Updated March 24, 10:09 AM
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.
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Dr. Jeff Kreikemeier provides recommendations for patients inquiring whether or not to continue infusion-based therapy.
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.
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.
The Guardian of Excellence Award recognizes top-performing health care organizations that have achieved the 95th percentile or above in performance.
“We are proud to partner with Gateway GI to support their mission to provide safe, high-quality, patient-centered care.” said Patrick T. Ryan, CEO of Press Ganey. “They are truly dedicated to delivering exceptional care in the communities they serve, and their commitment to capturing and acting on patient experience feedback is a very powerful demonstration of this.”
These awards are a highly regarded symbol of achievement in the health care industry, representing an important recognition from the industry’s leader in measuring, understanding, and improving the patient experience.
Press Ganey pioneered the health care performance improvement movement more than 30 years ago. Today, Press Ganey offers an integrated suite of solutions that enable enterprise transformation across the patient journey. Delivered through a cutting-edge digital platform built on a foundation of data security, Press Ganey solutions address safety, clinical excellence, patient experience and workforce engagement. The company works with more than 33,000 health care facilities in its mission to reduce patient suffering and enhance caregiver resilience to improve the overall safety, quality and experience of care.
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.
The advanced practice providers of Gateway Gastroenterology are nurse practitioners who work side by side with the physicians to provide seamless and efficient care to patients with IBS, GERD, liver disease, IBD, etc. While some practices allow APPs to function independently the physicians of Gateway Gastroenterology believe that a collaborative effort simplifies care, increases the opportunity for patient education, and improves the overall GI health of each of our patients.
The physicians of Gateway Gastroenterology have a unique skill set and extensive training in endoscopic procedures and practice in a procedure-intensive specialty spending a significant portion of time in the endoscopy unit. At Gateway, the nurse practitioners are integral for the practice to provide timely office follow-up and evaluation. Call the office to visit with one of our highly trained and trusted NPs!
…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.
March is Colorectal Cancer Awareness Month. While your patients need screening year-round, this month provides a great opportunity to educate your community about colorectal cancer screening and prevention. One of the best ways to engage is online. So AGA created Web and social media tools to help you raise awareness of the need for screening for all individuals age 50 and older. You can find all our tools on our Colorectal Cancer Awareness Month website.
Bowel urgency and incontinence are common gastrointestinal symptoms. Unfortunately, patients are hesitant to relate such symptoms because of embarrassment, but the symptoms can have a significant impact on quality of life. At Gateway we are happy to discuss these symptoms and provide options to hopefully improve our patient’s quality of life.
We're doing our best to be here to answer questions and to help our patients through this trying time. Many of you are wondering how to prepare for infections like COVID-19.
We've put together a resource center of important Covid-19 information. As the effects of this virus continue to evolve, we will be sure to keep this page updated with pertinent, timely information with things like: