February 6, 2021
It is hard to believe that the COVID-19 pandemic has been ongoing for nearly a year. To say that it has been life-changing and disruptive is an understatement. During the pandemic, it has been especially challenging to provide safe healthcare with “stay at home” restrictions and when information about infection transmission seemed to change by the day.
Cancers and chronic conditions like crohn’s and colitis continue despite the pandemic. In fact, there has been an increase in conditions like irritable bowel syndrome and GERD due to the stresses of the pandemic.
April 17, 2020
While it appears that our combined efforts at social distancing have impacted the COVID-19 epidemic, it is still unclear when we will be able to resume our “pre-pandemic” lives. Unfortunately, our health and more specifically chronic medical conditions, cannot be put on hold. In fact, there are public health concerns regarding the potential future costs of this pandemic on individual and community health. Please know that the staff at Gateway Gastroenterology understands these concerns and have implemented strategies to safely provide care to those patients who are experiencing GI problems.
March 17, 2020
Updated April 16, 10:09 PM
We're doing our best to be here to answer questions and to help our patients through this trying time. We encourage you to bookmark this page and return to it for pertinent and timely updates.
March 16, 2020
Dr. Jeff Kreikemeier provides recommendations for patients inquiring whether or not to continue infusion-based therapy.
February 4, 2020
I am writing this to let my patients know that effective April 1, 2020 I plan to transition to an administrative role at Gateway Gastroenterology. What this means is that I will no longer be available to continue my clinical practice caring for patients on a day to day basis.
January 3, 2019
Gateway GI is pleased to announce that the Gateway Endoscopy Center has been named both a 2018 Pinnacle of Excellence Award® and Guardian of Excellence Award® winner by Press Ganey.
The Pinnacle of Excellence Award recognizes top-performing clients from health care organizations nationwide on the basis of extraordinary achievement and consistently high levels of excellence for at least three years.
January 2, 2019
Is it imperative that I see a physician for my GI problems or could I see the APP at my doctor’s office?
An APP is an advanced practice provider (nurse practitioners and physician assistants) and they are becoming commonplace in medical practices and hospitals all over the United States. There are a number of reasons for the “shift” in care including physician shortages as well as the increasing demands of electronic medical records and quality care initiatives which have greatly reduced the amount of clinical time for MDs while increasing a physician’s administrative and clerical responsibilities. Gateway Gastroenterology is happy to partner with talented and experienced GI advanced practice providers all of whom have previous experience as nurses in med/surgery, medical ICUs, and even in the GI lab.
March 7, 2017
…and decrease doctor visits! Fast food, chocolate, caffeine, and soda are just a few of the foods that aggravate GI symptoms such as gas, bloating, diarrhea, and heartburn. Dietary changes can decrease symptoms (and GI doctor visits)! Ask us about the low FODMAP diet. Visit with our nurse practitioner to discuss how diet can affect acid reflux and bloating. Consider visiting with a dietician for specific dietary guidance in order to reduce GI symptoms. Visit www.myginutrition.com to learn about fermentable sugars and their affect on the digestive system and then call the office to discuss your symptoms.
Routine screening colonoscopy decreases colon cancer mortality in those over 50 years old, but a new study in the Journal of the National Cancer Institute highlights a disturbing trend…that young patients are being diagnosed with colon cancer at higher rates than they have in the past! And, they are being diagnosed at advanced stages. For example, people born in 1990 have double the risk of colon cancer compared to those born in 1950. Rectal cancer is four times more likely in the younger group. Young patients are being diagnosed at advanced stages because the disease is often not considered in the differential diagnosis when younger patients complain of symptoms, therefore the diagnosis is often delayed. At Gateway, we are aware of this disturbing trend and are happy to arrange appropriate testing so that colon cancer mortality does not increase in our young patients.
Colonoscopy is most powerful when the bowel preparation is excellent! Did you know that colonoscopy is less effective (and less protective) when the bowel preparation isn’t done correctly? Colonoscopy is MOST EFFECTIVE when small polyps (6mm or less) can be seen clearly and removed. Small, flat polyps are difficult to see especially when there is residual stool in the colon at the time of screening colonoscopy. And, insurance companies may refuse payment for colonoscopy if it has to be repeated for an inadequate bowel preparation. Be sure to follow all of the recommendations for the bowel preparation and call the office with any questions.
Attention: Office Schedule Updates
Our office will be closed on the following dates:
- November 26th & 27th
- December 24th & 25th
- December 31st (Note: Gateway Endoscopy Center will be open and doing procedures)
- January 1st
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Gateway GI is vaccinated!
It is hard to believe that the COVID-19 pandemic has been ongoing for nearly a year. To say that it has been life changing and disruptive is an understatement. During the pandemic it has been especially challenging to provide safe healthcare with "stay at home" restrictions and when information about infection transmission seemed to change by the day. Cancers and chronic conditions like crohn's and colitis continue despite the pandemic. In fact, there has been an increase in conditions like irritable bowel syndrome and GERD due to the stresses of the pandemic. The physicians and staff at Gateway Gastroenterology have continued to provide excellent care despite the challenges and are constantly updating policies and procedures for safe healthcare delivery. Read More