Tag Archives: patient care

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

Announcing the new #meded chat

In the last few weeks, several #meded tweeps have been bouncing the idea around about starting a Twitter chat dedicated to discussing issues related to medical education.  One night, Vinny Arora (@FutureDocs) made the proclamation that she thought we had now reached … Continue reading

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

Presenting on a consult service: Rule number three

In my most recent post, I discussed the first 2 rules of presenting on a consult service.  In this post, we’ll take the next step.  Actually, this rule could go for any type of presentation, even in the clinic. Rule … Continue reading

Posted in medical education | Tagged , , , , , , , , | 8 Comments

What do your patients fear?

As an academic gastroenterologist at a tertiary care university medical center, I often see patients who have failed traditional therapies that many of my colleagues in the community have tried.  Over the past several years my practice has evolved, from dealing with … Continue reading

Posted in patient care | Tagged , , , | 10 Comments

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

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

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