Gut Talk

Gil Y. Melmed, MD, MS: Practical Considerations for IBD Management, Telehealth and COVID Vaccination


Listen Later

In this episode, Gil Y. Melmed, MD, MS, joins us to discuss the available evidence regarding COVID-19 risk among patients with IBD, the pandemic's effect on elective procedures, the future of telehealth for gastroenterologists and the importance of vaccination in these patients.

Editor's Note: This episode was recorded in August 2020.

  • Intro :22
  • Addressing questions about COVID-19 and the risk to IBD patients :35
  • Any insight to why patients with IBD aren't at increased risk? 3:48
  • How are you dealing with deferral of elective procedures? 5:50
  • Is there any discussion about what the red lines will be in terms of closing down again? 9:32
  • How are you adjusting to telehealth? Do you think we'll see an acceleration of remote care for our IBD patients? 11:53
  • Are there unique challenges to telemedicine for patients with IBD? 14:23
  • If we seize the moment, things may change for the better 15:51
  • Challenges may be different between tertiary care centers and community practices 18:22
  • Have you noticed an improvement in appointment compliance with telehealth? 19:05
  • How has the pandemic impacted your research? 21:03
  • Immunizations we should focus on for IBD patients 24:44
  • Differences in viability of the vaccination based upon the aggressiveness of immunosuppression 27:40
  • Do you check follow-up titers? 29:28
  • Are there other vaccines besides yellow fever we should avoid? 30:45
  • How will politicizing the pandemic effect our patients in terms of vaccination? 31:42
  • The threshold for an effective vaccine is 50%, according to the FDA 34:27
  • The prolonged nature of the pandemic may force payers to continue remunerating for virtual care 37:36
  • Of the various IBD treatment candidates, are there any that gastroenterologists in the trenches should pay attention to? 39:32
  • How are you addressing questions from IBD patients regarding travel, school and work? 41:45
  • We need to adapt and move quickly as information keeps coming 44:46
  • Are there formal mechanisms in place for sharing information as it pertains to the pandemic? 46:15
  • Thank you for your time, Dr. Melmed 48:24

Gil Y. Melmed, MD, MS, is co-director of the Inflammatory Bowel Disease Center and professor of medicine at Cedars-Sinai Medical Center.

We'd love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at [email protected]. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc

Disclosures: Berry, Chey and Melmed report no relevant financial disclosures.

...more
View all episodesView all episodes
Download on the App Store

Gut TalkBy Sameer K. Berry, MD, and William D. Chey, MD

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

31 ratings


More shows like Gut Talk

View all
Healio Rheuminations by Adam J. Brown, MD

Healio Rheuminations

121 Listeners

Eye Care Out Loud by Darrell White

Eye Care Out Loud

9 Listeners

Unmasking COVID-19 by Healio

Unmasking COVID-19

30 Listeners

Meeting Mic by Healio

Meeting Mic

5 Listeners

Oncology Overdrive by Shikha Jain, MD

Oncology Overdrive

15 Listeners

Eye Care Insider by Joshua Mali, MD

Eye Care Insider

5 Listeners

Vital Capacity by Abhishek Bhardwaj, MD

Vital Capacity

13 Listeners

Mend the Gap: Equity in Medicine by Healio

Mend the Gap: Equity in Medicine

6 Listeners

The Rest Is Politics by Goalhanger

The Rest Is Politics

3,099 Listeners

The Rest Is Politics: Leading by Goalhanger

The Rest Is Politics: Leading

835 Listeners

Eyeluminaries by John Hovanesian, MD, FACS and Jim Mazzo

Eyeluminaries

5 Listeners