Ryan Madanick, MD

Ryan Madanick is a gastroenterologist.

July 1, 2014Jul 1, 2014

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.…

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 patient-centered care community has been changing the focus from managing the disease to managing the patient who has (or might have) the disease. The difference in wording is subtle, but it gets more …

Physicians

We need an evidence-based, randomized trial on gun control

Ryan Madanick, MD

February 25, 2013Feb 25, 2013

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:…

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: randomizing a state or country to regulation or not.

Since that’s not going to happen, the next best type of evidence we have to go by is observational, either case-control or cohort …

Physicians

Billing an established patient visit as a consultation

Ryan Madanick, MD

November 13, 2011Nov 13, 2011

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). In specialists’ offices, patients often got…

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).

In specialists’ offices, patients often got billed for the more expensive “consults” when in fact the visit was not a consultation at all. Let’s just use this understanding as the brief background for what I’m about to say.

I …

Physicians

Experiencing the professionalism of nurses and medical residents

Ryan Madanick, MD

August 4, 2011Aug 4, 2011

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…

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 nose-first into the sidewall in the pool. (I haven’t been swimming in awhile and I forgot to bring goggles, so I wasn’t really looking. Laugh all you want …) It …

Conditions

Health related anxiety in patients with complex problems

Ryan Madanick, MD

May 10, 2011May 10, 2011

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…

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 predominantly the medical aspects of my patients’ diseases to embracing the biopsychosocial model of illness. One of my colleagues has been the world leader in patient care and research in the …