Author Archives: Ryan Madanick, MD

Medical Education vs Medical Journalism

Medical educators (sometimes called clinician educators or academic clinicians) often think of their* jobs as teaching our own students…those who are in medical school, residency, fellowship…as well as those who attend lectures and conferences…etc. Sometimes the best educators are not … Continue reading

Posted in medical education | Tagged , , , , | 1 Comment

The Ups and Downs of Swallowing Problems

As a doctor who specializes in dysphagia, I often see patients who get referred from other gastroenterologists and otolaryngologists because they have been unable to figure out or resolve the patients’ swallowing problems.  Sometimes there is a known, structural problem … Continue reading

Posted in Esophagus | Tagged , , | 1 Comment

A Physician’s View about Medical Necessity

“Doc, do I really NEED this medication?” In my practice, I seem to hear this question (or something like it) on a daily basis.  The question is not always about a medication, maybe it’s about a lab test or a … Continue reading

Posted in GERD, patient care | Tagged , , , , , , | 2 Comments

When the Doctor Becomes a Patient

Today I became a patient.  If you follow me on Twitter, then by now you know what happened.  Yes, I am embarrassed by what happened, but I’ll relinquish my HIPAA right to privacy for this moment. This afternoon I swam … Continue reading

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

Would You Like Some Cyanide in Your Herbal Therapy?

Like most allopathic physicians, I have no formal training in herbal medicine.  Nonetheless I tend to think that I have an open mind to non-Western therapies.  I do not discount their effects in various conditions, but they are not the … Continue reading

Posted in CAM, gastroenterology, patient care | Tagged , , , | 2 Comments

But I Have Reflux…

When I first started this blog, I promised topics about gastroenterology and esophageal problems.  So let me talk about one today.  I consider this the most fundamental issue I see in my office on a regular basis: the difference between … Continue reading

Posted in Esophagus, gastroenterology, GERD, Heartburn | Tagged , , , , , , | 1 Comment

What Has Happened to Gastroenterology Training?

The state of gastroenterology training and education in the United States today can be summarized in one word: endoscopy. Gone are the days of the cognitive gastroenterologist, discussing the character, smell, texture, and color of a patient’s stool in an … Continue reading

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Why do Pharmacies Sell Tobacco? Let’s Join Together and Tell Them to Stop

Many years ago, I asked the manager at a local chain pharmacy why they sold cigarettes.  His response? “Umm…I don’t know.” I would venture to say that most managers don’t know the answer to that either.  Do you?  I certainly … Continue reading

Posted in cancer | Tagged , , , , , | 10 Comments

Doctor as Teacher: A Life Lesson to Future Doctors

I do a lot of teaching.  Truth be told, it is what drew me to stay in academic medicine.  As a subspecialist, I am fortunate enough to have multiple opportunities to lecture, train, and educate in a number of venues.  … Continue reading

Posted in gastroenterology, IBD, medical education, patient care, ulcerative colitis | Tagged , , , , | 6 Comments

My Friend’s Endoscopy, Part II

Sorry for the delay in the next blog post.  Family vacation called! In my last blog, my friend Alan, a healthy 39-year old man, had just gotten an upper endoscopy and a colonoscopy for reasons that were “soft” as we … Continue reading

Posted in Endoscopy, Esophagus | Tagged , , , , , , | 6 Comments