No one in the medical field is free from the impact of COVID-19, including gastroenterologists. But the pandemic has only accelerated trends that started years ago. In this podcast, Praveen Suthrum interviews leaders in the gastroenterology space. Each episode will take you through different perspectives and help you ask the right questions. Praveen is the President of NextServices and author of Private Equity in Gastroenterology and Scope Forward (both Amazon #1 new releases).

Scope Forward
Claim This Podcastby Praveen Suthrum
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Podcast Overview
No one in the medical field is free from the impact of COVID-19, including gastroenterologists. But the pandemic has only accelerated trends that started years ago. In this podcast, Praveen Suthrum interviews leaders in the gastroenterology space. Each episode will take you through different perspectives and help you ask the right questions. Praveen is the President of NextServices and author of Private Equity in Gastroenterology and Scope Forward (both Amazon #1 new releases).
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Publishing Since
10/16/2020
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Recent Episodes

July 1, 2026
What does SpaceX have to do with GI?
<p>In the latest edition of The Scope Forward Show, I’m joined by Matt Schwartz, Founder & CEO of Virgo and Dr. Neil Parikh, Chief Innovation Officer, Connecticut GI and Chair of Innovation, GI Alliance.Together, we explored the top AI headlines shaping gastroenterology and medicine. We also had some fun asking my AI what might happen if SpaceX were to “buy” gastroenterology.If these headlines make you wonder what they have to do with GI, this is exactly why you should watch the episode.Few insights:<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=360s">06:00</a> - SpaceX’s healthcare ambitions: 5 things to know<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=1090s">18:10</a> - UnitedHealth's $3 Bn AI Push Expands to Bots Calling Doctors, Streamlining Healthcare Operations<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=1213s">20:13</a> - Assort Health Raises $120 Million Series C to Scale Largest Deployment of AI Agents for the Patient Journey<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=1659s">27:39</a> - Doctors Thought It Was Asthma. A.I. Flagged a Serious Heart Problem.<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=1914s">31:54</a> - Matt Schwartz on X: "Everyone arguing about whether the Midjourney Scanner can replace an MRI or CT …<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=2747s">45:47</a> - AI Predicting Colorectal Cancer Prognosis<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=3233s">53:53</a> - General-purpose large language models outperform specialized clinical AI tools on medical benchmarks<a href="https://www.youtube.com/watch?v=eSopSRvIOZ4&t=3959s">1:05:59</a> - Statement on the US government directive to suspend access to Fable 5 and Mythos 5</p>

June 8, 2026
Microbiome: Overhyped & underutilized?
<p>The microbiome has become one of the biggest battlegrounds in modern medicine.Its promise is enormous: earlier disease detection, personalized nutrition, prevention-first care, and a deeper understanding of human biology. Yet many gastroenterologists still face colorful microbiome reports with unclear clinical utility and few actionable answers.Guruduth Banavar, Founding CTO & Head of Discovery AI, Viome and Dr. Michael Bass, Global Medical Director, Viome, joined me and co-hosts Dr. Neil Parikh (CIO, Connecticut GI and Chair of Innovation, GI Alliance) and Matt Schwartz (Founder and CEO of Virgo).We explored why clinicians remain skeptical of microbiome testing, how metatranscriptomics differs from traditional approaches, and what happens when biology becomes measurable long before disease becomes visible. 02:30 - “The microbiome is overhyped and underutilized.”Dr. Parikh argues that microbiome science holds enormous promise, yet most gastroenterologists still lack actionable ways to use microbiome data in patient care.08:35 - Most microbiome science may be built on outdated technology.Guru explains why the vast majority of microbiome research still relies on 16S sequencing and why newer approaches such as metatranscriptomics may offer a more clinically meaningful picture.12:37 - The field may be measuring the wrong thing.Traditional microbiome testing focuses on which organisms are present. Metatranscriptomics focuses on what those organisms are actually doing inside the gut.15:32 - GI may already be behind on microbiome medicine. Can the industry leapfrog?Dr. Bass argues that many clinicians were never taught the evolution from 16S sequencing to metatranscriptomics, creating a widening gap between research and clinical practice.18:23 - Longevity clinics may move faster than traditional GI practices.Dr. Parikh points to longevity medicine and direct primary care as areas already embracing microbiome-driven personalization while much of gastroenterology remains cautious.27:52- Can microbiome-guided nutrition improve IBS outcomes?Guru shares data from a placebo-controlled study and discusses how microbiome-based approaches could move IBS management beyond today's trial-and-error treatment model.42:46 - Molecular biology is becoming an AI problem.Guru explains how Viome's AI analyzes molecular data rather than text or images, translating millions of nucleotide reads into biological pathways and personalized recommendations.48:42 - The next AI breakthrough in GI may come from convergence.Matt Schwartz describes a future where endoscopic AI, metatranscriptomics, and histopathology combine to create entirely new disease models and phenotypes.1:01:15 - “If I'm finding colon cancer, we've already missed the boat.”Dr. Parikh argues that the greatest opportunity is not detecting cancer earlier, but identifying the biological dysfunctions that precede cancer formation altogether.1:03:34 - Will microbiome testing become part of routine GI care?The panel discusses the workflow, reimbursement, and adoption challenges that will determine whether microbiome testing becomes mainstream by 2030.</p>

May 12, 2026
What happens to GI when the scope gets Full Self Driving?
<p>Dr. Sanket Chauhan, Founder & CEO of Surgical Automations, joined me and co-hosts Dr. Neil Parikh (CIO, Connecticut GI and Chair of Innovation, GI Alliance) and Matt Schwartz (Founder and CEO of Virgo) — and opened the conversation by showing us footage none of us were fully prepared for.Inside a pig's intestine, a 15mm robot identifies the lumen, reads the walls, and advances — autonomously. No hands on the scope. No physician guiding the tip. Just hardware and software in a closed loop, doing what takes most fellows years to develop feel for.This is ex vivo work. A pig model in a lab. But the engineering underneath it is already heading into large animal studies, with first-in-human trials projected by end of 2025 and a market entry target of 2029–2030."Think of it as the world's smallest Tesla — full self-driving, 15 millimeter diameter." — Sanket ChauhanWhat surprised us wasn't the engineering. It was the conversation that followed.<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=505s">08:25</a> - Building "the smallest Tesla in the world"Surgical Automations is building automated colonoscopy where the gastroenterologist is "more a supervisor," with a 15 millimeter diameter robotic platform.<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=874s">14:34</a> - Evidence-based medicine before full automationSanket pushes back on jumping to fully automated colonoscopy: “We are not in the business of technology. We are in the business of evidence based medicine.”<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=1588s">26:28</a> - Non-invasive screening will flood GI with therapeutic demand/Non-invasive screening won't shrink GI — it will flood itNeil sees a surge ahead: "we're going to have a higher demand, I really believe for therapeutic colonoscopy which we currently don't have the bandwidth to support in most places across the country."<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=1674s">27:54</a> - Objective quality metrics become possibleThe robot can generate “objective number of withdrawal time,” ADR and throughput metrics — measured the same way across Connecticut, Texas, California or 40 clinics.<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=2318s">38:38</a> - "Our health system is craving fully automated endoscopy"Matt's payer-incentive read on the endgame: the system is structurally pulling toward "automated, fully automated, ideally no human labor, endoscopy just like we see with the full self-driving car."<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=2673s">44:33</a> - Why automating the colon is harder than automating the brainPushing back on Elon's three-year surgery timeline, Sanket notes the colon moves — "imagine driving and setting a GPS, but your road changes as you are" — unlike fixed neurosurgical anatomy.<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=3089s">51:29</a> - This isn't master-slave robotics — it's true automationSanket says this is "the first robot of its sign that is not a master slave relationship" — the AI identifies the anatomy and the robot drives itself<a href="https://www.youtube.com/watch?v=sbIrkBFaXcc&t=3189s">53:09</a> - The Future GI WorkflowBy 2035, GI could become more data-driven, more automated and less physically demanding for physicians. The doctor’s role may expand beyond the scope room into deeper patient care and decision-making.This was one of the most candid conversations we've had on the show. Sanket doesn't perform startup optimism. He thinks in evidence, timelines, and edge cases, which made the moments where even he said "we'll get there" land differently.<a href="https://www.youtube.com/hashtag/scopeforward">#ScopeForward</a> <a href="https://www.youtube.com/hashtag/thescopeforwardshow">#TheScopeForwardShow</a> <a href="https://www.youtube.com/hashtag/gastroenterology">#Gastroenterology</a> <a href="https://www.youtube.com/hashtag/giinnovation">#GIInnovation</a> <a href="https://www.youtube.com/hashtag/futureofgi">#FutureOfGI</a> <a href="https://www.youtube.com/hashtag/roboticcolonoscopy">#RoboticColonoscopy</a> <a href="https://www.youtube.com/hashtag/automatedcolonoscopy">#AutomatedColonoscopy</a> <a href="https://www.youtube.com/hashtag/aiinhealthcare">#AIinHealthcare</a> <a href="https://www.youtube.com/hashtag/aiingi">#AIinGI</a> <a href="https://www.youtube.com/hashtag/medicalrobotics">#MedicalRobotics</a> <a href="https://www.youtube.com/hashtag/endoscopy">#Endoscopy</a> <a href="https://www.youtube.com/hashtag/roboticendoscopy">#RoboticEndoscopy</a> <a href="https://www.youtube.com/hashtag/healthcareinnovation">#HealthcareInnovation</a> <a href="https://www.youtube.com/hashtag/exponentialtechnologies">#ExponentialTechnologies</a> <a href="https://www.youtube.com/hashtag/digitalhealth">#DigitalHealth</a> <a href="https://www.youtube.com/hashtag/surgicalautomations">#SurgicalAutomations</a> <a href="https://www.youtube.com/hashtag/futureofhealthcare">#FutureOfHealthcare</a> <a href="https://www.youtube.com/hashtag/colonoscopy">#Colonoscopy</a> <a href="https://www.youtube.com/hashtag/medtech">#MedTech</a> <a href="https://www.youtube.com/hashtag/healthcareai">#HealthcareAI</a></p>
80 total episodes available
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Aja McCutchen
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Matt Schwartz
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Neil Parikh
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Dr Michael Dragutsky
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Christa Newton
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Aniket Behera
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Satish Malnaik
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Alex Noumidis
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Cheryl Sew Hoy
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Erica Barnell
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Dr Erica Barnell
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Erica
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Frequently asked questions
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- What is Scope Forward?
- How often does this podcast release new episodes?
This podcast updates bi-weekly.
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