As a person who is going through perimenopause, I’m now aware of how much hormones impact the GI tract. GERD symptoms can intensify during these times (especially menopause stages).
The number one problem I see in my school clinic is stomach aches. I take temps in case it’s a virus, encourage them to use the bathroom, to drink water etc but I was wondering if you have any other suggestions in terms of general advice I can give to help them deal with their tummy aches. I do tell them not to eat spicy foods as well. I do check through the school version of epic to make sure allergies and issues aren’t noted in the chart.
I know you want the Doc to answer, I was just wondering if you ask about anxiety? Maybe there’s something they might be worried about, at school or maybe at home? I had a very tense home life and would get awful stomach aches at school. Nothing was physically wrong, my anxiety just manifested that way.
@@melissaconnellyjones2622 I do talk to the kids. I make sure to rule out allergies, anxiety, etc. 99 percent of the time it’s constipation and they feel better after going. Some of it is them coming down with a bug. One kid does make himself vomit from anxiety, but he has good parents. For him, it’s because he’s homesick.
Are you familiar with cyclic vomiting syndrome? Care to comment on this rare condition? I'm struggling with it, and have had trouble finding specialists who are familiar with it, let alone being able to treat it.
Colonoscopy goes up to the ilium, looking at large intestine. Gastroscopy/upper endo goes up to duodenum. Mainly to look at stomach and oesophagus. Top/tail is when you do both at once.
It's an autoimmune disease of the lower GI. Think like what would happen if celiac disease was always active and didn't need gluten to trigger it, but a bit lower down.
@@ConstantlyDamaged My Dad also saw a GI specialist for a rheumatological issue that impacts lower GI. Basically the rheumatologist sent him to GI to get a colonoscopy so they could biopsy to verify the rheumatology related condition.
Crohn's is an autoimmune condition, and is often treated with medications similar to those used by rheumatologists (infliximab Humira, etc), but crohn's disease is treated by gastroenterologists like Doc Schmidt
Food in exchange for education about a drug and drug samples to help patients try new medications options without paying huge bills? That’s not bribery
Private practice specialty clinic... How's your referral base? Over where i am, the big corporate hospitals take them all because they bought out all of the primary care physicians
Ive been watching u all this time and you practice in the same city and with the same company as my primary. Ultimately useless information especially as someone whos GI system is fine - but hey neat
You know it’s tough being a doctor when you see people commenting “wow, you’re so busy” but you’d die for a schedule like this 😂 Great video!
Almost 10 years s/p right hemicoloctomy for colon cancer. My GI doc saved my life. Thanks for all you do. I love all your skits.
That seems like so much to do in 8 hours. 3 locations, a bunch of patients and procedures? Damn
Doctors often work more than 8 in a day
Got my first colonoscopy done, a few days ago. No polyps. No problems. Next one in 10 years!
Thank you and to all the medical professionals.
Thanks for letting us see what your day is like.
Thanks for watching!
Thanks for showing us a day in your life!!
Your group doesn't rotate hospitalist duties?
We rotate by day rather than by week since the hospital is smaller and therefore not too busy
Thank you for all you do…❤️❤️❤️
I would love to watch a more in-depth version of what you do. Like what procedures can look like and stuff 😊
As a person who is going through perimenopause, I’m now aware of how much hormones impact the GI tract. GERD symptoms can intensify during these times (especially menopause stages).
What did you think of the drug rep's lunch? Was it GI friendly?
The number one problem I see in my school clinic is stomach aches. I take temps in case it’s a virus, encourage them to use the bathroom, to drink water etc but I was wondering if you have any other suggestions in terms of general advice I can give to help them deal with their tummy aches. I do tell them not to eat spicy foods as well. I do check through the school version of epic to make sure allergies and issues aren’t noted in the chart.
I know you want the Doc to answer, I was just wondering if you ask about anxiety? Maybe there’s something they might be worried about, at school or maybe at home? I had a very tense home life and would get awful stomach aches at school. Nothing was physically wrong, my anxiety just manifested that way.
@@melissaconnellyjones2622 I do talk to the kids. I make sure to rule out allergies, anxiety, etc. 99 percent of the time it’s constipation and they feel better after going. Some of it is them coming down with a bug. One kid does make himself vomit from anxiety, but he has good parents. For him, it’s because he’s homesick.
Thank you so much for sharing
Thanks for this. I've wondered if you have procedure days or if you split the day with a few procedures.
Even that varies! For example I do procedures all day on Friday
Are you familiar with cyclic vomiting syndrome? Care to comment on this rare condition? I'm struggling with it, and have had trouble finding specialists who are familiar with it, let alone being able to treat it.
Love this video. How much driving do u have to do to get to all those places?
Not too much thankfully. All are within a couple miles of each other
Geeze you are busy! My question is, why do we typically have a colonoscopy and not an upper oscopy?
Colonoscopy goes up to the ilium, looking at large intestine. Gastroscopy/upper endo goes up to duodenum. Mainly to look at stomach and oesophagus.
Top/tail is when you do both at once.
Much less likely to have symptomless stomach cancer than symptomless colon cancer.
Colorectal cancer is much more common in the US compared with esophageal or gastric cancer.
Isn't Crohn's a rheumatological issue? What would a biopsy show?
It's an autoimmune disease of the lower GI. Think like what would happen if celiac disease was always active and didn't need gluten to trigger it, but a bit lower down.
@@ConstantlyDamaged My Dad also saw a GI specialist for a rheumatological issue that impacts lower GI. Basically the rheumatologist sent him to GI to get a colonoscopy so they could biopsy to verify the rheumatology related condition.
Crohn's is an autoimmune condition, and is often treated with medications similar to those used by rheumatologists (infliximab Humira, etc), but crohn's disease is treated by gastroenterologists like Doc Schmidt
Can you share tricks to how study internal medicine please
Thanks doctor
So wait you basically get sponsored by your employer? That is actually awesome lmao
Casually admitting to being bribed by the drug rep I see... 🤔
Food in exchange for education about a drug and drug samples to help patients try new medications options without paying huge bills? That’s not bribery
Private practice specialty clinic... How's your referral base? Over where i am, the big corporate hospitals take them all because they bought out all of the primary care physicians
Ive been watching u all this time and you practice in the same city and with the same company as my primary. Ultimately useless information especially as someone whos GI system is fine - but hey neat
dont love the frenchie/goatie you got going on either commit to a beard or shave it off