we are left having difficult conversations in acute settings trying to gain an understanding of people’s wishes. THIS NEEDS TO CHANGE!
Residents, let’s get serious for a minute. How often are you performing digital rectal exams (DRE) for patients that have an indication? An informal poll of the audience revealed that even some gastroenterologists, let alone medical residents, were skipping the rectal exam despite having patients with lower gastrointestinal (GI) symptoms. I know that during a... Continue Reading →
Let’s talk about a really hot topic in gastroenterology: Probiotics. I get more questions about this topic than a lot of others, and it is challenging because the published evidence provides differing opinions. How do I feel about them? Personally, I’m, well...pro...probiotics. Get it? Anyway, let’s start with the most basic question: what are probiotics?... Continue Reading →
I’ve come a long way when it comes to family meetings. I remember how nervous I was walking into my very first family meeting where two members broke out into a physical fight over their differing views regarding palliative extubation. It took me many trials and tribulations to establish a structure for my meetings. Through... Continue Reading →