Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

How Do I Know If Our Pediatric Gi Is A "good" One?


Minette

Recommended Posts

Minette Contributor

The allergist who did the celiac panel on my daughter (who seems to know what she's doing, based on what I've read here) recommended a couple of pediatric GIs for us to see for follow-up. We chose Rocky Mountain Pediatric Gastroenterology largely because they have an office close to us (the other one she suggested was in Denver, about an hour away).

They have 8 locations and seem like a very professional operation, but I have no way of knowing whether they are celiac specialists or not -- they list it as one of about a dozen "most common medical problems" they treat. I haven't had any luck finding a national database of "celiac-approved" doctors.

We haven't even had the appointment yet, so maybe I'm borrowing trouble, but I'm just wondering how you actually know whether your kid's doctor is the right fit.


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



mommida Enthusiast

You and your child are going to have to meet the doctor in person. Make sure the doctor listens and has a decent bedside manner.

Cara in Boston Enthusiast

Also find out about how many patients with Celiac does he/she treat? How many did he/she diagnose?

Our first (bad) doctor said he rarely finds kids who have celiac - this is at a major hospital in Boston. (really?) He said my son did not have it based on his conflicting blood tests (some were negative, some were positive), lack of symptoms (almost none, just behavior change) and his genetic test. I knew he was bad when he continued to be very condescending to me . . ."slow down, you've read one too many magazine articles . . ."

He seemed to only be interested in GI symptoms and slow growth - my son had neither of these.

Next doctor (at Children's Hospital Boston) said blood tests and behavior change was a concern and did a biopsy. Found extensive damage. She has been wonderful to work with this past year.

I would also assume if the doctor you like has referred these people, they should be pretty good.

mamaupupup Contributor

I'll ask our Ped GI from Children's Hospital LA (Dr. Michelle Pietzak -- she's a researcher, on the board of Celiac Disease Foundation, etc.). She has mentioned that there is a higher incidence of Celiac in Colorado than in Southern California, so she has some connection.

If there is a R.O.C.K. group in the area, that might help in identifying, also calling or looking at the Boards of the Celiac awareness groups helps.

I'll get back to you as soon as I hear.

mamaupupup Contributor

And, here we go...talk about a responsive doctor...ours is excellent

From a VERY good source:

One of the main celiac disease centers is in Denver, Co.

The best physicians to see are either Dr. Ed Hoffenburg or Dr. Edwin Lui.

Here is the info:

Open Original Shared Link

Open Original Shared Link

Given the excellence in care we've received, I'd go with either of these doctors in a heartbeat.

All my best!

mamaupupup Contributor

To add a little: I like having a Ped GI who is a Celiac researcher--Dr. Pietzak listens to every crumb of input we give her. She's like a detective. We drive 2 hrs+ each way to see her.

Dr. Hoffenburg in Denver is a researcher. Here are some of his publications--he's on it! I'd choose him in a second!

2.Screening-identified celiac disease: who needs treatment and when?

Hoffenberg EJ, Liu E.

Clin Gastroenterol Hepatol. 2011 Apr;9(4):284-5. Epub 2011 Jan 14. No abstract available.

PMID: 21238607 [PubMed - indexed for MEDLINE]

Related citations

3.Antibodies to the wheat storage globulin Glo-3A in children before and at diagnosis of celiac disease.

Taplin CE, Mojibian M, Simpson M, Taki I, Liu E, Hoffenberg EJ, Norris JM, Scott FW, Rewers M.

J Pediatr Gastroenterol Nutr. 2011 Jan;52(1):21-5.

PMID: 21119542 [PubMed - indexed for MEDLINE] Free PMC Article

Related citations

4.Celiac autoimmunity in children with type 1 diabetes: a two-year follow-up.

Simmons JH, Klingensmith GJ, McFann K, Rewers M, Ide LM, Taki I, Liu E, Hoffenberg EJ.

J Pediatr. 2011 Feb;158(2):276-81.e1.

PMID: 20817171 [PubMed - indexed for MEDLINE] Free PMC Article

Related citations

Minette Contributor

Thanks -- if I'm not completely happy with the doctor we're seeing next Friday, I'll definitely try to get in with Dr. Hoffenburg or Dr. Lui!

(We don't have a R.O.C.K. group as far as I can tell -- there's a local celiac group and their website says something like, "If you're interested in starting a R.O.C.K. group, that would be great!")


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - trents replied to Sarah Grace's topic in Related Issues & Disorders
      22

      Headaches / Migraines and Hypoglycaemia

    2. - knitty kitty replied to Sarah Grace's topic in Related Issues & Disorders
      22

      Headaches / Migraines and Hypoglycaemia

    3. - Jmartes71 posted a topic in Coping with Celiac Disease
      0

      Related issues

    4. - trents replied to Sarah Grace's topic in Related Issues & Disorders
      22

      Headaches / Migraines and Hypoglycaemia

    5. - Scott Adams replied to jessicafreya's topic in Gluten-Free Foods, Products, Shopping & Medications
      1

      Tamale ingredients


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      132,147
    • Most Online (within 30 mins)
      7,748

    rmr714
    Newest Member
    rmr714
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Nuts and cheese are not particularly high in tyrosine compared to many common foods most people eat nearly every day, particularly most meats and fish. I doubt that is the issue in and of itself, though nuts and cheese (particularly aged cheeses) can be a trigger for some migraine suffers for whatever reason. https://www.myfooddata.com/articles/high-tyrosine-foods.php
    • knitty kitty
      @Sarah Grace,  Thank you for the update!  It's so good to hear from you!  I'm glad Thiamine, B Complex and magnesium have helped you.  Yes, it's important to take all three together.    I had to quit eating cheese and nuts a long time ago because they triggered migraines in me, too.  They are high in tyrosine, an amino acid, found also in fermented foods like sauerkraut and red wine.   I found taking Tryptophan very helpful with migraines.  Tryptophan is a precursor of serotonin and people with migraines are often low in serotonin.  (Don't take tryptophan if you're taking an SSRI.)     This recent study shows tryptophan really helps. The association between dietary tryptophan intake and migraine https://pubmed.ncbi.nlm.nih.gov/31254181/   For immediate respite from a migraine, try smiling REALLY BIG, mouth closed, tongue pressed against roof of mouth, and crinkle up your eyes like you just heard or saw the funniest thing...  This causes an endorphin release in the brain.  Usually it's the funny event, then the endorphin release and then the smile.  Smiling first makes the endorphin center think it missed something and it catches up quickly by releasing endorphins after the big crinkle eyed smile.  Must make crinkly eyes with smile or it won't work.  If you do this too frequently within a short time frame (several hours), you can deplete your endorphins, but you'll make more in a couple of hours, so no worries. Get your thyroid checked, too.  Migraines are also seen in low thyroid function (Hashimoto's or hypothyroidism).  Celiac and thyroid problems go hand in hand.   Vitamin D helps, too.  Low Vitamin D is found in migraine.   I'm so glad you're doing better.  
    • Jmartes71
      Its been a complete nightmare dealing with all these health issues one thing after another and being told many different things.I am looking for a new primary care physician considering when I told my past doctor of 25 years I was diagnosed before any foods eliminated from my diet and now this year at age 54 no longer able to push considering Im always exhausted, leg pain , stomach,skin and eye issues,high blood pressure to name a few all worsen because I was a  school bus driver and few years until my immune system went to hell and was fired because of it.Im still struggling now, Im sibo positive and been told im not celiac and that I am.I have a hernia and dealing with menopause. Its exhausting and is causing depression because of non medical help. Today I saw another gastrointestinalist and he said everything im feeling doesn't add up to celiac disease since my ITg levels are normal so celiac disease is under control and it's something else. I for got I had Barrett's esophagus diagnosed in 2007 because recent doctors down played it just like my celiac disease. Im currently looking for a pcp in my area because it is affecting me personally and professionally. Im told since celiac looks under control it's IBS and I need to see a therapist to control it. Gastrointestinalist around here think only food consumption and if ITG looks normal its bit celiac disease it's something else. Is this right? This is what im being told. I want medical help but told its IBS.Im feel lost by " medical team "
    • trents
      My migraines generally have their onset during the early morning hours as well. Presently, I am under siege with them, having headaches all but two days so far this month. I have looked at all the things reported to be common triggers (foods, sleep patterns, weather patterns, stress, etc.). Every time I think I start to see a pattern it proves not to pan out in the long run. I'm not sure it's any one thing but may, instead, be a combination of things that coalesce at certain times. It's very frustrating. The medication (sumatriptan or "Imatrix") is effective and is the only thing that will quell the pain. NSAIDs, Tylenol, even hydrocodone doesn't touch it. But they only give you 9 does of sumatriptan a month. And it doesn't help that medical science doesn't really know what causes migraines. They know some things about it but the root cause is still a mystery.
    • Scott Adams
      These are labeled gluten-free: https://www.amazon.com/Corn-Husks-Tamales-Authentic-Flavorful/dp/B01MDSHUTM/
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.