Areas of special focus include irritable bowel syndrome, SIBO, GERD, hiatal hernia, inflammatory bowel disease (including microscopic colitis), biliary dyskinesia, gastroparesis and unrelenting nausea.
I teach my students to never assume that a patient's diagnosis is correct until the data is thoroughly studied. I review all the previous labs, exams, imaging (ultrasound, CT, MRI, motility studies, gastric emptying study...), stool testing, hormone panels, etc. I review all that has been done in the past and look at the whole picture. Once I feel certain about what these are telling me, I use additional test as needed and perform functional tests to determine the underlying causes of the problem and start treatment.
I taught pathology for 17 years and have been in practice for 40+ years, so I have a strong basis in standard diagnostic techniques and physiology. Despite this, I go beyond that knowledge to assess the function or dysfunction of the various body systems. Functional testing includes assessing organ and nerve "circuits" to get clues about which systems of the body are working well and which ones need improvement. I use reflex points (Chapman's, Bennett's and Riddler's), applied kinesiology evaluation of muscle reflexes, lingual-neural testing and various forms of myofascial testing and treatment (structural integration.)