mankato Area United Way’s fundraising campaign at the Mankato Civic Center Grand Hall. This year’s campaign aims to raise $2,060,000 to help 55 organizations.

WKBT La Crosse, YMCA teams up with Mayo Clinic Health System to limit student athlete injuries by Alec Giannakopoulos — Matt Burnette was practicing basketball last winter when his knee tried to tell him something..."If you ignore those things and if you continue to train and push through the pain, those small problems can become much larger problems," said Director of Sports Medicine Research for Mayo Clinic Health System, Andrew Jagim.  Starting a young athlete training properly according to Jagim is the key to a healthy athletic career.  "As someone who is an old athlete I wish I had learned that information before because I had more injuries and issues that I probably would have had if I had gotten the proper care and attention early on." 

La Crosse Tribune, Tribcast: How to avoid sports-related injuries at school — Tribcast episode 33: Mayo Clinic back-to-school miniseries - avoiding sport related injuries.

Harvard blog, Want a sharp mind, strong memory? Ramp up activities by Andrew E. Budson, M.D. — A recently published study from researchers at the Mayo Clinic followed 2,000 cognitively normal men and women age 70 or older for about five years. Participants filled out surveys regarding their engagement in five common mentally stimulating pursuits –– social activities, reading books, playing games, making crafts, and using a computer –– in midlife (between ages 50 and 65) and in late life (ages 70 and above). The researchers also performed face-to-face evaluations every 15 months. These evaluations included a neurologic interview and exam, detailed history of their abilities at home and in the community, and neuropsychological testing for memory, language, visuospatial skills, attention, and executive function.

Outside magazine, Is It More Important to Run Faster or Run Longer? by Alex Hutchinson — In practice, I think the urge to crown one single variable as the most important probably isn’t very useful. It reminds of me an an example Mayo Clinic physiologist Michael Joyner sometimes cites: the final of the men’s 5,000 meters at the 1964 Tokyo Olympics. The race was won by Bob Schul, who trained pretty much exclusively with twice-a-day interval workouts. The runner-up was Harald Norpoth, who relied on well over 100 miles a week of long, slow distance. Bronze went to Bill Dellinger, who later coached at the University of Oregon and did a mix of intervals and longer, slower runs. Exactly one second separated the three men. As a bonus, also in the race was Ron Clarke, who did mostly medium-paced runs that we would now call threshold training.

TCTMD, AHA Outlines Diagnosis, Treatment Options for Underrecognized Critical Limb Ischemia by Caitlin E. Cox — CLI is “a debilitating disease with increased mortality in the first year of diagnosis, greater than what we see for coronary artery disease,” said writing group chair Sanjay Misra, MD (Mayo Clinic, Rochester, MN). Still, “healthcare providers in the cardiovascular space really don’t understand the importance of it and are really missing an opportunity to help patients.” The scientific statement is aimed broadly at clinicians taking care of patients who might be at risk for developing vascular disease. “I think there will be something there for everyone,” said Misra, who stressed to TCTMD that the document stemmed from a multidisciplinary, team effort.

Physics World, Artificial intelligence helps detect atrial fibrillation — “Atrial fibrillation is an arrhythmia where the atrium, or top chamber of the heart, loses its coordinated contractual activity and instead quivers, because the electrical impulses is changed in the way it course through the atrium,” explains Peter Noseworthy of the Mayo Clinic. “So, the top chamber beats irregularly and it causes the bottom chamber, the ventricle, usually to beat fast and irregularly, which can be bothersome, but most importantly it predisposes people to risk of stroke.” He adds that atrial fibrillation can be caused by many conditions, such as valvular heart disease, sleep apnoea and hypertension, but often doesn’t have a clear underlying cause. Additional coverage: Times of India, Medscape

Becker’s Hospital Review, Mayo Clinic invests in breast cancer imaging AI by Andrea Park — Rochester, Minn.-based Mayo Clinic has entered into a collaboration with Imago Systems, a Lansdowne, Va.-based software company using artificial intelligence for the early detection of abnormalities in imaging data. Under the multiyear agreement, Mayo Clinic will provide financial backing to help Imago develop technology for breast imaging analysis. Additionally, Mayo Clinic researchers will lead and participate in clinical studies to validate the software, which aims to detect early-stage breast cancer in mammograms and other imaging data. Imago's technology uses AI algorithms to uncover more information and insight from traditional grayscale images. The software does not require any additional radiation exposure, and therefore has the potential to be a safe and effective method for improving the diagnostic abilities of radiologists and clinicians, according to Thomas Ramsay, Imago's chairman and CEO. Additional coverage: HIT Consultant

Study International, Is it time for medical schools to incorporate climate change education —The Mayo Clinic is also starting discussions this month on how to integrate the topic into its medical school’s curriculum, reported WSJ. There are challenges to adding climate change education into the medical curriculum, including a lack of expertise in the topic. Despite that, advocates of climate-change education believe health care providers must be trained to prevent, detect and treat conditions that may rise or emerge in new places as the climate changes.

Multiple Sclerosis News Today, Need to Know: What Is Foot Drop and What Can I Do About It? by Tamara Sellman — Surgical procedures. The Mayo Clinic suggests that for enduring problems with foot drop, a bone-fusing or tendon transfer surgery might be effective. Neurological procedures might be useful in people with new but severe symptoms.

Psychology Today, When the State Directs Pregnant Women's Treatment Decisions by Ann Diamond Weinstein, Ph.D. — A recent report published in the Journal of the American Medical Association (2019), reviewed the statutes of 50 states and the District of Columbia governing treatment decisions for incapacitated pregnant women in the United States. Erin DeMartino, MD, a pulmonary and critical care physician at the Mayo Clinic and lead author of the report states, "It would come as a great surprise to many people that there's a medical condition in which women's control of their own health destiny is taken away by the state... That fact is not well-communicated in official state advance directive documents, which the patient fills out in good faith."

Sleep Review, Investigating Personalized Nutrition for Sleep Disorders — Personalized nutrition company Viome and the Mayo Clinic are collaborating to better understand the role of nutrition in disease and to explore the potential of Viome’s artificial intelligence (AI)-driven personalized diets in helping manage sleep disorders such as sleep apnea and obesity. he study will focus on measures of obesity (including body fat percent), metabolism (HbA1c), and sleep. The teams will leverage Mayo Clinic’s medical expertise and Viome’s proprietary microbiome analysis platform. Together, they will enable a better understanding of how nutrition affects chronic diseases and explore the effectiveness of personalized nutrition as a strategy to help in treatment, and possibly even prevention, of these diseases.

KFGO-Radio, Obesity, belly fat tied to early death among Mexicans — Dr. Jose Medina-Inojosa, a cardiologist at the Mayo Clinic in Rochester, Minnesota, who was not involved in the study, told Reuters Health by email, " Having a big belly is likely the consequence of inactivity, spending too much time sitting down, a diet that is high in processed foods and sugars. The waist measurements used in this study are also a marker of increased visceral fat (fat around your organs) that has been linked to increased inflammatory markers and incidence of cardiovascular diseases."

Sarasota Herald-Tribune, Review finds no supplement mends the heart — Which dietary supplements should you take to improve heart health? The answer may be none. Research published in Annals of Internal Medicine shows that many supplements do not reduce your risk of heart disease. Dr. M. Hassan Murad, a Mayo Clinic preventive medicine specialist, is a co-author of the study. “There’s really no supplement that can prevent heart disease at the present time,” says Murad. He and the research team analyzed 277 studies and found that supplements such as multivitamins, as well as vitamins E, D and B, don’t improve heart health.

Mass Device, New building on the way for innovation campus near Mayo Clinic — Developer M.A. Mortenson Co. has filed plans for a five-story, 121,295-square-foot Two Discovery Square — the second building for the innovation campus next to Mayo Clinic in Rochester, Minn., the Rochester Post Bulletin reports. Mortenson and the Destination Medical Center project office didn’t provide additional details to the newspaper.

Global News, Family therapy can make you feel ‘validated.’ Here’s what to expect by Arti Patel — …According to the Mayo Clinic, sessions can last about 50 minutes to an hour and family therapy is often short-term. Within the sessions, families (or couples) are guided on how to express their thoughts and emotions and solve problems in a productive manner.

Yahoo! Lifestyle, 13 calming anxiety quotes to remember when you're feeling overwhelmed by Anna Sheffer — Living with chronic anxiety is an isolating, stress-filled experience. Even though millions of Americans are living with some form of anxiety, it can be a struggle to feel understood when your fears spiral out of control. And it’s not just about feeling worried or nervous; anxiety disorders affect every aspect of daily life for those living with them—from work to relationships to self-esteem. They can have physiological side effects as well. As the Mayo Clinic notes, these mental illnesses can cause gastrointestinal distress, sweating, increased heart rate, and difficulty sleeping.

SELF, Here’s When Hair-Pulling, Skin-Picking, or Nail-Biting Becomes a Disorder by Anna Borges — Trichotillomania, also known as hair-pulling disorder: This is when people compulsively pull out hair from their scalps, eyelashes and eyebrows, pubic areas, or other parts of their bodies, according to the Mayo Clinic. While a habit of overplucking your eyebrows might lead to your brows looking more like cousins than sisters, someone with trichotillomania who pulls at their eyebrows is more likely to wind up with sparse, patchy brows. Trichotillomania doesn’t always lead to bald patches, though.

Bustle, Why Is My Arm Asleep? 6 Reasons Your Limbs Go Numb When You're Sleeping by Kristine Fellizar — 6. Carpal Tunnel Syndrome: Carpal tunnel syndrome is a condition that can cause numbness and tingling in the hands and arms. According to the Mayo Clinic, it's typically caused by a compressed nerve that runs through the wrist. There are several different things that can cause carpal tunnel such as repetitive use of the same hand and wrist movements, injury, genetics, and the positioning of your hand and wrist.

Bustle, What Causes Celiac Disease? New Research Says Gluten Exposure Might Be A Factor by Nylah Burton — According to the Mayo Clinic, gluten is a protein found in wheat, barley, and rye. So some of your favorite foods and drinks — mac and cheese, pizza, pastrami sandwiches, beer, etc. — likely all have gluten in them. Celiac disease causes your small intestine to have an immune response to gluten, and symptoms can range from diarrhea, fatigue, weight loss, bloating and anemia, according to the Mayo Clinic.

OncLive, Dr. Tan on Imaging Modalities in Prostate Cancer — Winston Tan, MD, hematologist/oncologist, Mayo Clinic, discusses imaging modalities in prostate cancer. Access to conventional imaging tools versus some of the more sensitive imaging modalities varies from institution to institution, says Tan. Most academic centers have access to PET scans and MRIs, whereas those who practice in smaller towns may only have access to computed tomography scans and bone scans.

Medscape, Decision Aid Improves Management of Febrile Neutropenia by Pam Harrison — A clinical decision aid developed by the Mayo Clinic helps improve adherence to best practice guidelines for the management of febrile neutropenia (FN) in patients with cancer, new research shows. "Compliance with FN guidelines improves the effective use of antimicrobials but the suboptimal rate of adherence to guidelines at many institutions results in poor antimicrobial stewardship practices, larger pharmaceutical expenses, and negative patient care outcomes," observe the authors, led by John O'Horo MD, MPH, Mayo Clinic, Rochester, Minnesota.

Healio, Intensive diabetes therapy increases hypoglycemia hospitalization rates — Use of intensive glucose-lowering agents to treat patients with diabetes and lower HbA1c may be leading to more instances of hypoglycemia that require hospital visits, according to findings published in Mayo Clinic Proceedings. “It is important to call attention to the persistent problem of intensive treatment, and potential overtreatment, of clinically complex patients with diabetes,” Rozalina G. McCoy, MD, MS, an associate professor of medicine in the division of community internal medicine of the department of medicine at Mayo Clinic in Rochester, Minnesota, told Endocrine Today. “While it is very important to ensure that our patients with diabetes receive the care that they need and do not develop short-term and long-term complications of diabetes, we also do not want to overtreat and cause health problems stemming from hypoglycemia.”

Healio, VIDEO: Focus remains on safe endoscope reprocessing — In this exclusive video from GI Outlook 2019, Bret T. Petersen, MD, from the Mayo Clinic in Rochester, Minn., discusses the safe and adequate reprocessing of endoscopes. “Since 2015, much of our field has been focused on the need to attend to adequate endoscope reprocessing to avoid further outbreaks like those we’ve seen in multiple major centers from duodenoscopes,” Petersen told Healio Gastroenterology and Liver Disease. “The advice at the present time hasn’t changed greatly, in that we’re still emphasizing the importance of attending to pre-cleaning, cleaning, high-level disinfection, adequate drying and appropriate storage.”

Metro UK, Is it safe to do cardio when you’re pregnant? by Natalie Morris — …What about the rule about your heart rate not going above 140BPM? ‘This rule was specified many years ago but has now been disproved, with The Mayo Clinic stating: “If you exercised regularly before pregnancy, there’s no need to focus on your heart rate for exercise during pregnancy”. ‘When pregnant, your resting heart rate (RHR) is raised, therefore likely to be higher during exercise, so the heart rate monitors on cardio machines do not provide an accurate reading of intensity.’

Express UK, Dementia symptoms: Are you at risk? Risk factors of developing vascular dementia by Katrina Turrill — Vascular dementia is the second most common type of dementia after Alzheimer’s disease, affecting around 150,000 people in the UK, according to the NHS. This type of dementia is caused by a reduced blood flow to the brain, which damages and eventually kills the brain cells. But who’s most at risk of this happening? The Mayo Clinic lists nine risk factors of vascular dementia.

Qué Pasa Magazine, ¿Por qué es importante dejar de fumar tras un diagnóstico de cáncer? — Aliente a su familiar a seguir el consejo del oncólogo respecto a dejar de fumar. Dígale que usted le ayudará en el esfuerzo y que el equipo de atención médica también estará allí para apoyarle. Dejar de fumar le aportará beneficios significativos para la salud, tanto ahora como durante el tratamiento contra el cáncer y después del mismo. — Médico del Centro para Dependencia a la Nicotina de Clínica Mayo en Rochester, Minnesota.

Infobae, Cómo el avance de la terapia de protones está mejorando la sobrevida de los pacientes afectados por cancer — Así lo informó a Infobae la doctora Anita Mahajan, investigadora de la Clínica Mayo, en Estados Unidos, durante su paso por Buenos Aires para un taller sobre el avance de la terapia de protones. "Con la terapia de protones, podemos tratar al cáncer sin dejar secuelas en la vida posterior de los pacientes"

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Editors: Emily BlahnikKarl Oestreich

Tags: Amy Stelpflug, anxiety, artificial Intelligence, backpacks, belly fat, Breast Cancer, cardio, carpal tunnel syndrome, celiac disease, chronic pain, climate change, cross training, dementia, destination medical center, diabetes, Discovery Square, DMC, DNA, Dr. Amy Williams, Dr. Andrew Jagim, Dr. Bret T. Petersen, Dr. Erin DeMartino, Dr. James Cerhan, Dr. John O’Horo, Dr. Jose Medina-Inojosa, Dr. Keith Stewart, Dr. M. Hassan Murad, Dr. Michael Hendel, Dr. Michael Joyner, Dr. Rozalina G. McCoy, Dr. Sanjay Misra, Dr. Winston Tan, Elizabeth Sammons, family therapy, Healing Adventures, hypoglycemia, Imago, Legionella, Liquid Biopsy, Mayo Clinic Proceedings, medical school, Obesity, organ transplant, pregnancy, prostate cancer, Regeneron, sleep disorders, sports injuries, TGen, trichotillomania, Uncategorized, United Way, Wellness

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