Where There’s Gratitude, There’s No Fear Ep 45: Dr. Pradnya Mitroo on Private GI Practice
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Where There’s Gratitude, There’s No Fear Ep 45: Dr. Pradnya Mitroo on Private GI Practice
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☕ Coffee Playdate Podcast with Dr. Pradnya Mitroo
Dr. Pradnya Mitroo is a gastroenterologist in Fresno and President of Fresno Digestive Health. She grew up in New Jersey, trained at Mount Sinai and Thomas Jefferson, and built a career around a simple why: her mom lived with GI illness and never got the care she needed — especially as a woman.
She drinks tea, not coffee. Black tea, cardamom, no sugar.
The path
She almost stayed in academics and clinical-trials research. Politics and a lack of impact pushed her west in 2007. She joined a solo GI (rare on the East Coast), grew a largely female patient panel (about 90% women, plus their husbands and sons), then became an owner. The group later consolidated. Her point: independent practice still exists if you treat it as a business.
What she is proud of
Quality at a lower price than hospital-based care. Outpatient ASCs can run about a third of hospital procedure cost. Autonomy beats a hospital job — she says she would leave medicine before she would work for a hospital.
The hard part they never taught
Insurance cuts every year. You have to innovate. Med school taught GI, not how to run a practice. If the practice is not viable, you cannot take care of patients the way you want. Culture is part of that: gratitude journals for staff, first 10 minutes of the day, mini retreats since COVID, reminder that they are not “pushing papers” — they are saving lives. Staff voice = retention. Turnover is expensive.
Advice
Get a mentor. You will not see every pitfall. Failure teaches more than a win.
Book
Who Not How — it is the who, not the how. Extraordinary life is built on extraordinary connections, not only achievements.
Timelines
00:25 – Welcome + cardamom tea 🍵
00:53 – Rapid Fire
01:35 – Take a Sip
02:17 – Who she is + Fresno practice
03:11 – Sinai, Mom’s GI story, why private practice
06:12 – Cost, ASCs, why not a hospital job
08:46 – Insurance cuts + learn the business
10:35 – Morning gratitude: “where there’s gratitude, there’s no fear”
11:50 – Culture, voice, retention
12:47 – Staff retreats after COVID
14:09 – Mentorship
15:16 – Who Not How + close
More from Dr. Pradnya Mitroo - President, Fresno Digestive Health
https://www.fresnodigestivehealth.com/
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