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Gastroenterology Talks

Gas­troen­terol­ogy Talks


Dr. Patri­cia Ray­mond is the unex­pected, a one-of-a-kind physi­cian — refresh­ing, out­ra­geous and fun. She has an abil­ity to com­mu­ni­cate to an audi­ence, deliv­er­ing prac­ti­cal infor­ma­tion in a down to earth and lively style.

She can speak on a wide range of gas­troen­terol­ogy top­ics.  Just tell us the knowl­edge level of your audi­ence (nurses, docs, med stu­dents, lay-folks), and we’ll tweak the learn­ing to suit their level! They’ll laugh and learn.

Top­ics include:

Celiac Dis­ease: Beyond Bow­els, Blood & Bones
Celiac dis­ease. One in 132 Amer­i­cans has it. We know about the mal­ab­sorp­tion, the ane­mia, the osteo­poro­sis asso­ci­ated with celiac dis­ease. But what of asso­ci­a­tions with neu­ro­log­i­cal dis­ease, repro­duc­tive health, and other organ systems?

What DON’T you know about this com­mon condition?

View the syl­labus  View the CEU  View the pre­sen­ta­tion


The GERD, The Bed, & the Ugly:
Night­time Gas­troe­sophageal Reflux
Noc­tur­nal GERD may be more impor­tant than day­time GERD in the devel­op­ment of severe GERD-related com­pli­ca­tions; and up to 80% of reflux­ers describe noc­tur­nal symp­toms. Night­time reflux is asso­ci­ated with a 11x risk of esophageal ade­no­car­ci­noma, as well as sleep dis­tur­bance and res­pi­ra­tory symptoms.

Per­haps you don’t need to know the details of noc­tur­nal GERD… but ask yourself–

“Do you feel lucky?”

View the syl­labus  View the CEU  View the presentation


The Skinny on the Role of Endoscopy in Bariatric Surgery
So where does endoscopy play a role in today’s obe­sity epidemic?

Here we’ll dis­cuss esoph­a­gogas­tro­duo­denoscopy from the pre-op assess­ment to post op trou­bleshoot­ing, as well as the upcom­ing new tech­niques and tools for endo­scopic bariatric procedures.

  View the syl­labus (part 1)  View the syl­labus (part 2)   View the CEU  View the presentation


Mal­ab­sorp­tion and Maldiges­tion:
MAL­oder­ous MAL­adap­tive MALadies
Gas, bloat and diar­rhea– how to estab­lish the cause and how to man­age the symptoms.
View the presentation


Give Nau­sea the Heave:
Patho­phys­i­ol­ogy and Man­age­ment Options
Queasy = no fun, and you’d like nau­sea to exit pronto, while avoid­ing pow­er­ful med­ica­tions that may cause drowsiness.

Join us for a dis­cus­sion on the eti­olo­gies, mech­a­nism and eval­u­a­tion of the tech­ni­color yawn, dis­cus­sion of cur­rently avail­able med­ica­tions for man­age­ment, and review of pub­lished stud­ies sup­port­ing com­pli­men­tary tech­niques such as P6 point acu­pres­sure and use of zin­giber ofic­i­nale aka com­mon ginger.

View the syl­labus  View the CEU  


Choose Bugs not Drugs:
On Choos­ing and Using the Proper Probiotic
What are the cor­rect pro­bi­otics to advise your ill patients to take? Should your well patients be on pro­bi­otic sup­ple­ments? What doses are appro­pri­ate? Can they cause harm?

Mar­ket­ing has got­ten out of hand, and gas­troen­terol­ogy pro­fes­sion­als need to under­stand the often­times scanty data that exists on pro­bi­otic usage.

Join us and learn to use this age old tool made new again.

View the syl­labus  View the CEU  


Fat Rats: The Phys­i­ol­ogy of Obesity
We have han­dled heli­cobac­ter and we’re con­quer­ing colon can­cer. The next growth area in gas­troen­terol­ogy will be shrink­ing the obe­sity epidemic.

Over­weight and obe­sity have reached epi­demic pro­por­tions in the United States. Over 61 per­cent of Amer­i­cans are over­weight and one-fourth of Amer­i­can adults are obese (an esti­mated 97 mil­lion), putting them at seri­ous risk for poor health (DHHS, 2001).

We have an expan­sion in our knowl­edge of obe­sity phys­i­ol­ogy, based on stud­ies of rats with genetic vari­a­tions. This knowl­edge of lep­tin, lep­tin recep­tor, and melanocortin-4 (MC4) recep­tors is dri­ving research into new obe­sity med­ica­tions. And sur­pris­ing stud­ies show that the intesti­nal bac­te­ria in fat mice dif­fer from those in lean indi­vid­u­als. Might bac­te­ria reg­u­late body weight?

Although this pre­sen­ta­tion will focus on the stud­ies of rat phys­i­ol­ogy which are lead­ing to our under­stand­ing of obe­sity and drug devel­op­ment, the pre­sen­ta­tion will include a brief review of endo­scopic bariatric pro­ce­dures cur­rently under development.

 View the syl­labus  View the CEU  View the pre­sen­ta­tion


Bow­els Gone Wild: Diar­rhea Dilemmas
Loose watery stools: There’s a lot more to the diag­no­sis and man­age­ment than just a colonoscopy and biopsy.

We’ll talk about the dif­fer­en­tial diag­no­sis of diar­rhea, clin­i­cal clues that you might be deal­ing with a diar­rheal syn­drome such as glucagonoma, pan­cre­atic insuf­fi­ciency, or car­ci­noid syn­drome, and the man­age­ment includ­ing the proper selec­tion and use of probiotics.

View the syl­labus (part 1)  View the syl­labus (part 2)  View the CEU  View the presentation


Colon Can­cer Aware­ness
(Ms Butt Med­dler and Her Divine Colonoscopy Concert)
Learn of the preva­lence of colon can­cer in Amer­ica, and its sig­nif­i­cance as one of the most pre­ventable but often unscreened tumors

Under­stand the guide­lines of the Amer­i­can Can­cer Soci­ety for col­orec­tal can­cer screen­ing with spe­cial empha­sis on stud­ies sup­port­ing the role of colonoscopy as screen­ing tool for assymp­to­matic Amer­i­cans over 50 y/o

Learn of the dif­fer­ence that race and sex have in colon can­cer inci­dence, extent at diag­no­sis, and prognosis

Be aware of new means of screen­ing col­orec­tal can­cer “on the horizon”

Dis­cuss the cost effec­tive­ness of colonoscopy verses other accepted screen­ing procedures

Explain the con­se­quences of poor com­pli­ance with col­orec­tal can­cer screen­ing, and the rea­sons given for this non-participation by med­ical caregivers

Accept the chal­lenge of increas­ing the rate of colon can­cer screen­ing in their own milieu

 View the syl­labus    View the CEU   View the Pre­sen­ta­tion    More about Butt Med­dler   
Butt Meddler’s music par­o­dies!


Diag­nos­ing & Man­ag­ing Dia­betic Gastroparesis
Dia­betic Gas­tro­pare­sis adversely affects 20–40% of long­stand­ing type 1 dia­bet­ics and may worsen blood glu­cose con­trol, but our dia­betic patients may not have any other symp­toms! Dis­cover the effects of high and low sugar on the nor­mal and neu­ro­pathic gut, and learn what you can do help man­age this dif­fi­cult disorder.
  View the syl­labus  View the CEU   View the Presentation


Intesti­nal Gas:
Chart­ing the Course Through a Per­ilous Miasma
We all have gas, and we let loose about a liter a day. Get the inside story: Every­thing you’ve been dying to know about ‘air bis­cuits’- their cause, com­po­si­tion, and cure.

A belch is but a gen­tle wind

That cometh from the heart,

But when it takes a down­ward turn

It then becomes a fart.

View the syl­labus  View the CEU   View the Presentation


Irri­ta­ble Bowel Syn­drome:
Walk a Mile in My Labcoat
IBS is tough to diag­nose. And you don’t com­monly get to watch the process from ini­tial pre­sen­ta­tion to suc­cess­ful man­age­ment. In this highly inter­ac­tive ses­sion, teams will assist in his­tory, phys­i­cal exam, lab and endo­scopic eval­u­a­tion, and man­age­ment of a typ­i­cal IBS patient.
View the syl­labus  View the CEU  View the pre­sen­ta­tion


Why QI? Com­mit to Qual­ity Endoscopy:
The Link between Prac­tice and Care
Stud­ies have shown that a cecal with­drawal of greater than six min­utes leads to find­ing TWICE the num­ber of polyps than ones under six min­utes. A study at a teach­ing hos­pi­tal revealed that one attend­ing had a cecal intu­ba­tion of an appalling 63 per­cent. You want to do good endoscopy in your suite, in fact, you are pretty sure you do. Or are you? Do you photodoc­u­ment the cecum? Mea­sure with­drawal time? Can’t get your docs on board? Heres ammo!
View the syl­labus  View the CEU  View the pre­sen­ta­tion


Not Innies, Out­ies, or Pierc­ings:
Visual Exam­i­na­tion of the Belly Button
Remem­ber Cullen’s sign? Grey-Turner? How about the Sis­ter Mary Joseph Nod­ule? Caput medusae? Know what vis­i­ble peri­stal­sis looks like? How about a cuta­neous fis­tula from Crohn’s dis­ease? With the advent of high tech CT, MRIs, PET scans, and our favorite endo­scopies, we’ve for­got­ten the diag­nos­tic clues pro­vided by hands-free inspec­tion of the abdomen— it’s safe and it’s cov­ered by all insurances!

GI Nurses apply pres­sure to the belly numer­ous times a day. Let’s explore diag­noses that you can make by flip­ping back the drapes and sim­ply look­ing at the umbil­i­cal region.

  View the syl­labus  View the CEU  View the presentation


Liver Dance:
The Steps in Diag­no­sis of Abnor­mal Liver Tests
When abnor­mal liver tests are dis­cov­ered, there are steps to be taken in a spe­cific order.
Learn the ‘Liver Dance”!
View the syl­labus    View the pre­sen­ta­tion


Permanent link to this article: http://rxforsanity.com/programs/gi-2/


  1. Brenda Hayes

    Are you avail­able for a speak­ing engage­ment on Oct. 13, 2012 in Lake George New York? Cen­tral NY SGNA

  2. Patricia Raymond

    Absolutely; I emailed you back with my num­ber. Give me a call!

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