Author Archives: Ryan Madanick, MD

About Ryan Madanick, MD

I am a gastroenterologist at the University of North Carolina School of Medicine, as well as the Program Director for the GI & Hepatology Fellowship Program. I specialize in diseases of the esophagus, with a strong interest in the diagnosis and treatment of patients who have difficult-to-manage esophageal problems such as refractory GERD. I can be followed on Twitter: @RyanMadanickMD

Are we really training learners to manage diseases?

If you pay close attention to medical education and training, you have surely read something like this as an goal or learning objective: “Manage inflammatory bowel disease and its complications” However, this is not exactly what our goals should be. One push in the … Continue reading

Posted in cancer, gastroenterology, GERD, Heartburn, IBD, medical education, patient care | Tagged , , , , , , , , , , , | Leave a comment

CVS to stop selling tobacco products: some grass-roots contribution from the blogosphere?

In 2011 I posted this petition to try to get CVS and Rite Aid to stop stop selling tobacco (see my 2011 blog post). Although the petition closed in 2013 with just under 2800 signatures, today is finally the day I’ve … Continue reading

Posted in cancer, patient care, public health, tobacco | Tagged , , , , | 3 Comments

Can you have your colonoscopy and endoscopy on the same day?

I’ve heard it dozens of times: My gastroenterologist says s/he can’t do my endoscopy and colonoscopy on the same day. Sometimes it’s because it was considered too “dangerous”. Occasionally it’s because “that’s not the way we do it”. Sorry, that doesn’t … Continue reading

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In The Absence of Evidence…

In this week’s JAMA, Scott Braithwaite, MD, MS wrote a Piece of My Mind editorial, “EBM’s Six Dangerous Words,” which made me think back to a former blog post of mine from 2011, “Doc, can I use this natural supplement?” What … Continue reading

Posted in CAM, medical education, patient care | Tagged , , , , , | 2 Comments

Presenting on a consult service: Rule number four

A while back, I posted three “rules” of presenting on a consult service. I’d now like to add a fourth rule. Rule Number 4: In patients with chronic disorders, consider more than simply a “disease flare” in your differential diagnosis. … Continue reading

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An empirical scientific viewpoint about gun control

For just a moment, let’s take a scientific viewpoint about gun control here and try to leave emotions (and the Constitutional argument) out. The best type of study to determine whether gun control and/or regulation would be a Randomized Trial: … Continue reading

Posted in public health | Tagged , , , , | 4 Comments

A Rapid Rescue for a New Mnemonic in BLS

In reviewing for my upcoming ACLS recertification through the American Heart Association‘s HeartCode ACLS program, I learned that the classic mnemonic for the Basic Life Support (BLS) primary survey, the “ABCs”, which stood for Airway, Breathing (including Look, Listen, and … Continue reading

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