Welcome to another episode of Talking Gut, and you have just been listening to the Fabulous Chalets, with the bass player being the one and only Dr Douglas Drossman, gastroenterologist and functional gut extraordinaire.
I am so super excited to have Dr Drossman as a guest here today. I have been wanting to interview him for over 1 year and here it is.`
A little background about Dr Drossman and I mean alittle, There is simply not enough time to go through his jaw dropping 124 page 10 font size single spacing CV. I simply cannot do his Bio justice here in the limited time we have, but Ill give it a go.
Okay, so Dr. Drossman was one of the first gastroenterologists to develop the field of brain-gut interactions and Neurogastroenterology in terms of research, patient care and education.
He is Professor Emeritus of Medicine and Psychiatry in Gastroenterology at the University Of North Carolina School of Medicine where he was on staff from 1977 through 2011. He founded and co-directed of the UNC Center for Functional Gastrointestinal and Motility Disorders (1993-2011) in Chapel Hill North Carolina.
Dr. Drossman has published over 350 peer review articles and over 140 book chapters, has edited or written 20 books and acquired over $15 million in grants. He was Associate Editor of Gastroenterology (2001-2006), has served on six other editorial and advisory boards in Gastroenterology, psychosomatic medicine, behavioral medicine, and patient health and was the Gastroenterology Section Editor of the Merck Manual for 17 years. He is currently on the Board of Directors of the International Foundation for Functional GI Disorders (IFFGD) (www.iffgd.org).
In 2012, Dr. Drossman founded the Drossman Center for the Education and Practice of Biopsychosocial Care (DrossmanCare -www.drossmancenter.com) to help train physicians in relationship centered biopsychosocial care with emphasis on communication skills and enhancing the patient doctor relationship. An area unique to Dr. Drossman is his excellence in teaching not only on the functional GI disorders, but also in communication skills and patient centered care. He has been a visiting professor at 143 academic programs and has given over 700 lectures. He has written numerous articles and produced educational videotapes on the biobehavioral aspects of medical care, medical interviewing and the patient-doctor relationship and he received second prize at the 1997 AMA International Film Festival.
A major contribution relates to Dr. Drossman being the organizing founder and President of the Rome Foundation, a non-profit organization whose mission is to improve the lives of individuals with FGIDs.
With regard to treatment, he was principal investigator in a 5-year multi-center study that first demonstrated in 2003 the value of a cognitive behavioral therapy and also of a tricyclic antidepressants for treatment of functional bowel disorders.
Dr. Drossman has received multiple research awards, including the American Psychosomatic Society President’s Award (2003), the AGA Mentors Research Scholar Award (2007), the American Journal of Gastroenterology Lectureship award (2011) to name afew.
And on top of these amazing achievements, he is person who is truly passionate about helping his patients and his colleagues.
Sooo what did we talk about, we talk about pretty much everything. His early beginnings, his band the fabulous chalets to his early days as a gastroenterologist and people that influenced him to take the path in functional gut disorders. We talked about the Rome foundation and ROME criteria, and his past and current work in helping to improve the doctor patients relationship, to the befit of the patients and the gastroenterologist. There is a lot to learn here, for the both patient and for the Doctor will benefit from this talk. I hope you get as much out of it as I did. Please enjoy.
In the talk we touched the surface on a number of topics including:
- Reasons behind what made him decide to write about the
Psychology in the Bathroom?
- The psychology of excretion and disgust. And why there is so much
taboo surrounding the gut?
- We also talked about the anal character with the earliest discussion
going as far back Freud and psychoanalysis.
- How earlier anal traits or definitions correlate with more recent
psychological condition, like OCD, Perfectionism, Orderliness,
Authoritarianism, & Type A personality.
- We touched on the nature of swearing and the origins of
scatological swearing & why some people offended by it, and cultural
and gender differences
- We also talked about flatulence and emotion, defensive flatulence
and enjoyment of flatulence, and gender differences.
- We also talked about Toilet Graffiti and the theories of Latrinalia
including the differences between genders.
And finally we talked about the great debate surrounding whether the toilet seat should be left down.
This talk was only a taste or smell ? of the interesting information covered in this book and I encourage everyone to grab a copy and have a read.
I hope you enjoy the conversation
In todays episode I talk to Dr Adam Testro, head of the Intestinal Transplantation and Rehabilitation Unit at Austin Health in Melbourne Australia.
What a fascinating talk !
We discussed everything from
- What Intestinal Transplantation is
- its origins
- what and who it involve?
- The size of the medical team involved
- the duration of the surgery
-who gets to have the transplant i.e prerequisites for intestinal
-the different types of intestinal
and as always a whole lot more
Please enjoy the show
In todays episode I talk to Dr Chamara Basnayake about Small Intestinal Bacterial Overgrowth or SIBO.
We discuss everything from
-what is Small Intestinal Bacterial Overgrowth (SIBO),
- the likely causes,
- suggested associations,
- diagnostic testing and their limitations
- available treatments, and
a whole lot more.
In this episode we discussed
- Female and Male fertility in IBD
-Fears about medication effect on pregnancy
-When should a potential mother to be contact their
Gastroenterologist if planning to get pregnant?
- When should they not consider trying to get pregnant.
- What effect does active disease have on the unborn baby/foetus?
- What is the risk of flare during pregnancy ? and how this differs in
Ulcerative Colitis versus Crohns Disease
- At what stages of the pregnancy is an unborn child most at risk
and a whole lot more.
I hope you find this talk interesting and most of all, helpful.
In today’s episode we covered:
The Brain Gut connection
The emerging area of Psychogastroenterology
The Biopsychosocial model of functional digestive disorders like Irritable Bowel Syndrome (IBS)
Neuroimaging studies looking at functional digestive disorders
The Gut microbiome
The Psychological therapies shown to be helpful in managing Digestive disorders/diseases and the research behind them.
Dr Keefer’s work in Inflammatory Bowel Disease (IBD) and the great work she is doing at Mt Sinai in New York and a whole lot more.
Valuable and practical information for anyone challenged by these conditions and for Doctors, specialists and other health professionals to apply in clinical practice.
A really interesting conversation.
In this episode I sat down and spoke with Isabella Trinca and Angela Khera, Pelvic Floor Physiotherapists, about Biofeedback therapy and how Physiotherapy is used to treat constipation and other Pelvic floor dysfunctions, from constipation to pelvic floor dyssynergia.
We also discussed what to expect from seeing a pelvic floor physio, how to sit on the toilet and how physiotherapy may be helpful with individuals diagnosed with IBD and a whole lot more.
In this episode I talk with Dr Taft about the psychosocial impact of living with Inflammatory Bowel Disease (IBD) from a professional and personal perspective. In our talk we also discussed the complications of IBD, mental health and psychological treatments, and a whole lot more.
Here it is, the interview I have been wanting to do for a long time. For me, Prof Peter Whorwell and his research played a significant role in my area of interest in Gastrointestinal Psychology.
Prof peter Whorwell is one of the nicest people I have met !
Be prepared for my once again, really really long questions…get to the point Jimbo !
Our friend ‘obviously’ shows up again from time to time haha
I had a relaxed and wonderful chat with Prof Whowell
Talk Gut is where you can find the latest research and information regarding your digestive system, the brain and related system and the amazing ways they interact
Jaci and I delve deeper into the discussion about how diet affects the digestive tract, including the stomach, small intestine and Colon
We also touched on diary and how research is looking at increasing diary tolerance,
The negative effects of staying on a strict low FODMAP diet for too long
Prebiotics, wheat and gluten sensitivity and a whole more…
Jaci is an accredited practising dietitian who graduated in 2001 with a Masters of Nutrition & Dietetics. She spent the following five years working as a clinical dietitian in various metropolitan Melbourne hospitals and 12 months in the UK. This included experience in oncology, renal, gastroenterology, nutrition support and cardiac units. On her return, Jaci commenced her PhD at Monash University, Box Hill Hospital, with scholarship support from the Menzies Foundation.
Her thesis, entitled “The Role of FODMAPs in Gastrointestinal Disorders”, examined dietary triggers for gastrointestinal conditions
During her PhD tenure, Jaci was awarded the GESA Douglas Piper Young Investigator Award, Nutrition Society of Australia & New Zealand best oral presentation award,
AuSPEN David Russell Clinical Research Award, and Eastern Health research week best oral presentation award.
Jaci holds a position as Lecturer and research dietitian at Monash University, continuing her research into diet and gastrointestinal conditions,
To date she has published multiple research articles and frequently presents her research throughout Australia and overseas, including invitations to speak for corporations such as CCA (Crohn’s and Colitis Australia) and Yakult Australia.
Jaci continues to work for the Monash University FODMAP Research Team and is also a codirected of her company, Diet Solutions.
In our talk we discussed the low FODMAP diet, and the importance of seeing a dietician regarding changing diet. We had a lot of fun, and I actually learnt a bit more about the role of a dietician.
In this episode we discussed
Low FODMAP diet
What it is
How it was developed
Fructose malabsorption diet misconception
Touched on hydrogen breath testing
Fructose versus Lactose testing
Misunderstandings of the Low FODMAP diet.
The importance of seeing a dietician for individualised treatment
Stages of the FODMAP Diet
Are FODMAP foods damaging to the gut?
Some FODMAP food are good for gut health and gut bacteria
We talk about how gas is good !!
Geoff graduated from the University of Melbourne in 1985 and completed his residency years/Gastroenterology training at The Royal Melbourne and Austin Hospitals, followed by a PhD in Neurogastroenterology in Adelaide supervised by Prof Michael Horowitz and Prof John Dent and then a postdoctoral position in Zurich Switzerland. He returned from Zurich and was appointed as a Gastroenterologist at the Repatriation General Hospital in Adelaide prior to his current appointment as Director of Gastroenterology and Hepatology at The Royal Melbourne Hospital in 2002 (to the present time) and Clinical Associate Professor in the University of Melbourne.
His academic interests are in Neurogastroenterology and data acquisition/processing. Other appointments include Gastroenterology Advanced Training Committee of the RACP, and on the Council of the Australasian Neurogastroenterology and Motility Association.
Geoff’s clinical interests are in patients with complex functional gastrointestinal disorders, but he has quite enough of them and does not need any new referrals.
What we covered:
Functional digestive disorders
Neurogastroenterology a relatively new area of Gastroenterology
Differences between Inflammatory Bowel Disease and Functional Digestive disease
“There is no nothing wrong with you is explained”
We touch on Placebo and Nocebo effect and the importance of Doctor patient relationship
How Geoff got into the area of Upper GI
We talked about Gastroparesis
Belching or Burping and farting
Bloating and Gurgling
We talked about the Bowel and its role in digestion
We touch on the effects of diet on gut
We talked about constipation and whether constipation toxify the body?
Passage of Mucus from Bowel
Gut bacteria and evolutionary benefits