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University Celiac Clinics


JamiD

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JamiD Apprentice

Can anyone share an experience with a dedicated Celiac Clinic ie Stanford, Mayo, Columbia?


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Murph Newbie

My experience w/ an alleged Celiac expert at Stanford was horrible. Was probably 3 yrs ago and still makes my blood boil if I think about it too much. (So I won't write much)

It became obvious he was far more interested in getting another research subject than in actually helping me.

JamiD Apprentice

Well, I've got an appt at Stanford in Aug. I'm discouraged by Murph's experience, but I can't afford the tests from a Naturopath right now and my insurance will cover a visit to the Stanford clinic.

In the meantime, I will remain on a lectin-free diet.

  • 3 weeks later...
The Lovebug Rookie

I saw Dr. Allesio (sp?) at the University of Maryland Celiac Clinic and had a favorable experience although I really just wanted to know whether I should be tested. I've been on the gluten-free diet for about 5 years and, aside from an occasional "glutening" by someone else, I've had a good response. Before that I was extremely sick for about 6 years and had occasional bouts for many years before that. I also had questions about whether my children should be tested (now that they are starting to have children of their own). Although Dr. A. had an intern see me initially (and we spent 30-or so minutes together), he was pretty quickly in and out of the room. But it felt wonderful to be with someone who was SO knowledgeable about celiac, had great humor and warmth, had a very pragmatic approach and left the door open (so to speak) to further visits, questions, etc.

It was worth the hassle of traveling so far and waiting so long . . .

Sue

whitney728 Newbie

I've been seeing Dr. Green at Columbia-Presbyterian's celiac center for about two years, and I'd say I've had a fairly positive experience. My only complaint is that it's difficult to get him to call you back (if you need test results explained or something like that.)

par18 Explorer
I saw Dr. Allesio (sp?) at the University of Maryland Celiac Clinic and had a favorable experience although I really just wanted to know whether I should be tested. I've been on the gluten-free diet for about 5 years and, aside from an occasional "glutening" by someone else, I've had a good response. Before that I was extremely sick for about 6 years and had occasional bouts for many years before that. I also had questions about whether my children should be tested (now that they are starting to have children of their own). Although Dr. A. had an intern see me initially (and we spent 30-or so minutes together), he was pretty quickly in and out of the room. But it felt wonderful to be with someone who was SO knowledgeable about celiac, had great humor and warmth, had a very pragmatic approach and left the door open (so to speak) to further visits, questions, etc.

It was worth the hassle of traveling so far and waiting so long . . .

Sue

Hi Sue,

I just read your post this morning. I met Dr. Alessio Fasano last summer during a talk he gave at the University of Virginia. His talk and his personality were very impressive. What I think a lot of people don't realize is how busy a person he is. The fact that you got to see him at all is impressive. The thing that I have found since my diagnosis over two years ago is how much you or I or anyone else can learn about Celiac if they just try. Those of us with Celiac are the real experts. The average family doctor can become a so-called "expert if they just try a little. The main problem is that there is no money to be made treating this condition after the diagnosis. There is no incentive for any doctor to spend a whole lot of time talking to any of us.

The fact that you have Celiac and children is a genuine concern. That said you know that the only treatment for them is the same as you and that is the gluten-free diet. You don't need Dr. Fasano or any other doctor to tell you that. Convincing your children or anyone else to try the diet on the onset of symptoms is the hard part. Most people are scared to death of having to change their lifestyle. They will be willing to spend a lot of money on the front end trying to eliminate everything else before finally settling on the same diet as you. You think it would be the other way around. I have family members who probably won't do anything unless they develop symptoms. There is nothing wrong with that if the first thing they do is see if the diet helps them. Trying the diet is free. This makes the most sense however human nature generally dictates the other course (expensive testing) first. If it were me and I wanted to test for anything the first thing would be to see if they had either of the two genes (DQ2 or DQ8). If they have neither then that would not completely eliminate their chances but would put them in a low-risk catagory.

Sorry about the length of this reply but I hope this helps.

Tom

FinsUp Rookie

My son sees Dr. Guandalini at the University of Chicago. We have nothing but great things to say about him and his staff. Every visit (including his endoscopy) have been positive experiences.


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  • 4 weeks later...
jlp Newbie
My experience w/ an alleged Celiac expert at Stanford was horrible. Was probably 3 yrs ago and still makes my blood boil if I think about it too much. (So I won't write much)

It became obvious he was far more interested in getting another research subject than in actually helping me.

Yikes. I'm sorry to hear that, especially since all my searches for Celiac experts in the Bay Area have led me to Stanford, so far. Are there any MDs in the Bay Area that you would recommend?

GFhopeful Rookie

there is a recent thread on the Mayo Celiac Clinic if you look under "Doctor's". Those who went were pretty positive about it in general and Dr. Murray especially.

JamiD Apprentice

My appt at Stanford is on Aug 6th. I'll post about my experience.

jacqui Apprentice
My appt at Stanford is on Aug 6th. I'll post about my experience.

Hi I saw Dr. Gray and Dr. Pyle. My experience was positive, but I am also in the medical field so I was hoping he would use me as a subject. No word yet though... Although he did talk about me without names at one of his guest talks in Sac. Well, a friend quoted him and it was exactly what he had said to me.

I felt it was a very good experience especially compared to many people on the forum whose doc's would not order the blood work for them. My firt appt. was with Dr. Gray who just diagnosis you and then has you follow up with Dr. Gayle Pyle who rechecks me every so often. Dr Gray day one ordered complete Celiac panel including HLA DQ testing, vit. deficiency...(long story but I was already diagnosed by my ------ GI after I had an ER visit. He told me and it's in path report ...sorta looks like what is seen in celiac disease. Kid you not and then he told me to buy the book "The gluten-free Bible" and see a RD!! That is it!!!) Dr. Gray ordered my actual slides and read them himself. He said my vili were 3+ and 4 is worst per him. They give you their cards to email them with any questions but I never heard back from either. I called and I was able to speak to Dr. Pyle.

The negative is I have lots of neuro issues and per my friend who went to the Sac meeting he knew very little about neuro stuff, which is what I expected b/c at my 1st appt. he did not acknowledge my neuro complaints. THEN I saw Dr. Pyle and brought up my neuro and she said she is a GI and cannot comment on neuro but that she has pt's with neuro symptoms and they seem to be having success through the Mayo clinic.

I have been to 5 neuro's and not one had an answer. One in Sac, Davis, Stanford - the 2nd worst, and the last 2 guys from UCSF!!! #5 said "You'll get better." That'e it!!!! So another doc who thinks neuro symptoms and celiac disease don't exist thus diagnosis pt. must be NUTS!!

I hope all goes well!

Take care,

Jacqui

  • 2 weeks later...
JamiD Apprentice

I saw Dr Gray yesterday.

Because my antibodies (positve IgA and EMA, but negative transglutinamase) and biopsy (negative) were done 6 mos post gluten restriction, he wanted me to do a gluten challenge and re do the biopsy. Well, being in the middle of a divorce and going back to work, I just can't fit that in.

He did order the gene tests, but said that even if they were positive, it wasn't a definitive diagnosis. And his focus is on getting a confirmed diagnosis.

My focus is on wellness and since everything lethal seems to have been ruled out, I'm sticking with what's working, that being my diet.

I'm disappointed that he couldn't help me connect the dots with diet and its effects on me, but with the help of this board, I'm chipping away at it myself.

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    • par18
      Scott, I agree with everything you said except the term "false negative". It should be a "true negative" just plain negative. I actually looked up true/false negative/positive as it pertains to testing. The term "false negative" would be correct if you are positive (have anti-bodies) and the test did not pick them up. That would be a problem with the "test" itself. If you were gluten-free and got tested, you more than likely would test "true" negative or just negative. This means that the gluten-free diet is working and no anti-bodies should be present. I know it sounds confusing and if you don't agree feel free to respond. 
    • SilkieFairy
      I realized it is actually important to get an official diagnosis because then insurance can cover bone density testing and other lab work to see if any further damage has been done because of it. Also, if hospitalized for whatever reason, I have the right to gluten-free food if I am officially celiac. I guess it gives me some legal protections. Plus, I have 4 kids, and I really want to know. If I really do have it then they may have increased risk. 
    • par18
      Been off this forum for years. Is it that important that you get an official diagnosis of something? It appears like you had a trigger (wheat, gluten, whatever) and removing it has resolved your symptom. I can't speak for you, but I had known what my trigger was (gluten) years before my diagnosis I would just stay gluten-free and get on with my symptom free condition. I was diagnosed over 20 years ago and have been symptom free only excluding wheat, rye and barley. I tolerate all naturally gluten free whole foods including things like beans which actually helps to form the stools. 
    • trents
      No coincidence. Recent revisions to gluten challenge guidelines call for the daily consumption of at least 10g of gluten (about the amount in 4-6 slices of wheat bread) for a minimum of 3 weeks. If possible, I would extend that two weeks to ensure valid testing.
    • SilkieFairy
      Thank you both for the replies. I decided to bring back gluten so I can do the blood test. Today is Day #2 of the Challenge. Yesterday I had about 3 slices of whole wheat bread and I woke up with urgent diarrhea this morning. It was orange, sandy and had the distinctive smell that I did not have when I was briefly gluten free. I don't know if it's a coincidence, but the brain fog is back and I feel very tired.   
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