Delia Chiaramonte, MD, MS

Treating patients with #DGBIs can be complicated and let's be honest, frustrating. However, there are steps providers can take to simplify and streamline the diagnosis and treatment process. Check out the video below for a great conversation on what excellent DGBI care looks like. #GastroHealth #GIHealth #Healthcare

11

Did you know that "The FDA receives more than 100,000 reports of medication errors every year in the United States. There are about 400,000 drug-related injuries that happen in healthcare facilities every year because of medication errors?" We empower our clients with the educational tools needed to understand why they are taking a medication, how the medication works, and any potential adverse reaction(s) that can occur! Health Literacy is Power!!! Having a patient advocate matters!!! #yourhealthmatters #yourvoicematters #improvinghealthliteracymatters #patientadvocate

3

In this conversation Johannah and I discuss how providers in the #GastroHealth space can successfully practice #PatientCenteredCare. In this interview i go through the history of my involvement in the fields and the tips and techniques i've learned along the way to get personal satisfaction in my work and achieve patient centered care. Patient-centered care drives better patient outcomes across the board. Through this approach, providers can deliver more effective treatments that address each patients' unique need and circumstances. https://lnkd.in/eVV-fY2i

3

1 Comment

Do leaders play a role in physicians' intention to leave? Absolutely! In this study intent to leave within 2 years correlated with burnout, lack of professional satisfaction, and other wellbeing factors--including presence of supportive leadership behavior. It's not rocket science. Go shadow them so you know what makes them inefficient and frustrated. Ask. Follow up. #physicianburnout #burnout #healthcareleaders

31

5 Comments

The newest episode of my podcast, The Dose with The Commonwealth Fund, is out! In this discussion, I speak with Dr. Chris T. Pernell, MD, MPH, FACPM, Director of the Center of Health Equity at the NAACP, about about her work on health equity, the systems that need to be disrupted, and the innovations needed to build a more inclusive health system. If you didn't already know I have a podcast, you're in for a treat! I have over 20 episodes where I discuss with innovators in the health care field about health policy and where the field of medicine is headed. Check it out! #healthcareonlinkedin

228

26 Comments

🌟 Unlocking Your Health Potential: Top Strategies to Get You There! In an insightful discussion with Registered Dietitian Myrna Haag, we explore actionable strategies to reach your healthiest self. Here are two key takeaways: • Know Your Risk: Understand if you're at risk for conditions like diabetes, cardiovascular disease, or dementia. • Know the Reverse of Your Risk: After identifying your risk, dive into how to prevent and potentially reverse it. Myrna emphasizes understanding not just the risks but also the preventive measures you can take. It's not just about recognizing the problem; it's about actively seeking solutions. What steps have you taken to understand and reverse your health risks? Share your experiences! 👇 #HealthTips #WellnessJourney #PreventativeHealth #DietitianAdvice #HealthyLiving #StayHealthy

1

Mac & Cheese To Metabolic Health: Dr. Tyna Moore’s GLP-1 Journey Dr. Tyna Moore is a naturopathic physician and chiropractor known for her innovative approach to health and wellness. Dr. Tyna shares her inspiring journey from a sickly child to a pioneering expert in regenerative medicine, and delves into the world of GLP-1 peptides—a topic shaking up the health and wellness community. Dr. Tyna and Erin explore the science behind GLP-1, its benefits beyond weight loss, and its potential for enhancing metabolic health and longevity. Discover why Dr. Tyna believes these peptides are 'healing, regenerative, and anti-inflammatory,' and how they can be a game changer for those seeking metabolic optimization. View the entire episode here: https://bit.ly/3ZL3bAF Instagram: https://bit.ly/41w4SDp Ozempic Uncovered Course: https://bitly.is/3GI8xm5 Podcast: https://apple.co/3ZMsbYm Website: https://bit.ly/3OM02dP Youtube: https://bit.ly/3BcF98t

10

Many of Medicare's COVID-era telehealth flexibilities are set to expire at the end of 2024, including coverage of audio-only telehealth visits, which may improve access for individuals with limited internet connectivity. In a new JAMA Health Forum paper, we examine recent trends in audio-only telehealth use, and find that certain groups may be disproportionately affected, including low-income patients, people with multiple chronic conditions, and members of racial/ethnic minority groups.

25

Uhhhh, if we simply used advanced primary care (DPC, On-site/near-site clinic, VPC) we would not need as many (PE backed) hospitalists staffing the Emergency Rooms. This should not be a difficult issue to resolve. #highperformance #healthcare https://lnkd.in/gkYkPQt8

28

10 Comments

In this month's episode of the Gaining Health podcast, we dive into exciting updates from the field of obesity management: New Resources from Gaining Health:  The updated "Developing an Obesity Management Program: The Clinician’s Roadmap" now includes revised ICD-10 codes, medication guidance, and lifestyle recommendations. Also, new Master Classes are available at an affordable price, along with downloadable patient education materials. Conference Highlights: The Obesity Medicine Association Summit emphasized topics like PCOS, reproductive health, and the gender health gap. Obesity Week featured cutting-edge research, including long-term data from the SURMOUNT-1 trial showing tirzepatide's significant weight-loss maintenance and diabetes improvement. Notable Research: The STEP-OA trial confirmed semaglutide's effectiveness in weight and pain management for obesity with knee osteoarthritis. An article on incretin-mimetics stressed strategies to mitigate muscle loss during weight loss with adequate protein intake and exercise. The SURMOUNT-OSA trial demonstrated tirzepatide's transformative impact on obesity and sleep apnea severity. The SURMOUNT-4 trial shows the benefit of continued tirzepatide treatment for weight loss maintenance vs. placebo. FDA Updates: Wegovy and Zepbound shortages are resolved, and more affordable cash prices for select doses are now available through Lilly Direct. For more tools and insights, visit GainingHealth.com.

36

4 Comments

The top value should be placed on most and best delivery team members. Micromanagement should never be the top value. Most and best delivery team members can and must accomplish more than the past 30 years of managed care and micromanagement focus. What should matter most is the one on one individualized innovation with each patient - but obviously is not valued highly. The foundational basic health access services should have the top value because they are the most prevalent and best distributed. This addresses access, health equity, job distributions, and better health insurance distributions. Primary care, mental health, women's health, geriatrics, and basic surgical teams should not be compromised by RBRVS or by 15% lower payments where they are essentially the only remaining services The financial design should not compromise most and best team members by diversions of the budget away from team members 1. due to micromanagement costs 2. due to higher costs of technology 3. due to revenue not covering costs of delivery 4. due to profit focus 5. due to forced survival mode where the public and private plans are inadequate across vast regions of the nation with concentrations of elderly, poor, disabled, and weakest employers

3

2 Comments

Many individuals experiencing DGBI find themselves ensnared in repetitive cycles. Two prevalent patterns merit discussion: 1️⃣ Cycle of Medical Evaluation: Patients consult healthcare providers, undergo various tests, and are informed that no underlying condition is identified—leading to a frustrating cycle of repeat visits. This occurs when patient and provider approach DGBI from a dualistic standard, i.e, either medical or psychiatric. We can break this cycle by understanding these disorders as relating to dysregulation of the brain-gut axis. A p[ositive diagnosis is made using the Rome criteria, not by repeated tests to exclude other disease. 2️⃣ Cycle of Chronic Pain and Mental Health: Individuals suffering from chronic pain may experience associated depression and anxiety. Patient and provider need to understand that chronic pain can produce emotional distress which in turn lowers pain thresholds. It is not "cause and effedt" but a dysregulated control symptom that repeates the cycle. The positive aspect is that there are effective strategies to extend and potentially break these cycles. By addressing the underlying factors and fostering a comprehensive approach to both physical and mental health, we can facilitate enduring relief and improve overall well-being. To learn more, check out our video below: https://lnkd.in/eqqt4aWF #DGBI #PatientCare #Healthcare #Gastroenterology #ChronicPain

15

1 Comment

🌟 Navigator Healthcare Podcast Series: Tune in to Episode 4! 🌟 🎙️ Episode 4: Addiction is Treatable with Medication, Therapy and Other Supports 🎙️ In this episode Deborah Adler Adler, CEO of Navigator Healthcare Inc. talks to Hyong Un, MD from Recovery Centers of America, where evidence-based SUD treatment is prioritized and they understand the crucial role of support in SUD recovery. We explore:    -  Building strong support networks    -  Leveraging medication in the recovery process Discover strategies for fostering recovery through a comprehensive support system. Catch Episode 4 and engage with this important discussion! Listen Now! Our series, "Top 10 Things Everyone Should Know About Addiction," continues to provide insights into addiction and substance use. #AddictionRecovery #SUD #NavigatorHealthcare #Podcast #SupportMatters

8

Thank you for bringing attention to a inappropriate practice among some medical practitioners. However, I'd like to highlight an even more perilous issue. In some countries, those "prescribed-only medications" can be purchased directly from pharmacies without a prescription. What's worse, these medications are also available for purchase at some "gyms" and even from "unauthorized staff" at small clinics. Here are some proposed solutions: 1. Increase "public awareness" to prevent these malpractices and encourage seeking professional support. 2. Health authorities should take action to curb the "black market" for the safety of the public. 3. Medical practitioners should refrain from providing these medications without proper education and knowledge. Moreover, they should avoid promoting these medications as a "magical touch" without acknowledging the potential short or long-term risks associated with their use.

4

1 Comment

Following is my ‘Voice of the People’ editorial in today’s CHICAGO TRIBUNE (11/04/24) given recent statements about post-election policy for the future of the ACA.. Affordable Care Act in peril Goodbye to the Affordable Care Act if Donald Trump is reelected, according to U.S. House Speaker Mike Johnson, who promises “massive reform” and that the Republicans will “take a blowtorch to the regulatory state.” Still obsessed with then-President Barack Obama’s 2010 signature legislation, also known as Obamacare, Johnson gave no specifics, saying, “We got a lot of ideas,” which is in step with Trump’s “concept of a plan.” In the last four years, efforts to bolster the ACA resulted in the country crossing the 50 million threshold of people who have gotten health insurance through the marketplace and are now covered for illness, sickness, prevention and wellness. This resurgence followed the previous administration’s “death by a thousand cuts” approach starting with slashing funding for enrollment education and outreach. Unfortunately, under the cloak of pursuing a free market solution, massive reforms led by Johnson and Trump would translate to massive increases in the number of Americans joining the ranks of the uninsured. — Lindsay R. Resnick, Chicago #AffordableCareAct #Obamacare #Uninsured #Healthcare #Election2024

6