Tag Archives: patient care

Doc, can I use this natural supplement?

Posted on June 9, 2011 by Ryan Madanick, MD

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

Posted on May 30, 2011 by Ryan Madanick, MD

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

Posted on May 24, 2011 by Ryan Madanick, MD

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?

Posted on May 3, 2011 by Ryan Madanick, MD

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

Posted on April 12, 2011 by Ryan Madanick, MD

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

Posted on March 10, 2011 by Ryan Madanick, MD

“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?

Posted on February 28, 2011 by Ryan Madanick, MD

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…

Posted on February 24, 2011 by Ryan Madanick, MD

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

Posted on February 4, 2011 by Ryan Madanick, MD

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