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. 

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.

In this podcast episode, Kate Scarlata, MPH, RDN, discusses how to help patients avoid over restricting their diets, the use of digital therapeutic tools in dietetics and more. •    Intro :02 •    Welcome to this episode of Gut Talk :23 •    The interview/about Scarlata :31 •    Scarlata on her family and growing up in a family of nine children. 1:02 •    Who was more influential in shaping you? Was it your family, or people outside the family unit? 3:40 •    What got you interested in diet and nutrition? 6:27 •    Are there any defining moments personally or professionally that affected the direction of your career?  8:02 •    Can you tell us about your first job as a GI dietician and how it led to your role in the field today? 12:17 •    Berry and Scarlata on GI patient motivations and how they differ from the average patient. 16:51  •    Are there things that you think are unique from a dietetics perspective to build that rapport with the patient and walk them back from deeply rooted thoughts they may have about their diet? 17:49 •    Have you encountered situations with patients where you felt like you could not move forward without the assistance of other specialists such as a trained GI psychologist? 19:47   •    Chey and Scarlata on disordered eating and eating disorders and red flags to help identify and assist these patients. 22:25 •    Are you utilizing the FODMAP Gentle or bottom-up approach? 27:27 •    Berry, Chey and Scarlata on the emergence of digital automated tools developed to help patients get access to therapies without the use of a trained clinician. 29:11 •    Can you talk about the patient advocacy efforts you have been involved with, including the IBelieveinyourStory campaign and the EndHungerPain initiative? 34:43 •    Chey, Berry and Scarlata on the economic challenges facing multidisciplinary GI care and getting patients access to dietary needs including resources like Equip Health. 41:29 •    Scarlata on her upcoming book, Mind Your Gut: The Whole-body, Science-based Guide to Living with IBS, co-written with Megan Reihl, PsyD. 43:52 •    Thank you, Kate 45:06 •    Thanks for listening 45:17 Kate Scarlata, MPH, RDN is a US-based dietitian with over 30 years of experience. Kate’s expertise is in gastrointestinal disorders and food intolerance. Kate is the author of numerous books and articles on digestive health topics including the New York Times Best Seller, The 21 Day Tummy Diet. 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 Kate Scarlata, follow @KateScarlata_RD on X, formerly known as Twitter. Disclosures: Berry and Chey report no relevant financial disclosures. Scarlata reports stock options with Epicured LLC and FODY Food Company, financial support from Dr. Schar, Mahana Therapeutics, Nestle Health Science, Olipop, Pendulum, QOL Medical.

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. 

In this podcast episode, Douglas Rex, MD, discusses the importance of intent-to-treat for colorectal screenings, how screening technology has transformed gastroenterology practice and more. •    Intro :02 •    Welcome to this episode of Gut Talk :23 •    The interview/about Rex :32 •    Where did you grow up, and what was your childhood like?  :52 •    What got you interested in medicine? 2:50 •    How did your journey with GI start? 4:33 •    How have those early days and formidable experiences of being in the lab impacted your career today and what you are more well-known for? 8:19 •    Discussion on the NEJM study and the debates surrounding methodologies for endoscopy 11:55 •    Rex, Chey and Berry on the importance on the issue surrounding intent-to-treat in the setting of colorectal cancer screening 14:57 •    Rex on the Multi-Society Task Force of Colorectal Cancer (MSTF) committee and how they come to decisions that influence how gastroenterologists practice daily 16:55 •    Was it a difficult decision to move the threshold for colorectal cancer screening from 50 to 45? 20:41 •    In an environment where there is a limited resource such as colonoscopy, are you struggling with volume at your institution? … What are some strategies that listeners can utilize to prioritize patients, seek other possibilities and manage volume? 22:28 •    What’s the right way to approach the screening problem? … Where will this lead us ten years from now if all of us are spending our time in the endoscopy suite because of continued reduction in the age of screening while the prevalence of functional conditions and chronic diseases is also rising? 25:51 •    How long do you think we’ll continue to rely upon screening colonoscopy as one of our primary means by which to screen for colon cancer? Are there any technologies on the horizon that will eat into the share of screening colonoscopy? 28:55 •    What is your perspective on AI and how it can impact not only adenoma detection rate and polyp detection, but also clinical workflows such as documentation time? … Are you concerned about the new generation of clinicians being trained on and relying on these tools? 34:07 •    What have you learned in terms of best practices for the right and wrong ways to work with industry? 38:07 •    Thank you, Dr. Rex 40:25 •    Thanks for listening 40:43Douglas K. Rex, MD, is a distinguished professor emeritus at Indiana University School of Medicine and a full-time clinical gastroenterologist at Indiana University Hospitals. 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. Rex, follow @Rex_colonoscopy on Twitter.  Disclosures: Chey and Berry report no relevant financial disclosures. Rex is a consultant for Boston Scientific, Braintree Laboratories, Medtronic, Norgine, and Olympus Corporation. He provides research support at Braintree Laboratories, Erbe USA Inc, Medivators, and Olympus Corporation and is a shareholder of Satisfai Health.

In this podcast episode, Douglas Drossman, MD, and Johannah Ruddy MEd, discuss methods of destigmatizing chronic illness for patients and physicians, technology’s effect on the doctor-patient relationship and more. •    Intro :02 •    Welcome to this episode of Gut Talk :23 •    The interview/about Drossman and Ruddy :30 •    About Ruddy’s professional and personal background regarding DGBI patients 1:40 •    For Ruddy: What was the transformative moment that made you want to get so involved in patient advocacy? 3:39 •    For Drossman: How do doctors talk more effectively to patients? 5:49 •    Chey and Drossman on the objectification of patients and physicians 9:00 •    Are there ways to teach people to re-inject the joy of the patient-physician interaction? … How do physicians re-frame the way that they think about interacting with patients? 10:00 •    Ruddy, Chey and Drossman on the value of narrative history taking 13:35 •    Drossman on the connection between psychosocial information and the onset and perpetuation of patient symptoms 15:29 •    Why are there such big gaps in care for patients with disorders of gut-brain interaction and visceral hypersensitivity? 16:00 •    About the Linedale study on clear language versus qualified language for IBS diagnoses 18:55 •    Chey on the flipsides of confident diagnoses 22:22 •    Do gastroenterologists and primary care doctors have the tools available to treat these conditions? 24:15 •    Thoughts on how technology has affected the physician-patient relationship 27:38 •    How do you deal with the systematic pressures that exist on most brick-and-mortar gastroenterologists today? 31:21 •    Tell us about the main goals and contents of your book, The Patient-Doctor Relationship and Gut Feelings: The Patient’s Story 32:38 •    What are the common threads that emerged from your studies in the book for doctors to think about? 34:03 •    Ruddy’s patient insights on where physicians can think about prioritizing in their care 36:47 •    Thank you, Dr. Drossman and Ms. Ruddy 38:33 •    Thanks for listening 39:14 Douglas Drossman, MD, is a professor emeritus of medicine and psychiatry in gastroenterology at UNC. He is a fellow of the American College of Physicians, a master of the American College of Gastroenterology, past-president of the American Psychosomatic Society. Johannah Ruddy, MEd, is an educator, researcher and writer and currently serves as the chief operating officer and executive director of the Rome Foundation. Ruddy co-founded and is the director of Tuesday Night IBS community on Twitter.      Check out: Gut Feelings: Disorders of Gut-Brain Interaction https://romedross.video/GutFeelingsWebsite and The Patient-Doctor Relationship and Gut Feelings: The Patient’s Story https://romedross.video/patient-story 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. Drossman, follow him on Twitter @DDrossman. For more from Ms. Ruddy, follow her on Twitter @JohannahRuddy.  Disclosures: Chey and Berry report no relevant financial disclosures. Drossman reports affiliation with Ardelyx, Rome Foundation. Ruddy reports affiliation with Biomerica, Mahana Therapeutics, Rome Foundation and Tuesday Night IBS.

In this podcast episode, Shivan Mehta, MD, MBA, MSHP, discusses behavioral economics in patients and clinicians, the entrance of non-traditional entities in the health care space and more. Intro :02 Welcome to this episode of Gut Talk :23 The interview/about Mehta :30 How did you get to where you are now? What got you interested in medicine, and how did you end up with the role that you have today? :58 Can you elaborate more on the people who had an influence on you? 3:10 About behavioral economics 5:39 Are there tried and true theories in behavioral economics around what works to change patient behavior? 9:25 What about insurance companies with steerage? … Are there studies that show that those are different types of financial incentives, as opposed to paying someone? 15:45 Have we seen, or is there research on the effect of, pricing something lower in patients’ decision making in health care? 19:25 As an academic researcher and administrator, what do you think about the entrance of non-traditional entities in health care compared to the work that is being done by clinicians and at academic centers? 22:03 Do you see the move from fee-for-service to quality care happening? 26:41 Thoughts on the future of funding in health care 28:38 What do you think about the physician’s role in current and future innovation? 31:32 How do we create a generation of physicians who are thinking more innovatively and entrepreneurially? 34:51 Thank you, Dr. Mehta 41:43 Thanks for listening 41:50 Shivan Mehta, MD, MBA, MSHP, is associate chief innovation officer at Penn Medicine and associate professor of Medicine and Health Policy at the Perelman School of Medicine. 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. Mehta, follow @Shivan_Mehtaon Twitter. Disclosures: Chey and Berry report no relevant financial disclosures. Mehta serves on a clinical advisory board for Guardant Health and receives grant funding from the National Institutes of Health.

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.

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.

In this podcast episode, Peter B. Cotton, MD, FRCP, FRCS, professor of medicine at the Medical University of South Carolina, discusses the development and invention of the ERCP procedure, the innovation of digestive disease centers and more. Intro :02 Welcome to this episode of Gut Talk :23 About Cotton :23 The interview :37 Where did you grow up? :37 How did you get interested in gastroenterology? 1:38 That [trainees wanting to come to the endoscopy lab and not go to the basic science lab] must have put you in a difficult situation at times. How did you navigate that? 6:12 Could you tell us a little more about what that was like, from an operational perspective, of overseeing the endoscopy center, and perhaps how that role of operating in an endoscopy center as a trainee impacted you innovation in ER cepheid advanced endoscopy? 7:03 How flexible is the shaft of those initial endoscopes, and did you use sedation? 8:49 Is it a correct characterization that the building and innovation and inventions at this early stage in your career was really just to get the job done as opposed to you seeking out a role that was focused on inventing? 9:56 You were the only gastroenterologist at Middlesex for many years, correct? 10:52 How did that transition to Duke occur? … Did that [clinical load] drive a lot of your decision-making or was it more than that? 11:50 Where did the ERCP start? 15:11 How were you able to collaborate with other gastroenterologists and radiologists and surgeons? …What was that collaboration between these investigators that were really trying to drive this procedure forward like back in the Sixties and Seventies? 20:23 Were you able to pass endoscopic videos back and forth, or was that not really the way cases were shared? 21:36 About the Digestive Disorder Center at NUSC and Digestive Diseases Centers 24:43 Has it worked out the way you had envisioned? … What are the potential downfalls as people think about that type of Digestive Health Center model? 27:43 Summary of Cotton’s memoir, The Tunnel at the End of the Light: My Endoscopic Journey in Six Decades 31:34 You also have written books for young children as well. What prompted you to writing and teaching one of the most complicated procedures to your book about “Fred the Snake”? 32:10 What are you most excited about with regards to opportunities facing younger gastroenterologists moving forward, and what advice would you give them to seize those opportunities? 34:54 Thank you Peter 36:42 Thanks for listening 36:58 Peter B. Cotton, MD, FRCP, FRCS, is professor of medicine at the Medical University of South Carolina. We’d love to hear from you! Send your comments/questions to [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry and Chey report no relevant financial disclosures. Cotton reports no relevant financial disclosures.