Expert Opinions

Commentaries about digestive and digital health from the MyGiHealth team

Low-FODMAP Diet Catches on Among People with Digestive Misery

This article, covering Dr William Chey's low FODMAP diet research, originally appeared in USA Today. Would a life without onions, garlic, apples and most bread be worth living? For growing numbers of people suffering from digestive ills, the answer is

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Top 10 Lessons Learned Using Virtual Reality in Hospitalized Patients

Brennan Spiegel, MD, MSHS If you’ve ever been hospitalized or visited someone in the hospital, then you know that patients can experience anxiety, uncertainty and boredom exacerbated by a radical change in living environment and loss of customary rights and

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Top 10 Principles for Advancing the Science of Digital Health

Brennan Spiegel, MD, MSHS, MPH. There are pervasive claims that digital health innovations are positively transforming healthcare (a notable example). However, despite this enthusiasm among technophiles, there are very few peer-reviewed and methodologically rigorous studies addressing the accuracy and impact

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The Digital Doctor: How Technologies Enhance Health Care

Published by Healio Gastroenterology. While physicians as a whole slowly adopt new technology, such as implementation of electronic medical records, a new wave of clinicians look toward clinical research and doctor involvement to bring digital technologies into the GI practice

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Diagnostic Testing in IBS

Published by the GastroIntestinal Health Foundation. Watch Dr. Brennan Spiegel discuss diagnostic testing in IBS patients.

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Food: The Main Course to Wellness and Illness in Patients With Irritable Bowel Syndrome

William D. Chey , MD, AGAF, FACG, FACP, RFF 1 Food sits at the intersection between gastrointestinal (GI) physiology and symptoms in patients with the irritable bowel syndrome (IBS). It is now clear that the majority of IBS sufferers associate eating

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22 Foods You Should Never Eat Before Sex

As originally seen in Cosmopolitan : Avoid these menu items to beat bloat (and every other bodily function that makes you feel unsexy) on your next date. When there are so many foods that make you feel bloated and unsexy, it's shit luck that

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Top 10 Reasons Doctors Fear Digital Health

“Digital health? Is that like a rectal examination?” This was the first comment I heard from an audience member after recently delivering a lecture about digital health to a group of doctors at an esteemed academic medical center. To a

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Are There Really More Sensors in a Car Than in a Patient?

A notable speaker at a recent digital health conference presented a TED-style PowerPoint talk with provocative infographics about how healthcare has fallen behind every other industry on the planet. One of the slides said this: “Your car has 100 sensors.

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I’ve Never Heard a Patient Asked to Be “Empowered” by Technology

Lately there has been considerable discussion about how digital health can “empower” patients. Although it seems fine if a patient wants to use that term, I am concerned when non-patient technophiles speak of empowering patients. I’ve even noticed it in

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Health-e: A Framework for Making Smarter Decisions in the Age of Digital Medicine

Brennan Spiegel, MD, MPH  My father was 67 years old when he reported to the UCLA Medical Center for a CT scan to investigate a nagging complaint. As a physician, I always pause before ordering CT scans. Sometimes a scan

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Low FODMAP Diet

As seen at the International FODMAP meeting in Prato. Watch Dr. William Chey and other thought leaders discuss the effects of a low FODMAP diet.

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Expert discusses how health information technology will 'transform' gastroenterology

As seen in Healio Gastroenterology Watch Brennan Spiegel, MD, MHSH, discuss how health information technology will transform gastroenterology and medicine in general. “I talked about three different digital health platforms today,” Spiegel said. “I talked about social media, and how we

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Expert discusses diet as emerging cause, management strategy for GI disease

As seen in Healio Gastroenterology : HONOLULU — Watch William D. Chey, MD, FACG, professor of medicine at the University of Michigan health system, and director of the GI Nutrition and Behavioral Wellness Program at the University of Michigan, discuss the

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Patient Assessments and Online Ratings of Quality Care: A “Wake-Up Call” for Providers

Dr. William Chey discusses potential ways in which physicians can interact with online patient evaluation websites (PEWs) to improve doctor-patient communication and manage their reputation online.

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10 BEST FOODS TO AVOID CONSTIPATION—AND THE WORST

As seen in Prevention : By PENELOPE ROSE MORRISON Remember chatting with your friends about how you hadn't pooped all week? Of course you don't, because that conversation never happened. Constipation isn't the most comfortable of topics. But for most women, occasional

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A Profound Example of Digital Health Getting it So Right

Although I am a technophile who actively studies the impact of digital health solutions in the clinical trenches, I have also written about how hard it is to do digital health. My research team at Cedars-Sinai has witnessed, first-hand, what

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Why You Should Get Your Colonoscopy First Thing in the Morning (Or, Why Skilled Doctors Can Blow It)

Imagine your doctor just informed you it’s time to get screened for colon cancer. She recommends a colonoscopy – a test to look inside your colon using a flexible tube with a miniature camera on the end. She explains that

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Why Digital Health is Harder Than You Might Think: A Reality Check From the Clinical Trenches

Brennan Spiegel, MD, MSHS Director of Health Services Research, Cedars-Sinai Health System Digital Health in the Clinical Trenches: A Reality Check We often hear that digital health is transforming medicine at a breathtaking pace. Each day brings news of an

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Latinos, Blacks with family history of CRC less likely to receive colonoscopy than whites

As seen in Healio Gastroenterology  Almario CV, et al. Clin Gastroenterol Hepatol. 2015;doi:10.1016/j.cgh.2015.02.038. Among individuals with a family history of colorectal cancer, Latinos and blacks were less likely to undergo guideline-recommended screening colonoscopy compared with whites, according to recent study

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Computer versus physician identification of gastrointestinal alarm features

Full article published in the International Journal of Medical Informatics. Objective It is important for clinicians to inquire about “alarm features” as it may identify those at risk for organic disease and who require additional diagnostic workup. We developed a computer

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What’s the big deal with gluten?

William D. Chey partners with TED to unravel the facts behind celiac disease, wheat allergies and non-celiac gluten sensitivity.

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Several new drug treatments benefit patients with IBS

Watch Dr. William Chey discuss several different abstracts he presented at DDW 2015 with data on new drug treatments for irritable bowel syndrome.

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Digital Health in the Clinical Trenches : A Reality Check

We often hear that healthcare lies on a precipice of transformative change. Each day brings news of an innovation poised to alter the practice of medicine. Technophiles announce that digital health advances such as electronic health records (EHR), mobile health

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Digital manometry comparable to anorectal manometry for diagnosis of dyssynergic defecation

Watch Dr. William Chey discuss an abstract he presented at DDW 2015 that addresses a novel device developed to identify patients with dyssynergic defecation.

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The Future of GI Disease Monitoring

Watch Dr. Brennan Spiegel discuss new technology to monitor GI diseases, including mobile health applications, wearable biosensors, and social media.

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Do I have IBS? A Short Guide to Diagnostic Testing Challenges

IBS: A Clinical Chameleon - Irritable bowel syndrome (IBS) is a chronic disorder characterized by recurrent abdominal pain and altered bowel habits in the absence of detectable organic disease. What that means is we can’t (yet) take a picture of IBS,

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The Low FODMAP Diet and IBS

Published by Whole Foods Magazine : Are the foods you are eating making you sick? Have you tried all the latest fad diets with minimal to no relief? For many people suffering from Irritable Bowel Syndrome (IBS), it is a

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Got GERD? New Study Finds Novel Risk Factors for Acid Reflux

Gastroesophageal reflux disease, or “GERD,” is caused by the movement of stomach acid into the esophagus. It can be painful, can impair quality of life, and cost a lot of money to manage. The prevalence of acid reflux symptoms is

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The Spectrum of Constipation-Predominant Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) and chronic constipation are among the most common syndromes in the world. IBS affects around 10% of the population and is marked by recurrent abdominal pain, discomfort, diarrhea, or constipation. People with IBS suffer not only

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Pregnancy and Postpartum Bowel Changes

Although it's well known that pregnant women often suffer from GI distress, including nausea, vomiting, and heartburn, it's less well known that many women develop GI problems long after having delivered a baby. These post-partum problems range from constipation, to

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Gluten Avoidance in Non-Celiac Patients

Dr. William Chey discusses the new trend of non-celiac patients following a gluten free diet.

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Dietary Interventions in Patients With Irritable Bowel Syndrome

As seen on Practice Update : Hippocrates once mused, “Let food be your medicine and medicine be your food.” Despite pleas for dietary advice from patients with gastrointestinal symptoms, practitioners of western medicine have largely shunned this sage advice. Within

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The Role of Technical Advances in the Adoption and Integration of Patient-reported Outcomes in Clinical Care

Published by the American Public Health Association : Background : Patient-reported outcomes (PROs) are gaining recognition as key measures for improving the quality of patient care in clinical care settings. Three factors have made the implementation of PROs in clinical

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Computer-Generated Vs. Physician-Documented History of Present Illness (HPI): Results of a Blinded Comparison

As seen in The American Journal of Gastroenterology : Objectives: Healthcare delivery now mandates shorter visits with higher documentation requirements, undermining the patient–provider interaction. To improve clinic visit efficiency, we developed a patient–provider portal that systematically collects patient symptoms using

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New Quality Indicators For Colonoscopy

Dr. William Chey discusses the transition of screening colonoscopy practice from a fee-for-service model to a quality-based model.

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Mobile Health Apps: E-Wave of the Future

Published by the American Gastroenterological Association : A Renaissance in Mobile Computing - It was only seven years ago when Apple released its first iPhone. Little did we know that Apple’s product launch would catalyze a renaissance in mobile computing,

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ACG Monograph on the Management of IBS and Chronic Idiopathic Constipation

Dr. William Chey discusses the rapidly changing field of both IBS and CIC treatments.

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Novel Role of the Serine Protease Inhibitor Elafin in Gluten-Related Disorders

Dr. William Chey discusses the pathophysiology of celiac disease and the the role of various serine proteases in its inflammatory processes.

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New Practice Guidelines on Acute Pancreatitis

Dr. William Chey discusses the increasing prevalence of acute pancreatitis and different management solutions.

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New Practice Guidelines on Clostridium difficile Infections

Dr. William Chey discusses the key guidelines and appropriate treatment regimens for both mild-to-moderate and severe disease, including fecal transplantation.

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Dr. Spiegel on BioSensors

Watch Dr. Brennan Spiegel discuss the importance of biosensors in the GI space.

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