CINXE.COM
Curbside Consultation
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<p id="breadcrumbs"> <a href="/web/20131030152835/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20131030152835/http://www.healio.com/gastroenterology"> Gastroenterology</a> <span>›</span> <a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation"> Curbside Consultation</a> </p> <!-- /breadcrumbs --> <!-- content --> <div class="content"> <!-- filter --> <div id="filter"> <ul class="content-filter"> <li>Filter By:</li> <li> <select name="layout_0$phmaincontent_1$ddSelect" id="layout_0_phmaincontent_1_ddSelect"> <option selected="selected" value="{D2FAD2C3-DAA5-4E45-ACCB-1AA200F1CEB9}">Colon</option> <option value="{4B7A75DF-93AC-4FD2-A927-C89AFA43009F}">Endoscopy</option> <option value="{A11B3B14-D841-4398-A1D1-22536A544F0E}">GERD</option> <option value="{89050C29-C034-4F72-8079-543EA87A828E}">GI Cancer for the Gastroenterologist</option> <option value="{92EBAD8B-937A-4875-9653-EFDA7A9D2A27}">IBD</option> <option value="{C670D78A-CD9E-4396-833F-7D8C8886F0FC}">IBS</option> <option value="{A7809879-C85D-4727-9DA2-50447284EEB4}">Liver</option> <option value="{09D8403A-73D2-4D82-8F3E-5412C7911F61}">Pancreas</option> </select> </li> </ul> </div> <br/> <h2 class="alt"> Colon</h2> <!-- content list --> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{e14f67a8-c22d-40f7-a417-f55589fa7997}/a-46-year-old-african-am"> A 46-Year-Old African American Man Who Has No Alarm Features or Symptoms Requests a Screening Colonoscopy. Is This Appropriate?</a></li> <li class="author"> Jason Taylor, MD </li> <li class="author"> Philip Schoenfeld, MD, MSEd, MSc (Epi) </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{4eb3b57b-dad8-40b0-be6d-1a2c2155941c}/how-do-you-respond-to-pa"> How Do You Respond to Patients Wanting to Take Aspirin, Calcium, or Other Medications as Prophylaxis for Colorectal Cancer? Is There Any Evidence That They Work?</a></li> <li class="author"> Amit Singal, MD </li> <li class="author"> Philip Schoenfeld, MD, MSEd, MSc (Epi) </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{2f76d026-7c24-43fc-8672-4341f1caf5fb}/my-patient-had-a-13-mm-t"> My Patient Had a 13-mm Tubular Adenoma Removed From Her Colon. What Kind of Surveillance Do I Need To Recommend? Would It Change Things if She Were 80 Years Old Without Co-Morbidities?</a></li> <li class="author"> Brooks D. Cash, MD, FACP, FACG </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{768e400e-7877-44e9-bbdc-3c21b476b2dd}/what-do-i-tell-the-surge"> What Do I Tell the Surgeons Who Insist on Annual Colonoscopies for Patients With Cured Colon Cancer, Even for Those 5 to 10 Years Past Therapy?</a></li> <li class="author"> Brooks D. Cash, MD, FACP, FACG </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{c766e2d6-86c5-4d1e-b1a4-0125008222ec}/what-should-be-the-seque"> What Should Be the Sequence of Investigations for a Patient Who Is Being Considered for Colectomy Due to Chronic Constipation?</a></li> <li class="author"> Erica Roberson, MD </li> <li class="author"> Arnold Wald, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{174e06ca-9858-486b-80c9-255c3b92a1ad}/how-efficacious-are-the-"> How Efficacious Are the Therapies for Chronic Constipation? I Have Heard About Several New Drugs for Constipation鈥擧ave They Been Shown to Be Cost Effective?</a></li> <li class="author"> Erica Roberson, MD </li> <li class="author"> Arnold Wald, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{56e97d87-40b7-4d63-9bea-eaf08b659fa1}/what-are-the-emerging-th"> What Are the Emerging Therapeutic Agents for Constipation and How Do They Modulate Colonic Motility? </a></li> <li class="author"> Brooks D. Cash, MD, FACP, FACG </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{a4da5c4d-d00e-4191-a0fd-7f6b90363155}/many-of-my-patients-want"> Many of My Patients Want To Go With Natural Therapies. Where Do Probiotics Fit in the Management of Irritable Bowel Syndrome?</a></li> <li class="author"> Brooks D. Cash, MD, FACP, FACG </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{009f593a-5b3b-4b0a-9a19-06a8beef9cac}/the-nursing-staff-doesnt"> The Nursing Staff Doesn鈥檛 Know What to Do for a 72-Hour Stool Collection as Part of a Diarrhea Workup. What Do I Need to Tell Them to Get the Answers I Need?</a></li> <li class="author"> Brian Mulhall, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20131030152835/http://www.healio.com/gastroenterology/curbside-consultation/{1a3ea86f-3055-4321-8ec2-9357f643b32a}/my-patient-with-collagen"> My Patient With Collagenous Colitis Developed a Black Tongue With Bismuth. 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