August 30, 2019

Mayo Clinic in the News Weekly Highlights for August 30, 2019

By Emily Blahnik

New York Times,This Daily Pill Cut Heart Attacks by Half. Why Isn’t Everyone Getting It? by Donald G. McNeil Jr. — The trial was conducted in the “Golestan Cohort,” a group of more than 50,000 Turkmen-speaking people currently enrolled in cancer studies administered by Iranian researchers in coordination with the W.H.O. and the National Cancer Institute. Dr. Rekha Mankad, director of the Women’s Heart Clinic at the Mayo Clinic in Minnesota, who was not involved in the Iran study, said it had some flaws, including early problems with how clusters were chosen and the fact that each cluster inevitably included some people already on heart-disease medication. Nonetheless, she said, the overall study was well-designed and she particularly praised the fact that half the participants were women. “And,” she added, “the adherence rate was fantastic.”

NBC News, Ruth Bader Ginsburg underwent treatment for tumor on pancreas, Supreme Court says by Adam Edelman — Supreme Court Associate Justice Ruth Bader Ginsburg recently underwent a fresh round of treatment for a cancerous tumor on her pancreas, the high court said in a statement Friday…"A three-week course of radiation for pancreas cancer is moving into the standard of care," said Dr. Kenneth Merrell, a radiation oncologist at the Mayo Clinic in Rochester, Minnesota. Merrell has not treated Justice Ginsberg. "We are finding that this is a very tolerable course of treatment with little impact on the patient's quality of life," Merrell told NBC News. Additional coverage: KVOA Tucson

Boston Globe, Here’s what blood clots in the lungs can do, according to the Mayo Clinic by Martin Finucane — New England Patriots center David Andrews has been released from the hospital after being treated for blood clots in his lungs, a league source has confirmed to the Globe’s Jim McBride. There are no further details available on the durable Patriots mainstay’s condition, but McBride reports that the clots could put his season in jeopardy. Blood clots in the lungs typically begin in the deep veins of the legs. When they reach the lungs, they create dangerous blockages, or pulmonary embolisms, according to the Mayo Clinic. Additional coverage: Washington Post

STAT, Medical education needs to stop burning out students — now by Augustine M. K. Choi — In a 2014 study from the Mayo Clinic and Stanford University, more than half of all U.S. medical students had symptoms of depression, and 56% reported themselves to be burned out. The same study found that medical students were two to five times more likely to have clinically significant depression than similarly aged college graduates pursuing other careers. Indeed, a 2016 meta-analysis showed that the rate of depression in medical students in 47 countries was 27%, far higher than rates in the general population.

STAT, Artificial intelligence for medicine needs a Turing test. Obesity would be a good one by Michael J. Joyner — If you read high-profile medical journals, the high-end popular press, and magazines like Science or Nature, it is clear that the medicalization of artificial intelligence, machine learning, and big data is in full swing. Speculation abounds about what these can do for medicine. It’s time to put them to the test. From what I can tell, artificial intelligence, machine learning, and big data are mostly jargon for one of two things. The first is about bigger and bigger computers sifting through mountains of data to detect patterns that might be obscure to even the best trained and most skilled humans. The second is about automating routine and even complex tasks that humans now do. Some of these could be “mechanical,” like adaptive robots in a hospital, and some might be “cognitive,” like making a complex diagnosis. — Michael J. Joyner, M.D. is an anesthesiologist and physiologist at the Mayo Clinic. The views in this article are his own.

AARP, Living With Mild Cognitive Impairment by Lauren Gravitz — Angie, 58, has mild cognitive impairment (MCI) — in her case, caused by a rare neurodegenerative disorder called Cockayne syndrome. And she's here in Chandler's office with her mother, Ann, as a participant in HABIT, a 10-day intensive program hosted by Mayo Clinic and developed to improve quality of life for both patients and their spouses, children or other caregivers. It's one of the very few options available for people diagnosed with MCI…But prescriptive lists like this can feel vague and hard to implement, especially when simply getting through the day feels increasingly difficult. Research backs this up, showing that patient follow-through on such recommendations is minimal, often because there's no support system in place… That's what led Chandler, a neuropsychologist at Mayo Clinic in Jacksonville, Florida, and her colleagues to develop the program that launched in 2008 as HABIT — short for Healthy Action to Benefit Independence & Thinking. “At the time, the thinking was that this is a progressive illness, so why do rehab? That's what you do if someone's going to get better,” Chandler says. “But our thinking was that we can do rehab to try to maintain function, quality of life and mood for as long as possible.”

KIMT, Mayo Clinic Celebrates Festival of Cultures by Annalise Johnson — On Thursday, Mayo Clinic celebrated the diversity of its workforce through the Festival of Cultures. Employees put together multicultural exhibits, performances, and an international fashion show. Letty Magno Maralit began the first Festival of Cultures in 2006 in a small room at St. Marys. "I'm very glad we got all together, and it's hard to recruit because people are very busy. You cannot leave your patients. You have to have someone take over taking care of your patients, but people are able to rearrange their schedules so they can come," she says. Additional coverage: Post-Bulletin

KIMT, Japanese and American nurses celebrate Dosokai reunion by Annalise Johnson — Beginning in 1990, Mayo Clinic and Japanese nursing programs partnered on a nurse exchange program. Since 1996, those nurses get together every few years for a reunion. They refer to their reunion program as "Dosokai," the Japanese word for "alumni." On Friday, the Dosokai reunion was held in Rochester for the first time. For some of the nurses, it was their first time back in the Med City in 20 years. The reunion has been held in Hawaii; Mexico; Prague; Seattle; Vancouver, and Yokohama, Hakone, and Tokyo, Japan.

KAAL, ABC 6 Chief Photographer Chad Corey Shares How Life has Changed, Post Kidney Transplant — Two months after receiving a life-saving organ transplant, ABC 6 News Chief Photographer Chad Corey says his life is good and filled with so much hope all thanks to fellow photographer and friend, Chris Douglas…After months of waiting for a donor match, Chad finally got the life-changing call. All of the testing, waiting, poking and prodding led up to this moment: April 29th, surgery day. "I can't even begin to describe how much it is, I mean what can I say, it's amazing," said Corey.  ABC 6 News was given permission to use video and images from their organ transplant operation at Mayo Clinic.

KAAL, Health Officials Report Possible First Death Tied to Vaping — On Friday, the Illinois Department of Public Health reported one person who recently vaped died after being hospitalized with "severe respiratory illness." This comes as Iowa Health officials say four cases of respiratory illness have been confirmed in four young adults with a history of vaping. “In the last two to three weeks, we have seen now a cluster of case reports concentrated in the Midwest it seems; Iowa, Illinois, Minnesota have all reported a number of cases showing serious lung injury to people who were vaping,” said Dr. Taylor Hays, the Director of Mayo Clinic’s Nicotine Dependence Center. “What we don't know is 'Was vaping the cause?'”

KTTC, Health Officials are constantly tracking flu shot strains — How effective each season’s flu shots are depends largely on predictions by Public Health Officials. To come up with the best possible vaccine, Public Health Officials are constantly tracking different viral strains worldwide before coming out with it. “Influenza vaccines are the best way to prevent influenza, we use it usually across the board pretty much everyone over age six months, and this is a safe and effective vaccine,” said Mayo Clinic Infectious Diseases Physician Dr. Pritish Tosh. The “shot” is actually different every year and is made to target strains experts think will be the most prolific each season.

KROC-Radio, Mayo Clinic may partner with RPU on new substation by Kim David — A new project being planned by Rochester Public Utilities may have a partner - Mayo Clinic. RPU has been planning a new electrical substation to meet expected growth in the downtown, much of it driven by Mayo-related projects. The RPU Board has been told Mayo has expressed interest in partnering with the utility “so that they can continue to serve their electrical loads to the standard of reliability that they require.”

Med City Beat, Rochester as seen through seven decades of popular culture — David Letterman described it as a medical Vegas. Richard Pryor said it was like visiting the “f—ing North Pole.” And as an adolescent, John F. Kennedy reportedly referred to it as the “goddamnest hole I’ve ever seen.” The place, of course, I am referring to is none other than the Miracle in the Cornfield; the places where presidents and kings come for care; where ‘the needs of the patient come first’; the Med City; Rochester, Minnesota. From the turn of the 21st Century, the outside has been trying to understand what goes on here. What’s the ‘secret sauce,’ they wonder, that makes this otherwise ordinary Midwest town anything but?

Bemidji Pioneer, Why exercise alone won't move the scale by Paul Scott — "Weight loss is really challenging, period," says Michael Joyner, professor of physiology at Mayo Clinic. "The only method that's been shown to work, with diet and exercise, is adherence." Whatever your dietary and exercise prescription, Joyner adds, it has to be sustainable. " I try to build low-level activity into my day, to get 40 minutes to an hour of structured exercise most days. I try to be mindful what I eat. I try to avoid certain foods. Many people learn to eat the same thing for lunch and breakfast every day, and just reduce all the choices."

Star Tribune, Flu shot that lasts for 10 years is in the works — A better, more effective flu vaccine is a matter of when — not if — according to Dr. Gregory Poland, director of Mayo Clinic’s Vaccine Research Group. “This will be a game-changer,” he said. “Last year, almost a million Americans were hospitalized, and 90,000 Americans died as a result of the flu.” The National Institutes of Health is testing an experimental universal flu vaccine with the goal of providing high-efficacy, long-lasting protection against influenza viruses. The vaccine being developed would require people to get a flu shot perhaps as little as only once a decade instead of the yearly shots necessary now. “The idea behind a universal flu vaccine is to say we have to get out of the way we’re currently doing it,” Poland said “Every year, different viruses circulate. Every year, we make new vaccines.

Florida Times-Union, After 10 years and thousands of shows, Melissa Ross continues the conversation by Mark Woods — …She remembers Ken Burns coming to the studio to discuss his documentary about Mayo Clinic. Even as she was doing the interview, his off-the-cuff answers struck her as remarkable. Then, after the show, she went back to pull a piece of the interview for the station’s newscast. “He’s the only person I’ve ever interviewed that spoke so perfectly you could’ve sworn he memorized the lines before coming into the studio,” he said, “It wasn’t just that there weren’t those ‘ums’ or stumbles that most people have. He is so brilliant that he’s like Mozart. He speaks and these perfect sentences come out one after another.”

AZ Big Media, TGen, Mayo ‘liquid biopsy’ a game changer for earlier cancer detection by Victoria Harker — Called TARDIS, the test could be as much as 100 times more sensitive than other blood-based cancer monitoring tests, according to the study. Published in the TScience Translational Medicine journal, the work is a major step forward in improved breast cancer diagnosis. The test could help avoid unnecessary surgeries and enable physicians to more precisely and easily monitor disease progression with a simple blood test. “This has enormous implications for women with breast cancer. This test could help plan the timing and extent of surgical resection and radiation therapy after patients have received preoperative therapy,” said Dr. Barbara A. Pockaj, one of the senior authors of the study and a surgical oncologist who specializes in breast and melanoma cancer patients at Mayo Clinic in Arizona.

KEYC Mankato, Medical community stresses importance, proven success of HPV vaccine by Stacy Steinhagen — Back to school is a busy time. Parents have to make sure their kids have new supplies, clothes, and backpacks. Parents also now have the chance to put a potentially lifesaving vaccine on their to-do list. “If there’s a vaccine that’s gonna help prevent cancer in the future. We got a jump on it,” said Lynn Waterbury, a parent living in Mankato. Waterbury has cancer in her family history and three daughters. “Luckily enough, the girls were in high school and we could talk about the decision,” Waterbury said. It’s a discussion about human papillomavirus virus, known HPV. “Four out of five by age 50 will have high risk HPV," said Dr. Chaun Cox, a family medicine physician at Mayo Clinic Health System in Mankato.

Mankato Free Press, Are you getting enough sleep? by Lisa Brown — Just two generations ago, the average adult slept about nine hours per night — a stark contrast to the six hours or less that one-third of the population gets today. Moms with babies who aren’t yet sleeping through the night often get even less sleep. Busier lifestyles — including managing our children’s hectic schedules — have stretched many too thin, resulting in sleep deprivation, which can negatively affect our physical and mental health on a daily basis. — Lisa Brown is a certified nurse midwife with Mayo Clinic Health System.

Fairmont Sentinel, Wellness visits offer added care by Brooke Wohlrabe — Medicare Part B offers free annual wellness visits at Mayo Clinic Health System-Fairmont. When patients sign up for Medicare, there is a welcome to Medicare visit, but there are also these annual medical wellness visits that are completely covered. “If their plan includes Medicare Part B, this is no cost to them,” said ToniLynn Fleming. Fleming works in family medicine and is an ambulatory nurse in the clinic. She has been conducting all of the Medicare visits. Fleming explained that Mayo was accepted by Medicare to participate as an ACO (accountable care organization) this year, which is making the annual wellness visits a part of the team-based approach to care a priority, even though the Fairmont site has been offering the visits for five years.

WPR, Doctor: People Should Consult Their Physician Before Using CBD by John Davis — A Mayo Clinic doctor says it’s important that patients have a discussion with their physician before consuming cannabidiol, or CBD, products. "I think we have more questions than answers at this point, simply because we’re constrained to evaluate a product not based on anecdotes but on the good clinical research," said Dr. Brent Bauer, director of the Mayo Clinic Complementary and Integrative Medicine Program in Rochester, Minnesota. "Most of us from a medical side would like to see our patients bring those questions to us first so they don’t get themselves into trouble," he said. "We do know that CBD products can interfere with other medications, and with higher doses we are seeing a number of reports of liver irritation or liver damage."

La Crosse Tribune, Tribcast: What are the advantages to being a single-sport or multi-sport athlete? — On the third episode of a three-part back-to-school series, Mayo Clinic sports medicine practitioners Andrew Jagim, Ph.D., and Jake Erickson, D.O., discuss the importance of diversifying the talents of your growing athlete.

WKBT La Crosse, Back to School: Hearing & Vision Checks by Rachel Ausman — Making sure your kids have healthy eyesight and hearing is a big way to make sure they're ready to go back to school this fall…According to Dr. Zachary April with Mayo Clinic Health System, if kids aren't screened it can also lead to a misdiagnosis . You know kids, they may not seem to be paying attention or doing as well in school, a lot of people start thinking, 'Oh man, do they have ADHD or some other mental condition?'... A lot of time they actually have a hearing problem and just aren't able to hear the teachers as well and communicate with other kids in class," says Dr. April.

WKBT La Crosse, Parents encouraged to talk with school nurses before start of school by Greg White — Many kids are getting ready to head back to school next week and there are some things you can do now to make sure they're prepared. Parents are reminded to talk with their child's school nurses before the year starts. Doctors with Mayo Clinic Health System say communicating to school nurses is vital to keep kids healthy. "If a child has an issue, maybe gets light-headed or passes out at school, if the nurse did not know that they had diabetes they may not know to check the blood sugar, that just giving them some sugar, could help them out for a low blood sugar or something like that," said Dr. Zachary April of Mayo Clinic Health System.

WGN-Radio, Mayo Clinic Oncology Professor Ed Creagan on cell phones and cancer: “The data simply are not there” — Dr. Ed Creagan is a professor of oncology at the Mayo Clinic. He joins John Williams to describe why theories that holding a cell phone to your ear causing cancer have not yet been found accurate. Listeners call in with their questions and comments.

TCTMD, Artificial Intelligence Mines ECG Data to Estimate ‘Physiologic Age’ by Yael L. Maxwell — “The ECG can tell us a lot more about an individual than simply about their heart health, and neural networks and artificial intelligence techniques can allow for that,” senior study author Suraj Kapa, MD (Mayo Clinic, Rochester, MN), told TCTMD. “The potential for an electrocardiogram to give us information about perhaps the physiologic age of an individual—not just how many years have passed since they were born—might allow us to rapidly and cost-effectively identify those who might be at risk of problems in the future more quickly.” This is not the first time AI has shown potential in mining ECG data for hidden health clues. Kapa’s research group alone has published two AI-enhanced studies this year to screen for asymptomatic left ventricular dysfunction and A-fib in ECGs. Additional coverage: MD Magazine, Becker’s Hospital Review, Cardiovascular Business, Health Data Management,

SELF, Meet SCAD, a Major Cause of Heart Attacks in Women 50 and Under by Natasha Lavender — Many women with SCAD don’t have most of the risk factors you see in other cardiovascular diseases, like high blood pressure or diabetes, the Mayo Clinic explains. What’s more, SCAD affects many people who haven’t yet reached the average heart attack age, which is over 70 for women. These patients often haven’t even yet reached the age at which heart attack risk typically starts to rise, which is 55 in women. “If you look at studies of SCAD, the mean age is anywhere between mid-40s to 50s,” cardiologist Marysia S. Tweet, M.D., assistant professor of medicine at the Mayo Clinic College of Medicine and Science and senior associate consultant in the department of cardiovascular medicine within the Division of Ischemic Heart Disease and Critical Care, tells SELF.

Atlanta Journal-Constitution, Why bridge protects against dementia and where to learn in Atlanta by Rose Kennedy — Keith A. Josephs, a neurologist at the Mayo Clinic, told AARP, "It is soft data that says, 'Boy, perhaps playing these games and being socially active result in better performance.' Patients are less likely to be depressed; hence they sleep better, tend to exercise more and have a better life in general. They do better from a cognitive standpoint."

Boston Herald, CBD questions linger as Gronk joins industry by Rick Sobey — People curious about using CBD — the drug touted by celebrities including retired Patriots star Rob Gronkowski — should proceed with caution as officials and doctors warn of “unsubstantiated therapeutic claims” and other unanswered questions about the product’s safety. Medical professionals tell the Herald they’re worried about patients forgoing other kinds of treatment because of CBD, which is now found in gas stations and stores across Massachusetts. “To use it in place of well-studied, pure drugs without fully understanding the risks and benefits is a danger,” said Dr. Brent Bauer of the Mayo Clinic. CBD, which stands for cannabidiol, is derived from the hemp plant in the marijuana family. The non-psychoactive drug does not get users high.

HuffPost, Why Am I Losing My Hair? by Terri Coles — A chronic health condition: Thyroid disease or polycystic ovarian syndrome are two conditions that can lead to hair thinning or loss. Hair thinning is a symptom of hypothyroidism and fine, brittle hair is a symptom of hyperthyroidism, according to the Mayo Clinic. Certain medications and medical treatments can also cause hair loss.

KFGO-Radio, Lana Eichorn With 2 New Lungs and Heart! by Jack Sunday — In This Podcast:  A visit with Lana Eichorn, a young lady with two charming children (Keely and Henry,) and a good-guy husband Dave, (also in this interview,) who recently underwent a double lung/heart transplant at the Mayo Clinic at Rochester, Minnesota.

Anchorage Press, A new drug to detect prostate cancer in its earliest stages by Sharon Rose — With a background in organic chemistry, Mukesh Pandey, Ph.D., initially planned to work in the pharmaceutical industry developing medications. But after completing a post-doctoral research fellowship in radiology at Harvard Medical School, he chose to focus his skills on improving imaging technologies to better detect the first signs of disease. Now he is part of a Mayo Clinic team that has developed a new radioactive tracer used with molecular imaging to identify the early biochemical changes linked to prostate cancer. With support from the Mayo Clinic Center for Individualized Medicine, Dr. Pandey and his colleagues are testing the radioactive tracer in the clinic, with the goal of detecting and treating the disease sooner., I Used CBD Oil During Period Sex and This is What Happened by Jessica Toscano — …Most times I’ve had period sex were to help reduce cramps, a recommendation from an article I read a few years back. According to Margaret E. Long, M.D., a gynecologist at the Mayo Clinic in Rochester, Minnesota, orgasms are suspected to improve blood flow, encourage a change in uterine contractions, and produce endorphin release: the opposite of which all are believed to occur during menstruation. Orgasm or not, period sex isn’t always the most comfortable. Additional coverage: Yahoo! Lifestyle

Becker’s Orthopedic & Spine, Dr. Tomasz Okon joins Mayo Clinic Health System — 4 things to know by Alan Condon — The spine and neurological surgery department at Mayo Clinic Health System in Eu Claire, Wis., welcomed Mark Pichelman, MD, to its team, reports Leader-Telegram. Four things to know…

Mohave Daily News, Daily News reporter receives kidney transplant — Rodd Cayton’s quest for a kidney is over. Now the recovery begins. Cayton, 50, a long-time reporter for the Mohave Valley Daily News, underwent a successful kidney transplant Tuesday at Mayo Clinic Hospital in Phoenix. “I have some pain but they’re taking good care of me,“ Cayton said by text message Wednesday afternoon. “I went for a walk about 10 minutes ago.”

Hutchinson Leader, Eat.Move.Connect: How to choose the best sunscreen, know your options — Although it may feel like summer is winding down, sunscreen is something we should be using year-round. When it comes to sunscreen, the best sunscreen is one that you'll use generously and according to label directions. Know what to look for on sunscreen labels and how to maximize your sun protection. Confused about the best sunscreen to use? Dr. Lawrence E. Gibson, a dermatologist at the Mayo Clinic in Rochester, offers his guidance.

Pollen Midwest, 2019 50 Over 50Dr. Sharonne Hayes — Dr. Sharonne Hayes, now 60, has been disrupting the gender status quo ever since, first as a 19-year-old medical student (at a time when fewer than 20 percent of medical students were women), and now at Mayo Clinic, where she is Professor of Cardiovascular Medicine and Director of Diversity and Inclusion. When she saw that men’s death rates from heart disease were dropping while women’s rates were rising, she founded Mayo’s Women’s Heart Clinic and helped launch WomenHeart: The National Coalition for Women with Heart Disease. Whether during face-to-face conversations, on national television or at the White House, Sharonne truly is an equal-rights healthcare hero.

Healio, Bariatric Endoscopy: Growing Awareness in a Dynamic Field — “What became clear over the past few years as we understand the disease state of obesity and the pathophysiology of the disease, is that the gastrointestinal tract is really front and central in this disease process,” Barham K. Abu Dayyeh, MD, MPH, director of advanced endoscopy and associate professor of medicine in the department of gastroenterology and hepatology at Mayo Clinic in Rochester, Minnesota, told Healio Gastroenterology and Liver Disease. “The signals originate from the GI tract, whether from the stomach or the small intestine. These are critical for communicating with the central nervous system, pancreas, liver, adipose tissue and peripheral muscle, to regulate body weight, energy expenditure and key metabolic processes such as blood sugar levels and the rate of fatty acids deposition into organs such as the liver.”

Healio, Latest evidence that celiac disease runs in families prompts Mayo Clinic doctors to call for more screening — A “high prevalence” of celiac disease was found among screened first-degree relatives of patients with the condition, according to findings recently published in Mayo Clinic Proceedings. The findings prompted researchers to encourage all parents, children and siblings of patients with celiac disease to be screened for the disorder. “Recent data suggest that majority of celiac disease patients are asymptomatic or have non-classic presentation, confirming the need of having a low screening threshold for celiac disease,” Shilpa S. Nellikkal, MBBS, of the division of pediatric gastroenterology and hepatology at the Mayo Clinic in Rochester, Minnesota, and colleagues wrote.

Korea Biomedical Review, 'Myongji Hospital to change concept of sports medicine in Korea’ by Lee Han-soo — Q: How will the sports center help Myongji Hospital in becoming the Mayo Clinic of Korea? A: The center will provide great help in offering patient-centered care in the hospital. When I first came to work for the hospital, reporters asked what the hospital meant when it said it would turn the hospital into a Mayo Clinic of Korea. They argued that the phrase seemed far-fetched and claimed that the hospital was using Mayo Clinic just for promotional purposes.

Winnipeg Free Press, How to set boundaries in the workplace — Everyone needs help from time to time. If your life feels too chaotic to manage and you’re spinning your wheels worrying about it, talk with a professional, such as a counsellor or other mental-health provider. If your employer offers an employee assistance program, take advantage of available services. Remember, striking a healthy work-life balance isn’t a one-shot deal. Creating work-life balance is a continuous process as your family, interests and work life change. Periodically examine your priorities — and make changes, if necessary — to make sure you’re keeping on track. — Mayo Clinic News Network.

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Editors: Emily BlahnikKarl Oestreich

Tags: AI, artificial Intelligence, back to school, bariatric endoscopy, blood clots, brain tumors, Breast Cancer, burnout, celiac disease, Chad Corey, Christina Anderson, David Andrews, dementia, Diversity, dogs, Dosokai reunion, Dr. Andrew Jagim, Dr. Barbara A. Pockaj, Dr. Barham K. Abu Dayyeh, Dr. Ed Creagan, Dr. Gregory Poland, Dr. Jake Erickson, Dr. Keith A. Josephs, Dr. Kenneth Merrell, Dr. Manish Sharma, Dr. Marysia S. Tweet, Dr. Melanie Chandler, Dr. Michael Joyner, Dr. Pritish Tosh, Dr. Rekha Mankad, Dr. Sharonne Hayes, Dr. Shilpa S. Nellikkal, Dr. Suraj Kapa, Dr. Taylor Hays, Dr. Tomasz Okon, Dr. Zachary April, ECG, EKG, exercise, Festival of Cultures, flu shot, hair loss, HPV vaccine, Ken Burns, kidney transplant, Lana Eichorn, Letty Magno Maralit, Liquid Biopsy, Lisa Brown, Mayo Clinic Proceedings, MCI, medical school, mild cognitive impairment, pancreatic cancer, Patriots, Rob Gronkowski, Ruth Bader Ginsburg, SCAD, sleep medicine, ToniLynn Fleming, Transplant, Uncategorized, Vaping, weight loss, wellness visits, Women's Health

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