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South Flordia Doctors


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ms-sillyak-screwed Enthusiast

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jessman Newbie

Hi fellow South Floridian!

I live in Key Largo and have to commute to Miami every day for work so my doctors are in Miami.

My gastroenterologist is Dr. Paul Fishbein who works out of Baptist Medical Center in Kendall. He's pretty good as far as doctors go. He's a very good listener and spends a decent amount of time with you. I also take digestive enzymes and he has no problem with the ones I take. I was diagnosed by another doctor as having Celiac Disease because my Gliadin AB IGG was 63 and IGA was 31 (Those were the only tests that were elevated). Dr. Fishbein said I might just be intolerant to wheat (my biopsy came back negative) and to try to reintroduce it back into my diet after a couple of months. I haven't tried because I feel so much better without gluten in my diet, and he respects my decision.

As far as your Thryoid, I have Hasimoto's thryoiditist (sp?) which is an underactive thryoid. My endocrinologist is Dr. Diane Kreiger who has a practice in South Miami (near South Miami Hospital). She's also very good and very knowledgable. Let me know if you are interested in any of their phone numbers and I'll pass them along.

Good luck in your search for good doctors! I know from experience that it may take a while to find one you can connect with, but don't give up!

KaitiUSA Enthusiast

If enzymes are quackery I would like that doc. to explain why they work :lol: Some doctors are stuck in the last century and have 1 way of thinking.

  • 4 months later...
ms-sillyak-screwed Enthusiast

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  • 4 months later...
ms-sillyak-screwed Enthusiast

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  • 1 month later...
CeliacMe Rookie

There's a guy named rammacable in the St. Lucie area. He's not a celiac or gi, but he does deal with unusual cases that other doctors cannot handle. he's supposed to be good. i've decided that i hate doctors, so have not tried myself.

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    • trents
      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
    • trents
      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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