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Join Parastoo Jangouk, a gastroenterologist and internal medicine physician. We dive into the challenges faced by business owners and health care professionals in December. It’s a month filled with long hours, patient appointments, and marketing efforts.
But amidst …
Create a new, empowering identity for yourself [PODCAST]
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Join Parastoo Jangouk, a dual board-certified expert in gastroenterology and internal medicine. Discover her remarkable journey from growing up in an oppressive society to becoming a successful physician and entrepreneur. Explore the powerful concept of “reverse leadership” …
Reverse leadership to self-leadership [PODCAST]
Like other business owners and private medical groups, I tend to work more hours towards the end of the year.
December is an endless marathon trying to see more patients, add more procedure hours, and double book the office and endoscopy sessions on the clinic side. On the business side, we are creating more content and marketing our online programs.
Patients have met their deductibles; they need to check their screening colonoscopies …
How to shed old narratives and forge a powerful new identity in 2024
Six months after being diagnosed with gastroparesis, I underwent experimental intravenous immunoglobulin treatment. What is often considered a wonder drug, with the ability to treat hundreds of rare illnesses, resulted in the worst experience of my life. I suspect that I developed aseptic meningitis, feeling like I had brain-damaged myself.
What is intravenous immunoglobulin?
Immunoglobulin is found in plasma, which is a part of your blood. It contains antibodies that help you …
Intravenous immunoglobulin for gastroparesis: What happened to me
During a recent conversation with Dr. Dawn Sears, I mentioned that I was working on a presentation I wish to give locally, speaking on “How caring for your doctor gets you better care.”
Our discussion revealed some important insights all patients should be aware of, which we share here:
1. Let the pilot fly the plane. Passengers generally don’t walk onto an airplane and start complaining to the pilot about their seat …
10 things to know about your doctor that will get you better care
Obesity has undeniably become the top health issue of our time, with its prevalence and impact on our bodies making headlines across health care and popular media.
This isn’t merely a matter of carrying extra pounds; it’s about the multitude of serious health complications that come in its wake. The conversation around obesity often gravitates towards heart disease, diabetes, and certain cancers.
Still, another critical aspect frequently slips under the radar – …
The critical link between America’s obesity epidemic and the liver
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Join Brian Hudes, a gastroenterologist. We’ll delve into the evolving landscape of gastroenterology in the United States, exploring historical decisions, changing demographics, and the impact on physician salaries. Discover the challenges and potential solutions in this vital …
Insights into the gastroenterology workforce [PODCAST]
“America’s health care system is neither healthy, caring, nor a system.”
– Walter Cronkite
Hospitals, revered as places of healing and recovery, hold secrets and harbor mistakes that can take a heavy toll on patients. These hidden truths, often concealed behind the walls of health care institutions, come with dire consequences. Supported by alarming statistics and credible sources, this exploration unveils some of the most unsettling aspects of the health care system.
As …
Hospital secrets that patients don’t know
The field of gastroenterology in the United States has undergone a significant transformation over the past 5 to 10 years, driven by a confluence of historical changes in training programs, changing demographics among GI doctors due to the relatively new specialty of GI endoscopy, and a dwindling supply of gastroenterologists. These factors have culminated in a notable impact on gastroenterology physician salaries and have raised important questions about the future …
The shifting landscape of gastroenterology manpower and compensation
The American Diabetes Association recently released screening guidelines for liver disease in individuals with type 2 diabetes. Notably, 70 percent of people with type 2 diabetes have liver disease, and the most common form is non-alcoholic fatty liver disease. Ultimately, this can lead to cirrhosis and cancer. According to the American Cancer Society, the rates of liver cancer have tripled since 1980. Currently, one in 10 Americans has diabetes, …
Diabetes and liver disease: urgent screening needs highlighted by personal tragedy
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In this episode, we delve into the serious consequences of fecal impaction and chronic constipation on patients’ well-being and health care costs. Our guest, Mahesh Moolani, an internal medicine physician and author of Tough Decisions In Care …
Chronic constipation treatment with pulsed irrigation evacuation [PODCAST]
We live in an era now when workers have leverage over their employers. Nearly every establishment is struggling to hire employees. It’s mysterious not only why so many folks have chosen not to return to work but also how they are paying their living expenses. Remote work, particularly for younger workers, has become a non-negotiable red line. If you are an employer who expects full-time in-person presence, then good luck …
The surprising truth behind virtual visits
At six-week intervals, I replenish my supply of omeprazole. Initially, I took it for symptomatic relief of GERD, becoming symptomatic again within a week or two during periodic self-directed suspensions. An esophagogastroduodenoscopy, done for another reason, disclosed Barrett’s esophagus, shifting that daily pill of personal comfort to a more essential intervention. It falls within several Gastroenterology Society recommendations as a component of later malignancy prevention. My weekly pill case, set …
Ensuring medication safety: a shocking incident that exposed a dangerous flaw
The first day I came to the liver service, I met Mr. S, who was struggling with complications of liver disease. In the long term, he required a TIPS procedure that would better distribute his abdominal pressure and eventually a liver transplant. He was at high risk for the procedure and was struggling to maintain the fluid restriction necessary to prepare him for it.
Mr. S was entirely despondent when I …
How one liver disease patient found hope and overcame adversity
A lot of my patients take proton pump inhibitors (PPIs). They generally work pretty well for their intended use. By limiting the secretion of gastric acid from the stomach, they can effectively blunt uncomfortable symptoms of erosive gastritis, gastroesophageal reflux disease, H. pylori infection, and peptic ulcers. However, without further evaluation, these medications are not designed to be prescribed indefinitely, or for more than a two-month period. When patients experience …
The surprising risks of long-term proton pump inhibitor use
Fecal impaction and severe chronic constipation can have significant consequences on patients’ mortality, morbidity, psychosocial well-being, and health care costs. It is especially prevalent among the elderly and individuals with neurogenic bowel disorders. The condition can lead to life-threatening complications like bowel obstruction, intestinal perforation, fecal incontinence, and urinary retention.
Traditional treatments for fecal impaction and severe constipation include lifestyle changes, fiber supplementation, laxatives, suppositories, enemas, and digital stimulation. However, …
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In this episode, we will be joined by Kristen L. Cole, an assistant professor of communication studies. Kristen shares her personal journey with Crohn’s disease and how the pressure to control her health led her to accumulate …
How healthism and moralizing health are costing us too much [PODCAST]
An alarming trend has emerged in my medical practice in recent years: I’m seeing more and more young adults with colorectal cancer.
When I began practicing as a family physician 21 years ago, I never saw patients in their 40s and 50s with the disease, much less ones in their 30s. Now, I diagnose two to three people in those age groups every year.
On the heels of National Colorectal Cancer Awareness …
Why poor diets are contributing to a surge in colorectal cancer cases among young people
Inflation and rising interest rates have given way to a record high of $930.6 billion in credit card debt.
I am among many people who have gone into credit card debt by spending too much on health and wellness.
Several years ago, I was diagnosed with Crohn’s disease, a type of inflammatory bowel disease (IBD), which is not the same as irritable bowel syndrome (IBS). IBD is …
Yoga and self-care won’t cure my Crohn’s disease
The concept of Dry January, an opportunity to take a break from alcohol, does not need to end on January 31. If it does end, dietary guidelines recommending a maximum of 1 drink or less for women and two drinks or less for men on any given day should guide subsequent alcohol use. This is because alcohol use disorder (AUD) causes over 140,000 deaths annually …
Make Dry January a habit: Understanding and addressing alcohol use disorder
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