Tag Archives: gastroenterology

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 , , , , , , , , , , , | 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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How to Become a Famous Doctor: A 4-Step Primer

After years of languishing and trying to figure out how to become famous in medicine, I have finally realized the key! How did I finally reach my epiphany? Well, one particular doctor (who shall remain nameless) has become famous in my … Continue reading

Posted in Media-Based Medicine | Tagged , , , , , , , , , , | 7 Comments

“Thank you for your consult…”

Until recently, there was a financial difference between performing a “Consultation” and a “New Patient Visit” for office visits (Medicare stopped paying for Consultations at a higher rate than New Patient Visits in 2010).  I won’t get into the ins-and-outs … Continue reading

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“This is a very pleasant patient…”

As an attending and the program director in a university practice, I have the opportunity to read a lot of notes that other people have written. Many of these notes are written by residents and fellows, often from my own … Continue reading

Posted in patient care | Tagged , , , , | 11 Comments

The Endoscopy: An Original Poem

It just doesn’t look right in the blog format, so click here if you’d like to read my poem. Below is the brief backstory…if you’re interested in what happened.  Please read the poem first.

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Doc, can I use this natural supplement?

A little while back, I saw a patient in my reflux practice who had recently stopped her PPI and substituted licorice root to help keep her acid reflux symptoms under control. She told me that her symptoms were still under … Continue reading

Posted in CAM, GERD | Tagged , , , , , , | 6 Comments