Gut Talk
Sameer K. Berry, MD, and William D. Chey, MD
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Goodpods has curated a list of the 10 best Gut Talk episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to Gut Talk for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite Gut Talk episode by adding your comments to the episode page.
06/28/21 • 47 min
In this podcast episode, Brennan Spiegel, MD, MSHS, discusses virtual and augmented reality in gastroenterology from both a clinical and research perspective, as well as his thoughts on the future of the field.
- Intro :02
- The interview :22
- How did you decide to be a doctor? :23
- What are your main takeaways from serving as editor of AJG over the last 6 years? 2:46
- What was your journey that led to what you’re focusing on now? 5:47
- Can you give us a sense of what these words mean when you say “virtual reality” and “augmented reality”? 7:29
- As a professor of medicine, a gastroenterologist, a public health advocate and researcher, how did you come to think of this being your area of focus? 10:40
- How does this work from a clinical perspective? 15:21
- Can you tell us about how the clinical trials are run, what sham VR is and how are these high-quality trials designed? 19:53
- Have we studied the biochemical response? 22:13
- The discussion of virtual reality and its use in neuromodulation and nerve stimulation 25:07
- Where do you think the biggest challenge is in this widespread implementation? 31:34
- What about developing VR reimbursement strategies ... Have you heard of virtual reality companies approaching things this way? 34:44
- How do you think about intellectual property with VR? 37:38
- Where do you think we stand in regard to regulatory hurdles? 39:52
- Are there any risks? Are these things that are being studied? Are these valid concerns? 42:00
- What do you want the listeners to take away from this? What’s the call to action? 44:31
- Thank you, Dr. Spiegel 46:27
Brennan Spiegel, MD, MSHS, is the director of health services research for Cedars-Sinai and the director of the Cedars-Sinai Master's Degree Program in health delivery science. He directs the Cedars-Sinai Center for Outcomes Research and Education.
We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc
Disclosures: Berry, Chey and Spiegel report no relevant financial disclosures.
12/22/20 • 51 min
In this episode, Douglas A. Drossman, MD, joins us to discuss his path into medicine, the history and influence of brain-gut interactions and what gastroenterologists can expect for Rome V criteria.
- Intro :22
- Drossman’s experiences growing up in New York :33
- Drossman’s experience performing in a rock and roll band 1:20
- How did Drossman migrate from playing in a rock band to going to medical school and choosing a career in functional GI disorders? 2:14
- The history of functional GI disorders and the brain 6:05
- The influence of brain-gut interactions on motility and sensation and the evolution of opinions 9:29
- The formation of Rome and its impact on the field of functional GI disorders 13:33
- Were there other frameworks that were considered at these meetings early on before Rome criteria ever evolved or came out aside from symptom-based diagnosis? 20:15
- In the various iterations of Rome, what are your proudest moments? 27:06
- What can gastroenterologists expect for Rome V? 31:00
- The transformative nature of behavioral therapy 33:13
- Has there been research on how disorders of brain-gut interaction vary by different countries and different types of upbringings and culture? 37:12
- Why is it important for providers to better communicate with patients? 42:19
- Are you going to alter the way you do your notes given the fact patients will have free access to everything that you write? 47:41
- What advice would you give to fellows, younger faculty to have the same sort of impact and really fight for what they believe in? 48:44
- What can you tell us about Rome V? 50:17
- Thank so much, Dr. Drossman 51:24
Douglas A. Drossman, MD, is professor emeritus of medicine and psychiatry at University of North Carolina, and president emeritus of Rome Foundation.
Disclosures: Berry, Chey and Drossman report no relevant financial disclosures.
To order Drossman’s new book Gut Feelings: Disorders of Gut-Brain Interaction and the Patient-Doctor Relationship A Guide for Patients and Doctors, visit https://romedross.video/GutFeelingsWebsite
To learn more about the Rome Foundation, visit theromefoundation.org
We’d love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc
08/30/22 • 46 min
In this podcast episode, Mitch Albom, best-selling author, journalist, and radio and TV broadcaster, discusses how his philanthropy and writing have informed each other, his experiences with doctors as a patient and more.
- Intro :02
- Welcome to this episode of Gut Talk :23
- About Albom :30
- The interview :40
- Where did you grow up? :52
- Why do you think that [less people knowing their neighbors today] has happened? 2:07
- You obviously have had incredibly rich interpersonal relationships that influenced who you became. Are those people that you grew up and interacted with characters in your books? 4:34
- Are there philosophies that you learned as a student or growing up that inform, more than just the characters, but the recurring themes in your books? 7:12
- How did you become such an avid philanthropist? Tell us about that journey. 11:02
- How can we, as we’re interacting with young people, help them to understand that it’s not just about money? 16:08
- How would you say philanthropy has impacted your writing since Tuesdays with Morrie? 20:16
- What about the reverse? How does writing your books and your stories change your perspective on the lesson you’re trying to impart on your readers? 22:29
- About Albom’s work in Haiti and introducing his kids to the new orphanage 26:15
- Were there any insights that you gleaned from that experience [recent medical experiences and colonoscopy]? 36:51
- Thank you, Mitch 46:15
- Thanks for listening 46:36
Mitch Albom is a Best-selling author, journalist, and radio and TV broadcaster.
We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc. For more from Mitch Albom, visit mitchalbom.com, saydetroit.org and havefaithhaiti.org.
Disclosures: Albom, Berry and Chey report no relevant financial disclosures.
07/19/23 • 44 min
In this podcast episode, Tamara Duker Freuman, MS, RD, CDN, discusses how the work of gastroenterologists and dieticians can inform each other, approaching GI conditions as new science emerges and more. • Intro :02 • Welcome to this episode of Gut Talk :23 • The interview/about Duker Freuman :30 • How did your childhood environment and early education lead you to become a dietician? :41 • Can you tell us about how your experiences have had an impact on the way you treat your patients as a dietician? 1:47 • How Duker Freuman’s books, Bloated Belly Whisperer and Regular, provide information about clues that can help providers better understand the causes of patients’ symptoms. 3:22 • Are dieticians trained differently than doctors when it comes to motivational interviewing versus fact-seeking to learn about patient history? 4:30 • About the JAMA Network studies on Variations in Processes of Care and Outcomes for Hospitalized General Medicine Patients Treated by Female vs Male Physicians and Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians 7:12 • What eventually drew you to dietetics, and then GI dietetics? 7:43 • When you went into GI nutrition, was it already a recognized specialty? 10:52 • Were you an early adopter of the low-FODMAP diet? 13:27 • How did the GI community react to the news of low-FODMAP at the time? Was this science well-embraced by physicians when it came out? 14:50 • With low-FODMAP, are you a top down or a bottom up person? Do you have a preference? 19:03 • In your book you discuss the ten main causes for bloating. What are the main causes we should be thinking about, and which are the most common in your experience? 20:22 • You talk about the “food baby twins”, gastroparesis and abdomino-phrenic dyssynergia, in your book. Can you tell us about that? 22:51 • Do you have any recommendations for abdomino-phrenic dyssynergia, like diaphragmatic breathing, and what has worked that you have recommended to patients? 24:02 • With the challenges of insurance reimbursement for dietetics and getting patients access to this type of information, can you provide enough value with one visit with a patient, or is multiple visits with a dietician required in order to move the needle? 25:19 • What do you think about histamine intolerance? How do you identify it and is there a low-histamine diet that people can use now? ... What about Mediterranean? 28:27 • How have you trained yourself and the dieticians that you work with to think about and incorporate cultural and lifestyle sensitivity into dietary recommendations? Are there best practices to embrace that, or is this a challenge of dietetics? 36:01 • What was it like joining New York Gastroenterology Associates (NYGA) when they became a large group practice? ... What was it like bringing on additional dieticians and continuing to grow that part of NYGA’s care delivery? 39:40 • Thank you, Tamara 43:41 • Thanks for listening 43:59 Tamara Duker Freuman, MS, RD, CDN, is a New York-based registered dietitian, author and nationally-known expert on medical nutrition therapy for gastrointestinal diseases. We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc. For more from Tamara Duker Freuman, follow @tamaraduker on Twitter and @tamarafreuman on Instagram. Disclosures: Berry, Chey, and Duker Freuman report no relevant financial disclosures.
06/26/24 • 48 min
In this podcast episode, John Inadomi, MD, chair of the department of internal medicine at University of Utah Health, discusses the value of mentorship, qualities a leader should possess and more. • Intro :59 • Welcome to this episode of Gut Talk 1:23 • The interview/about Inadomi 1:30 • Tell us about your family and where you grew up. 2:59 • Inadomi on the impact World War II had on his family. 3:47 • Chey and Inadomi on the ways immigrants approached being American post-World War II. 4:33 • How did you end up in medicine after receiving a mechanical engineering degree from MIT? 6:32 • How did you go from bionics to polyps/GI? 8:00 • What did you learn from your experiences playing water polo in college? 10:31 • How did you end up at the University of New Mexico? 13:00 • What did Amnon Sonnenberg, MD, MSc, teach you? 16:04 • How do you view and embrace change? 18:27 • When did you catch the bug of wanting to lead faculty? [...] Did you have mentorship specifically on health system leadership? 24:30 • How have you learned these leadership characteristics and skills that are not an inherent part of physician training? Do you think there is going to be a change in leadership development moving forward? 29:59 • For people thinking about advancement opportunities in leadership, what is the mindset you have to develop as a successful division chief or a successful department chair? 33:55 • What do you think are the biggest challenges facing academic gastroenterology or academic internal medicine? [...] How can we physicians be aware of and mitigate these challenges? 38:36 • How are academic medical centers going to survive? 41:39 • Do you see the loss of physician autonomy and burnout getting better? 43:29 • What has been your favorite golf course that you have played on? 46:36 • Thank you, John 47:48 • Thanks for listening 48:14 John M. Inadomi, MD, is the Jon M. Huntsman presidential endowed chair, and the chair of the department of internal medicine at University of Utah Health. We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on X @HealioGastro @sameerkberry @umfoodoc. For more from Inadomi, follow him on X @InadomiJ. Disclosures: Berry and Chey report no relevant financial disclosures. Inadomi reports grant support from Exact Sciences.
04/24/24 • 53 min
In this podcast episode, Tom Shehab, MD, managing partner at Arboretum Ventures, discusses supporting “doctorpreneurs”, alternative career paths for physicians and more. • Intro :59 • Welcome to this episode of Gut Talk 1:23 • The interview/about Shehab 1:30 • Where did you grow up and who were your early influences? 2:02 • Can you give us some examples of your parents’ sacrifices that made your career possible? 3:19 • What did you learn from being an athlete and your time playing football at Bowling Green State University? 4:38 • Tell us about your education. 6:21 • How did you make the move from an academic career to venture capitalist? 7:03 • What can you teach our audience about paving this path? 10:55 • Is it better to thoughtfully consider major career decisions and changes, or just leap before you look? 12:45 • What other advice would you give budding “doctorpreneurs”? 14:35 • How are GI and liver a space for venture investment? 18:01 • Outside of endoscopy, why is there a dearth of information in the GI specialty from a venture perspective? 21:36 • Do you see this changing in the right direction toward GI specialists paying more attention on what needs attention and expertise, or are macroeconomic incentives preventing us from taking that perspective? 24:37 • What advice do you have for someone who is thinking about an alternative career pathway? 33:08 • What is the next step or time commitment for aspiring “doctorpreneurs” with ideas? 37:26 • What about the venture world? How should physicians go about funding and investing in their ideas? 41:33 • What are some of the upcoming macroeconomic trends that will impact GI in the short- and long-term? 46:47 • Thank you, Tom 52:02 • Thanks for listening 52:55 Tom Shehab, MD, practiced medicine for 15 years as a gastroenterologist serving as chair of medicine at Integrated Health Associates (IHA), and as chief of staff at St. Joseph Mercy Hospital for more than 1,000 physicians. Shehab currently serves as a board director for Avation Medical, Boomerang Medical, Fifth Eye, Motif Neurotech, SonarMD and Virtual Incision and led Arboretum’s investment in nVision Medical, which was acquired by Boston Scientific in 2018. Shehab also serves as a board member for several health care innovation initiatives, including the Cleveland Clinic Medical Device Advisory. He is also on the board of trustees for Bowling Green State University.
We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on X @HealioGastro @sameerkberry @umfoodoc. For more from Shehab, follow him on X @TomShehabMD. Disclosures: Berry, Chey and Shehab report no relevant financial disclosures.
10/23/24 • 49 min
In this podcast episode, Brad Stillman, executive director at American College of Gastroenterology, discusses adapting with the GI landscape to prevent physician burnout, the role organizations play in ensuring physicians have the right tools to aid patients and more. • Intro :24 • The interview/about Stillman :35 • Can you tell us about your background? 1:17 • Who are your early influences? Who was foundational for the way you think and the person you are? 1:54 • Since your father was an artist, did you ever think about a career in art? 5:11 • How did you choose law as your vocation? 7:23 • From law, how did you get to the American College of Gastroenterology (ACG)? 8:47 • Over the twenty-three years that you have been involved with ACG, what has struck you about how gastroenterology has changed as a subspecialty and as a profession? 14:26 • Chey and Stillman on the structural challenges facing GI practices and screenings. 18:01 • What needs to happen to address the crisis of training additional gastroenterologists to meet rising demands? 23:39 • Chey, Berry and Stillman on creative solutions and being disruptive innovators in medical education reform. 29:09 • How has the ACG changed over the course of your tenure? What have the most profound changes been in this organization? 33:07 • Outside of education, how has it been managing the distinct components of the ACG, and what do you see in the future for the structure of the ACG? 37:57 • Do you have any “Stillman quotes” you’d like to share with us? 44:17 • Can you share anything about the upcoming strategic plan that is slated to be released at the ACG's 2024 Annual Scientific Meeting & Postgraduate Course? 46:33 • Thank you, Brad 49:10 • Thanks for listening 49:29 Brad Stillman is the executive director at American College of Gastroenterology, the leading professional organization for GI clinicians with more than 20,000 members. He oversees all aspects of the College as well as the ACG Institute for Clinical Research and Education where he also serves on the board. We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on X @HealioGastro @sameerkberry @umfoodoc. For more from Stillman, follow @AmCollegeGastro on X.
Disclosures: Berry, Chey and Stillman report no relevant financial disclosures.
12/06/23 • 39 min
In this podcast episode, Megan Riehl, PsyD, discusses symptoms and solutions in GI psychology, building educational tools for patients and physicians on GI psychology and more. • Intro :02 • Welcome to this episode of Gut Talk :23 • The interview/about Riehl :33 • Riehl on early influences on her career. :48 • Growing up, how did your family system influence you? 2:12 • How did you get into psychology, and who were the people that influenced you to go into this field? 3:45 • How did you become interested in GI psychology? 5:27 • Chey and Riehl on risk-taking behavior and building the GI psychology program at Michigan. 7:29 • Were there other fields you were considering as a subspecialty in psychology? 10:23 • Is there something physiologic about gastroenterology that makes the path to psychology more appropriate than other specialties in the health care system? 13:33 • Can you explain the difference between a GI psychologist and a general psychologist, and what types of patients will benefit most from GI psychology? 16:12 • Do you get inappropriate referrals from clinicians, such as patients with compliance and adherence issues or lack of belief in the validity of their diagnosis? 19:33 • Do you think the term ‘GI psychologist’ is limiting, and have you thought of different words or terminology we can use to refer to this type of work? 22:20 • Berry, Chey and Riehl on potential benefits, risks and the impact of digital therapeutics on behavioral health. 24:37 • Berry and Riehl on the issues facing patients’ ability to access GI psychology, and how digital therapeutics can potentially address these issues. 28:04 • What are the main types of interventions in GI psychology, and what do they do? 31:48 • Riehl on her upcoming book, Mind Your Gut: The Whole-body, Science-based Guide to Living with IBS, co-written with Kate Scarlata, RDN. 36:09 • Thank you, Megan 38:40 • Thanks for listening 38:55 Megan Riehl, PsyD, is a GI psychologist with expertise in psycho-gastroenterology and the management of GI conditions. She is the clinical director of the GI behavioral health program at the University of Michigan, where she has a full-time clinical practice, leads GI behavioral health trainings and provides peer consultation. We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on X, formerly known as Twitter, @HealioGastro @sameerkberry @umfoodoc. For more from Megan, follow @DrRiehl on X, formerly known as Twitter. Disclosures: Berry and Chey report no relevant financial disclosures. Riehl reports she is a co-parent owner of GI OnDemand with Gastro Girl, Inc.
11/01/22 • 41 min
In this podcast episode, Amy Oxentenko, MD, discusses the importance of adapting in her leadership roles and shares her thoughts on creating transparent, inclusive spaces in practice, and more.
- Intro :02
- Welcome to this episode of Gut Talk :23
- The interview & about Oxentenko :38
- Were there people that influenced your decision to transition from advanced math to medicine? 1:59
- How did you end up migrating towards a field like GI? 3:10
- How did the smaller percentages of women in the field when you started make you feel and influence you as a gastroenterologist and leader? 5:36
- About concerns on the sides of employers and prospective female employees regarding discussion of starting a family, parental leave in an interview 7:53
- Can you tell us about the study you recently published on the biases towards female house officers? 11:55
- Do you have advice for young women on how to approach that discussion with potential employers, and how we can handle this type of discussion? 13:54
- Are there any life lessons you want to talk about in regard to the different roles you have had over the years? 15:54
- What are your perspectives on what you learned from your experiences being a chair of medicine during the pandemic? 19:06
- How did you adapt to a set of circumstances that are really different than your usual style of leadership? 22:15
- Can you tell us about some of the tactical things you’re doing now to adapt to how patients have become accustomed to telehealth? 24:13
- Are there any initiatives underway that may help the rest of us think about how to navigate this time as we all try to get back to normal and restore a sense of community? 27:21
- About Maintenance of Certification (MOC) and Dr. Oxentenko’s efforts to create alternative pathways to the 10-year exam 29:31
- As part of the executive chain and future president for the American College of Gastroenterology, where do you think the college should focus their attention in these next couple of years? 34:05
- What are some of the tactical things that institutions can do to promote inclusivity that might not be as obvious? ... What have you seen that actually moves the needle forward? 37:52
- Thank you, Dr. Oxentenko 40:52
- Thanks for listening 41:09
Amy Oxentenko, MD, is chair of the department of Medicine at the Mayo Clinic in Arizona.
We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc. For more from Dr. Oxentenko, follow @AmyOxentenkoMD on Twitter.
05/16/19 • 37 min
In this episode, I speak to Naresh T. Gunaratnum, MD, who completed his GI fellowship at Univ of Michigan and an advanced endoscopy fellowship at Mayo Clinic. He shares his perspective on transitioning from a large academic medical center to private practice in a community hospital. He also talks about balancing clinical practice with research, gives his thoughts on direct-to-consumer screening tools and presents pearls for gastroenterology fellows.
- Intro :10
- The interview :58
- Cultural differences between academic and community centers 1:31
- How did you create a path that allows you to publish research but maintain a busy clinical practice? 3:02
- Research challenges in a community setting 4:24
- What motivates you to spend time coordinating and conducting research? 6:00
- Do you feel that community advanced endoscopists must defend their outcomes compared with large academic centers? 8:38
- How do private practice centers afford expensive machines and technology that may or may not be covered by payors? 12:42
- What are the challenges of creating a community weight loss program from the ground up? 15:15
- What are your thoughts on direct-to-consumer tests like Cologuard? 22:10
- Do you see an at-home, noninvasive test on the horizon that will be just as good as colonoscopy? 24:51
- Do you have a routine to help you stay abreast of the literature? 27:00
- You mentioned earlier that 80% of your time is spent gathering patient data, and that in the future that will be cut down to 20%. What do you mean by this and how will this happen? 28:30
- Are you using midlevel providers such as NPs and PAs? What is your take on their role in the future? 30:55
- If you had a magic wand and could change one thing regarding socioeconomics and social determinants of health, what would you change? 33:28
- If you could go back to GI fellowship, what’s one thing you could do differently? 35:44
- Thank you, Dr. Gunaratnum 37:44
Naresh Gunaratnum, MD, is a gastroenterologist in private practice at Huron Gastro Center for Digestive Care in Ypsilanti, Michigan, and 2019 recipient of the American Gastroenterological Association’s Distinguished Clinician Award.
We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry
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FAQ
How many episodes does Gut Talk have?
Gut Talk currently has 31 episodes available.
What topics does Gut Talk cover?
The podcast is about Life Sciences, Health & Fitness, Medicine, Podcasts, Science and Gastroenterology.
What is the most popular episode on Gut Talk?
The episode title 'Diversity, Equity and Inclusion in GI with Sophie M. Balzora, MD' is the most popular.
What is the average episode length on Gut Talk?
The average episode length on Gut Talk is 46 minutes.
How often are episodes of Gut Talk released?
Episodes of Gut Talk are typically released every 62 days, 23 hours.
When was the first episode of Gut Talk?
The first episode of Gut Talk was released on May 16, 2019.
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