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Meghan Huff Joins Drossman Gastroenterology as Physician Assistant

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Meghan Huff

Meghan Huff  PA-C has joined Drossman Gastroenterology  and has already has become an integral part of the practice by enhancing its patient centered philosophy.  She participates in all clinic visits and coordinates medication prescriptions and pre-authorizations and communicates with patients through phone calls and messages to optimize their care in a timely fashion.

We asked Meghan  to share a little more about herself in the following Q&A:

1. Tell us a little about your background. What have you done before coming to work with Dr Drossman? 
 Meghan: I graduated from Seton Hall University Physician Assistant Program with my Master’s in Physician Assistant studies in May 2015. After graduating I worked for a private Pediatrician’s practice for 18 months in Danbury CT. My husband and I recently moved to Chapel Hill in July. Prior to PA school, I received my Bachelor of Science degree from the University of Notre Dame and worked as a CNA to fulfill my clinical hour requirements.  
2. What inspired you to become a PA? And why gastroenterology? 
  Meghan:  I was inspired to become a PA while on a medical mission trip to the Dominican Republic. While serving such an underserved population, I learned how a PA could work with doctors to treat patients of all ages and in all specialties. I was drawn to being part of the healthcare team and liked the fact that a PA has a lot of flexibility to work in any field. I decided to work in gastroenterology because disorders of the GI tract affect a wide range of patients and require a trusting relationship between patients and providers to achieve treatment goals.
3. What is it like working with Dr. Drossman and his patients?  What are some of the rewards and some of the challenges? 

 Meghan: Working with Dr. Drossman and his patients is an incredible opportunity. Chronic issues of pain and irregular digestion impact every aspect of a patient’s life. Being able to improve the every day life of a person is hugely rewarding. It is also of course very challenging to  gain the trust of patients who have seen many doctors previously and either not been taken seriously or not gotten proper care.

Meghan Huff and Dr. Douglas Drossman

4. What is different about how he conducts his practice? 
 Meghan:  Dr. Drossman listens to every patient with such compassion and he tries to ensure that each patient is able to say everything they want and need to say. By committing to working with each patient to achieve his or her treatment goals, Dr. Drossman not only involves his patients in his or her own care but he is truly invested in working to get each patient where he or she wants to be.
 
5. What inspires you to go to work everyday? 
 Meghan:  Every day is different and some days are really hard but some days, I get to go to work and hear a patient say his or her pain is gone. That is really awesome.
6. Share some of the things you enjoy doing in your free time? 
 Meghan:  I enjoy hiking, walking the trails around my neighborhood and swimming. Generally, I like to do outdoor activities with friends. I also really like watching TV/Movies and sports with my husband, particularly football.
7. If you could offer some words of wisdom for GI patients, what would you tell them? 

 Meghan:  Be your own advocate and find a doctor who takes the time to really listen to your symptoms and your history. 

 


Drossman Care Says Farewell to Amy Rodriguez PA-C as She Embarks on New Journey

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Amy Rodriguez PA-C joined Drossman Gastroenterology in October 2016 and will soon be leaving to embark on a new journey in life.

She was an integral part of the practice by enhancing its patient centered philosophy.  She participates in all clinic visits and coordinates medication prescriptions and pre-authorizations and communicates with patients through phone calls and messages to optimize their care in a timely fashion.

Amy graduated in May 2006 from the United States Military Academy at West Point where she was on the Black Knight Parachute Team.  Following graduation, she spent six years on active duty as a Paratrooper at Fort Bragg, North Carolina with two deployment tours to Iraq and one to Haiti as a Medical Service Corps officer.  She then decided to provide service in the healthcare field and attended the University of North Carolina at Chapel Hill for her PA school prerequisites and worked as a medical assistant at the Central Dermatology Center prior to attending Wake Forest Physician Assistant School, where she graduated in May 2016.  She and her graduate school partner were recognized for their research skills by receiving the Kitty Bowman Research Award

We would all like to say farewell from the DrossmanCare team, it has been a pleasure having you as part of our staff the last several months. Despite our sadness, we certainly wish Amy only the best and thank her for the hard work she has put in at Drossman Gastroenterology. Thank you Amy!

Rome Foundation’s Dr. Laurie Keefer, Featured in NBC News on Efficacy of Hypnosis for GI Disorders

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Dr. Laurie Keefer

Hypnosis is a well-recognized treatment for functional gastrointestinal disorders (FGIDs) including IBS with proven scientific benefit. Recently the news media has taken great interest in this treatment as shown in this NBC News feature that highlights Laurie Keefer, PhD from Mount Sinai Medical Center in New York. Dr. Keefer is a nationally recognized clinical psychologist who treats GI disorders including FGIDs with hypnosis. She is also a leading member of the Rome Foundation

In this video, Dr. Keefer explains why gastroenterologists are turning to psychologists for help with their patients who don’t get relief from medication. Hypnotherapy can be an effective treatment for heartburn and other stomach conditions. It’s a powerful alternative treatment, backed with scientific evidence, that is increasingly being offered at the nation’s leading medical centers.

Read the full NBC News article and watch the video

As a key member of the Rome Foundation, Dr. Keefer serves as a member of two Rome IV committees of the Rome IV book :  “Central Disorders of Gastrointestinal Pain” [Co-Chair] and “Biopsychosocial Aspects of Functional GI Disorders.  She also leads the Rome Foundation’s Psychogastroenterology Standing Committee which focuses on increasing the availability of GI-trained mental health professionals around the world.

Dr. Keefer is well known for her training of therapists in the implementation of evidence-based behavior therapies for GI diseases with an emphasis on gut-directed hypnotherapy and cognitive behavior therapy and is a sought-after lecturer on these topics.  She is also a member of Council for the American Neurogastroenterology and Motility Society.

In her current role at Icahn School of Medicine at Mount Sinai in New York City, Dr. Keefer oversees Psychobehavioral Research for the Division of Gastroenterology and also Co-Directs a patient-centered subspecialty medical home within the Susan and Leonard Feinstein IBD Clinical Center called GRITT-IBDTM [Gaining Resilience Through Transitions] which focuses on reducing negative outcomes for patients with inflammatory bowel disease by enhancing resilience with behavioral tools.  She remains committed to the development of self-management tools that leverage the strong brain-gut connection in order to improve outcomes for patients with chronic digestive diseases.

Rome Foundation Links Mind-Gut in Treating Chronic Digestive Disorders

The Rome Foundation has recognized the value of linking mind and gut in treatment of chronic digestive disorders and is now supporting the development of a Rome Psychogastroenterology Group (see information I’ve attached that you can expand upon about the group here).

The goal of this group is to connect mental health providers interested in treating patients with GI disorders, including FGIDs with the Rome Foundation and treating gastroenterologists.

This program will have dual benefits:

  1. To encourage mental health providers to go into this GI subspecialty and to gain knowledge from training programs provided by this group
  2. To become a resource for patients with FGIDS being treated by gastroenterologists as part of Rome Foundation’s educational initiative.

Mental Health Providers interested in Treating Patients with GI Disorders, please contact Dr. Laurie Keefer

Related Resources

Efficacy, Tolerability, and Safety of Hypnosis in Adult Irritable Bowel Syndrome: Systematic Review and Meta-Analysis, Psychosomatic Medicine 76:389Y398 (2014)

Long-Term Success of GUT-Directed Group Hypnosis for Patients With Refractory Irritable Bowel Syndrome: A Randomized Controlled Trial, The American Journal of Gastroenterology, Am J Gastroenterol  advance online publication, 19 February 2013;  doi: 10.1038/ajg.2013.19


Understanding and Managing Pain in Irritable Bowel Syndrome (IBS) – Tips and Insight

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This is an excerpt from a recent article I authored for the IFFGD. It appears here with permission.

Read full article 

Pain, by definition, is the dominant symptom experienced by patients with irritable bowel syndrome (IBS). Three out of 4 people with IBS report continuous or frequent abdominal pain, with pain the primary factor that makes their IBS severe. Importantly, and unlike chronic pain in general, IBS pain is often associated with alterations in bowel movements (diarrhea, constipation, or both).

The standard general definition for pain is, an unpleasant sensory and emotional experience that’s associated with actual or perceived damage to the body. Pain that is shortlived is termed acute, while pain that lasts 6 months or longer is termed chronic. Chronic pain may be constant or recurring frequently for extended periods of time.

The chronic pain in IBS can be felt anywhere in the abdomen, though is most often reported in the lower abdomen. It may be worsened soon after eating, and relieved or at times worsened after a bowel movement. It is not always predictable and may change over time. People with IBS use different descriptors to explain how the pain feels; some examples include cramping, stabbing, aching, sharp or throbbing. IBS is a long-term condition that is challenging both to patients and healthcare providers. It affects 10–15% of adults. Less than half of those see a doctor for their symptoms. Yet patients with IBS consume more overall health care than those without IBS.

The primary reason people with IBS see a clinician is for relief of abdominal pain. Standard diagnostic test results are normal in people with IBS; diagnosis is based on certain symptoms that meet defined (Rome IV) criteria. How can IBS be so painful when nothing irregular shows up on tests? The answer is that IBS is a condition where the symptoms relate to alterations in normal gastrointestinal function; that is, dysregulation of brain and gut affecting both pain signals and motility (movement of the bowels). The aim of this publication is to explain this relationship between the brain and the gut in order to help those affected understand why and how pain in IBS occurs, and how it can be confidently managed.

Ten Steps for Self-Management – What You Can Do to Help Reach Your Treatment Goals:

  1. Acceptance: Accept that the pain is there. Learn all you can about your condition and it’s management; knowledge is therapeutic
  2. Get Involved: Take an active role in your care. Develop with your provider a partnership in the care. Understand your provider’s recommendations and maintain an open dialogue .
  3. Set Priorities: Look beyond your symptoms to the things important in your life – do what is important. Eliminate or reduce what is not important.
  4. Set Realistic Goals: Set goals within your power to accomplish. Break a larger goal into small manageable steps. Take the time to enjoy the success of reaching your goals.
  5. Know Your Rights with your Healthcare Provider: You have the right to be treated with respect; To ask questions and voice your opinions; To disagree as well as agree; To say no without guilt.
  6. Recognize and Accept Emotions: Mind and body are connected. Strong emotion affects pain. By acknowledging and dealing with your emotions you can reduce stress and decrease the pain.
  7. Relaxation: Stress lowers pain threshold and increases symptoms. Relaxation helps reclaim control over your body and reduces pain.Examples of relaxation options to consider (taught or guided by an expert):
  • Deep breathing exercises
  • Progressive relaxation
  • Gut-directed hypnosis
  • Yoga and Meditation

 

8.  Exercise: Diverts attention from your symptoms. Increases your sense of control in life. Helps you feel better about yourself.

9.  Refocus: With these steps your symptoms are no longer the center of your life. Focus on abilities not disabilities. You will then see you can live a more normal life.

10. Reach Out: Share your thoughts and feelings with your provider. Interact with family and friends in healthy ways. Support others and seek support from them as well.

Read full article

About The International Foundation for Functional Gastrointestinal Disorders (IFFGD)
The International Foundation for Functional Gastrointestinal Disorders(IFFGD) is a nonprofit education and research organization. Our mission is
to inform, assist, and support people affected by gastrointestinal (GI) disorders. Visit our websites at www.iffgd.org and www.aboutIBS.org or
phone 414-964-1799.

Opinions expressed are an author’s own and not necessarily those of the International Foundation for Functional Gastrointestinal Disorders (IFFGD). IFFGD does not guarantee or endorse any product in this publication nor any claim made by an author and disclaims all liability relating thereto. This article is in no way intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenever a health problem arises requiring an expert’s care.


What Do Patients Want? Honesty, Respect, Effective Communications

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I encourage you to watch the video and put into practice the tips and insights gleaned.

For related information on effective patient-provider relationships please see my previous posts:


Now Available Webinar Recording Achieving Effective Patient-Provider Communication with Dr. Drossman

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One of the greatest problems that emerges with continually decreasing amounts of time that clinicians can spend with patients include the inability to:

1) obtain sufficient high quality information about the illness and

2) have quality time to establish an effective patient-provider relationship.

This can result in inaccurate diagnoses and treatments as well as patient and physician dissatisfaction with each other and the very process of care.

This webinar is specifically designed for patients and features Douglas A. Drossman, MD, MACG, and one of his patients, Katie Errico, who recently published her health journey in The American Journal of Gastroenterology.

Dr. Drossman and Katie will discuss her case as an example of effective patient-provider communication and provide guidance, tips and insights on what you can do to better understand your symptoms and how best to communicate with your doctor on how they are impacting your quality of life so you can effectively work together to achieve symptom relief.

Objectives:

1. To learn methods that help to optimize a visit to a physician

2. To learn ways to self manage chronic pain and functional GI symptoms

3. To understand how effective communication improves the patient-provider relationship through presentation of a case history


 

About Katie Errico:

I am a 31 year old special education teacher, tennis enthusiast and lover of dogs.  I am also a type one diabetic, diagnosed at 22, and looking back have had symptoms of IBS since my early teen years.  However, I did not know this until I met Dr. Drossman just after my 29th birthday, who also discovered that I have functional dyspepsia, atrophic gastritis and pernicious anemia.  I’m not going to lie, this was no easy road to travel and I still hit some bumps every now and again, but I can honestly say for the first time in a long time, I’m really enjoying my life 

Related Resources

Katie: A Patient’s Perspective Katie Errico Am J Gastroenterol 2017; 112:528–529; doi: 10.1038/ajg.2017.26; published online 21 February 2017

Katie: The Physician’s Perspective of a Young Woman’s Illness Experience Douglas A. Drossman , MD 1 Am J Gastroenterol 2017; 112:525–527; doi: 10.1038/ajg.2017.23; published online 21 February 2017


Rome IV Interactive Clinical Decision Toolkit Demo at DDW 2017 – Booth #3535

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The Rome Foundation, in collaboration with LogicNets, has created the Rome IV Interactive Clinical Decision Toolkit. This new intelligent software system addresses the sophistication and complexity of FGID diagnosis and treatment protocols by providing an online resource to assist practitioners in achieving optimal clinical outcomes. It offers a powerful online and interactive approach for accessing the combination of the Rome IV Diagnostic Algorithms and the MDCP treatment guidelines on-demand and at the point of care.

The Rome Foundation and LogicNets will be demonstrating the Rome IV Interactive Clinical Decision Toolkit at the Rome Foundation booth #3535 at Digestive Disease Week (DDW) in Chicago, Illinois, May 6-9, 2017. The new online system is designed to interactively deliver advanced Rome knowledge to physicians and clinicians via any browser based device.

 

“In partnering with LogicNets, we have developed an interactive platform for our Rome IV educational materials,” commented Dr. Douglas A. Drossman MD, President of The Rome Foundation. “By combining and integrating both the diagnostic and treatment decision making tools, this system approximates how clinicians think through the complex challenges of working with their patients having FGIDs. It will enhance the value of our books and other educational resources by adding a tool that is more proximate to the way good expert clinicians think.”

 

“Rome Foundation is recognized as providing global standards of excellence for understanding and treating FGIDs. We could not ask for a better content partner to demonstrate the value of our platform in making complex critical knowledge easily accessible and usable for patients at the point of care,” said Jelle Ferwerda, President and CEO of LogicNets. “We look forward to a positive reception from the worldwide Rome community and to offering a new venue for Rome content to be accessed and used directly by provider organizations as part of the incorporation of CDS technology into the Healthcare IT infrastructure stack.”

 

Using any browser-enabled device, physicians and clinicians interact visually with Rome algorithms and guidelines, seeing all relevant decision pathways developed from actual clinical cases and using touch inputs to highlight and activate the pathways that lead to the optimal outcomes and recommendations. The platform operates in the ways that clinicians need to work: by using a logical, multidimensional and yet individualized framework for proper decision making. The acquired information is derived from true-to-life clinical cases. The underlyling decision-making content was created and modified through a consensus process involving the Rome Foundation Board of Directors and the Rome IV chapter committee members, comprised of leading experts from around the world. As a result, the decision pathways are based on the most up to date and authoritative body of knowledge that has ever existed for the FGIDs.

 

The system is designed to accommodate the user’s own clinical workflow. The program responds using its extensive database of information and then interactively guides practitioners through a series of questions that help shape the diagnostic and treatment pathways to offer the best options. Navigating the full range of ROME IV diagnostic algorithms and MDCP treatment guidelines is unusually flexible, letting the user explore, select, and de-select different factors or decision points in any order. At each decision point, users have dynamic access to relevant informational resources to confirm their conclusions or to get enhanced guidance for providing accurate inputs.

 

The new Rome IV Interactive Clinical Decision Toolkit will be available directly from Rome Foundation. LogicNets also plans to make the system available to its healthcare provider organization customers who use LogicNets’ decision support platform as a means of enhancing clinical and administrative processes and workflow at the point of care.

 

About LogicNets

Since 2004, LogicNets has focused on developing its LogicNets Expert Decision Support platform allowing organizations to capture their expertise and make it available on-demand to all players (staff, partners, patients, customers, etc) via online applications accessible from any location or standard device. The LogicNets Clinical Decision Support Platform is offered either as a cloud-based hosted service (SaaS) or a locally installed web-enabled application.

 

About The Rome Foundation

The mission of The Rome Foundation is to improve the lives of people with functional GI disorders. An independent organization, The Rome Foundation provides support for scientific research and the development of educational information to assist in the diagnosis and treatment of functional gastrointestinal disorders (FGIDs).
Over the last 20 years, The Rome Foundation has sought to legitimize and update our knowledge of the FGIDs. This has been accomplished by bringing together scientists and clinicians from around the world to classify and critically appraise the science of gastrointestinal function and dysfunction. This knowledge permits clinical scientists to make recommendations for diagnosis and treatment that can be applied in research and clinical practice.
The Rome Foundation is committed to the continuous development, legitimization and preservation of the field of FGIDs through science-based activities. We are inclusive and collaborative, patient-centered, innovative and open to new ideas.

# # #


Free Webinar: Stop Suffering – Learn How to Talk to Your Doctor for Better Health Outcomes

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Free Gastro Girl Webinar

Featuring Douglas A. Drossman, MD

April 24, 2017 8 PM EDT

 

Achieving Effective Patient-Provider Communication

Register Now! Space is Limited

One of the greatest problems that emerges with continually decreasing amounts of time that clinicians can spend with patients include the inability to:

1) obtain sufficient high quality information about the illness and

2) have quality time to establish an effective patient-provider relationship.

This can result in inaccurate diagnoses and treatments as well as patient and physician dissatisfaction with each other and the very process of care.

This webinar is specifically designed for patients and features Douglas A. Drossman, MD, MACG, and one of his patients, Katie Errico, who recently published her health journey in The American Journal of Gastroenterology.

Register Now! Space is Limited

Dr. Drossman and Katie will discuss her case as an example of effective patient-provider communication and provide guidance, tips and insights on what you can do to better understand your symptoms and how best to communicate with your doctor on how they are impacting your quality of life so you can effectively work together to achieve symptom relief.

Objectives:

1. To learn methods that help to optimize a visit to a physician

2. To learn ways to self manage chronic pain and functional GI symptoms

3. To understand how effective communication improves the patient-provider relationship through presentation of a case history

Attendees will have the opportunity to ask questions following the presentation.

Cost: Free

After registering, you will receive a confirmation email containing information about joining the webinar.

View System Requirements

Register Now! Space is Limited


Former Paratrooper, Medical Service Corps Officer Joins Drossman Gastroenterology as Physician Assistant February 2017

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Amy Rodriguez PA-C

Amy Rodriguez PA-C has joined Drossman Gastroenterology in October 2016 and has already has become an integral part of the practice by enhancing its patient centered philosophy.  She participates in all clinic visits and coordinates medication prescriptions and pre-authorizations and communicates with patients through phone calls and messages to optimize their care in a timely fashion.

Amy graduated in May 2006 from the United States Military Academy at West Point where she was on the Black Knight Parachute Team.  Following graduation, she spent six years on active duty as a Paratrooper at Fort Bragg, North Carolina with two deployment tours to Iraq and one to Haiti as a Medical Service Corps officer.  She then decided to provide service in the healthcare field and attended the University of North Carolina at Chapel Hill for her PA school prerequisites and worked as a medical assistant at the Central Dermatology Center prior to attending Wake Forest Physician Assistant School, where she graduated in May 2016.  She and her graduate school partner were recognized for their research skills by receiving the Kitty Bowman Research Award.

We asked Amy to share a little more about herself in the following Q&A:

1. Tell us a little about your background. What have you done before coming to work with Dr Drossman? 
Amy: I graduated from the United States Military Academy at West Point in 2006 then served six years in the military as a Paratrooper. After three deployments, two to Iraq and one to Haiti, I left active duty to pursue PA school.  I fulfilled some prerequisite courses at UNC and worked as a medical assistant at Central Dermatology Center before going to Wake Forest PA school.
 
2. What inspired you to become a PA? And why gastroenterology? 
Amy: I knew I wanted to become a PA after working in the Army with other Physician Assistants. They were passionate about their profession, dedicated to patient care, and they inspired me to want to become a PA. I learned about Dr. Drossman’s clinical practice and wanted to learn from his GI expertise and the biopsychosocial model.  My ultimate goal is pursue a career primary care and treating a variety of GI conditions is a significant component aspect of that field and I want to be well-versed to treat my future patients. 
 
3. What is it like working with Dr. Drossman and his patients?  What are some of the rewards and some of the challenges? 

Amy: Dr. Drossman applies the biopsychosocial model focusing on the “whole patient” approach. The rewards include seeing firsthand the patients improve and also see how therapeutic it is for them when their concerns are acknowledged and addressed. The challenge is that with chronic pain conditions, such as chronic abdominal pain, we focus on treating the symptoms and working toward improving the patient’s overall quality of life. Getting patients to understand chronic conditions are not cured overnight or immediately can prove to be challenging at times.

4. What is different about how he conducts his practice? 
Amy: Dr. Drossman devotes his time to listen to and get to know his patients and acknowledge their concerns. He takes the time to discuss with each patient their condition and explain medical concepts and treatments available. He is a big proponent of working together with the patient as a team for the best outcomes.  
 
5. What inspires you to go to work everyday? 
Amy: Seeing our patients make significant improvement in their symptoms and quality of life is fulfilling and being a positive force in that journey . 
 
6. Share some of the things you enjoy doing in your free time? 
Amy: I enjoy working out, running with my dog, hiking and traveling with my boyfriend and spoiling my nieces
 
7. If you could offer some words of wisdom for GI patients, what would you tell them? 

Amy: The majority of GI conditions being treated are multi-faceted and chronic. We will work with patients to improve their symptoms and overall quality of life. Yes, there will be good days and bad days but if we can see improvement in the right direction, that is a success. If we never get to 100% cure, 80% improvement is not a failure.


Gastro Endo News Interview: New ROME IV Criteria Address Psychosocial & Functional GI Disorders August 2016

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Dr. Douglas Drossman talks to GastroEndoNews about the new ROME IV guidelines, a new algorithm that can help physicians better diagnose and treat patients and how his background in psychiatry helps him in GI.

Presented at the 2016 Digestive Disease Week in San Diego. Watch the Video

 

Dr. Drossman talks with Adam Marcus, Gastroenterology Endoscopy News

Dr. Drossman talks with Adam Marcus, Gastroenterology Endoscopy News

 

 


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