Ack2009 from Vancouver, do you have a good local GI?

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TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/12/2009 5:49 PM (GMT -6)   
Ack2009 from Vancouver, do you have a good local GI?

Thanks!

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2153
   Posted 8/12/2009 7:12 PM (GMT -6)   
Hi TPT,

Short answer: Yes. Dr Isabella Tai. She seems to work out of both VGH & UBC. Her office where I meet with her is in the VGH complex.

Long drawn-out answer: If you are looking for someone who is warm and hand-holdy, she is not for you. The first time I met her before I was diagnosed, I found her very abrupt and brusque, did not encourage any questions and answered them very shortly or not at all. After my colonoscopy which showed I had moderate-severe pancolitis, she has been different. It's almost as if now that she knows I am for real, she is a bit more solicitous and will answer questions more readily. She is still not very warm, but I do feel she knows her stuff and I have great confidence in her. I don't care for the admin staff at her office at all, but that's a minor point. I went into remission right after my diagnosis so I don't know what she'd be like if I needed my treatment escalated, but based on my experience I would recommend her.
ack, 43, Vancouver BC
 
DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June 2008.
Current Meds: Ferrous Sulfate, plus various supplements
Previous Meds: Jan-Mar 2009: Asacol 800 mg (1 pill x 4 daily), stopped Mar14/09. 


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/13/2009 12:09 AM (GMT -6)   
Thank you!

I will ask my GP for a referral. I went to a GI in the USA, but would love to have a local one.
I don't need a hand holder, I do want to get pregnant and want good advice from a specialist.

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2153
   Posted 8/13/2009 9:42 AM (GMT -6)   
Hope everything works out for you!
ack, 43, Vancouver BC
 
DX: UC (Pancolitis) as of Jan2009.  Symptoms first began June 2008.
Current Meds: Ferrous Sulfate, plus various supplements
Previous Meds: Jan-Mar 2009: Asacol 800 mg (1 pill x 4 daily), stopped Mar14/09. 


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/13/2009 3:35 PM (GMT -6)   
Thanks again, you too!

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 7150
   Posted 8/13/2009 3:57 PM (GMT -6)   
TPT, you live in or near Vancouver, BC? I live in Mount Vernon, WA, and I really like my GI, who is also in Mount Vernon. Let me know if you want his name, etc. He's AWESOME about answering questions and such and spends as much time as I need during each office visit. Plus, when I was flaring, I was able to get in to see him very quickly and he and his assistants are very quick to return phone calls.
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Diagnosed with pancolitis on 1/30/09
Currently taking Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, and Zoloft (25 mg).


kc70
Regular Member


Date Joined Nov 2008
Total Posts : 112
   Posted 8/14/2009 10:20 AM (GMT -6)   

Interesting. I saw Dr. Tai for a year and I have recently "fired" her (actually, it was kind of mutual, since it was pretty clear to me at our last visit that she was no longer interested in treating me). She never saw me as a complete person, but only saw my colon. She was never receptive to my efforts to incorporate alternative therapies along with the drug therapies that she recommended, none of which have worked really well for me. I have never been in remission since my diagnosis in October 08 and at times have really suffered. Dr. Tai's lack of compassion and empathy has caused me some pretty severe emotional trauma, which has actually increased my physical symptoms.

I have just asked my GP for a referral to a different doctor, which is a little bit scary, but after a year of Dr. Tai's "care," I'm pretty sure I can't do any worse.

ack2009 said...
Hi TPT,

Short answer: Yes. Dr Isabella Tai. She seems to work out of both VGH & UBC. Her office where I meet with her is in the VGH complex.

Long drawn-out answer: If you are looking for someone who is warm and hand-holdy, she is not for you. The first time I met her before I was diagnosed, I found her very abrupt and brusque, did not encourage any questions and answered them very shortly or not at all. After my colonoscopy which showed I had moderate-severe pancolitis, she has been different. It's almost as if now that she knows I am for real, she is a bit more solicitous and will answer questions more readily. She is still not very warm, but I do feel she knows her stuff and I have great confidence in her. I don't care for the admin staff at her office at all, but that's a minor point. I went into remission right after my diagnosis so I don't know what she'd be like if I needed my treatment escalated, but based on my experience I would recommend her.


39 year old woman
Diagnosed October 2008

location: Vancouver, BC

Current meds: 30 mg Prednisone, 100 mg Imuran. First Remicade infusion April 6/09.

Failed meds: Asacol, Pentasa


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/16/2009 2:59 PM (GMT -6)   
kc70,
Who do you like?
Thanks,
TPT

kc70
Regular Member


Date Joined Nov 2008
Total Posts : 112
   Posted 8/19/2009 10:26 AM (GMT -6)   
I have just received a referral to Dr. Brian Bressler. I did a bit of research online and he got some pretty good reviews. I specifically asked for him. My first appointment is in September (pretty quick for a specialist referral, already a good sign!) so I can let you know how it goes :)
TPT said...
kc70,
Who do you like?
Thanks,
TPT

39 year old woman
Diagnosed October 2008

location: Vancouver, BC

Current meds: 30 mg Prednisone, 100 mg Imuran. First Remicade infusion April 6/09.

Failed meds: Asacol, Pentasa


kc70
Regular Member


Date Joined Nov 2008
Total Posts : 112
   Posted 8/28/2009 10:56 AM (GMT -6)   
TPT, I had a very good appointment with Dr. Bressler yesterday (his office bumped my appointment by more than 2 weeks). He is young (I'd guess 35-40) with great credentials, a terrific, knowledgeable manner, and actually looked at me and spoke to me like a person. Told me most of my current issues are caused by prednisone dependence and his goal (mine too) is to get me off that nasty substance asap. He explained to me how we'll do that and what the options are if it doesn't work. Seemed shocked that despite all the problems I've had, I haven't had a repeat colonoscopy or regular bloodwork. I definitely got the "yes" feeling from the appointment. If your GP can get you in to see him, I'd highly recommend him.
39 year old woman
Diagnosed October 2008

location: Vancouver, BC

Current meds: 35 mg Prednisone (tapering... again!), 150 mg Imuran, Tramacet as needed for pain. First Remicade infusion April 6/09.

Failed meds: Asacol, Pentasa


mythmoon
Regular Member


Date Joined Jan 2009
Total Posts : 135
   Posted 8/28/2009 3:01 PM (GMT -6)   
My GI is Dr. Telford who has her own office with a group of other GI's on Davie and Burrard and they work out of St. Pauls. I've only had one meeting with her but my next one is in October. I really like her. I had the same problem of being treated like a colon with my last doc (Dr. Prest in Surrey) so hopefully this works out better for me.
22 yr/old Uni student. Vancouver, BC
Imuran 150 mgs/day

Prednisone is no more! (last dose Feb 16/09)
Diagnosed UC Sept. 2007
2 tums tablets for calcium, 1 womens multivit and 1 vitamin D3 tablet


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/28/2009 3:30 PM (GMT -6)   
Thanks again for all the information everyone. I will check them out.

I have another question: Is cortenemas a US name, and what the Canadian version of Asacol and Rowasa. I'm only on natural supplements and Canasa/Salofalk at this point, it not working anymore.

TPT

kc70
Regular Member


Date Joined Nov 2008
Total Posts : 112
   Posted 8/28/2009 4:11 PM (GMT -6)   

Dr Telford and Dr Bressler work out of the same clinic: Pacific Gastroenterology.

I don't know anything about cortenemas or anything but Asacol is the name of the 5ASA drug that a lot of people take. I couldn't tolerate it.

mythmoon said...
My GI is Dr. Telford who has her own office with a group of other GI's on Davie and Burrard and they work out of St. Pauls. I've only had one meeting with her but my next one is in October. I really like her. I had the same problem of being treated like a colon with my last doc (Dr. Prest in Surrey) so hopefully this works out better for me.


39 year old woman
Diagnosed October 2008

location: Vancouver, BC

Current meds: 35 mg Prednisone (tapering... again!), 150 mg Imuran, Tramacet as needed for pain. First Remicade infusion April 6/09.

Failed meds: Asacol, Pentasa


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/28/2009 7:12 PM (GMT -6)   
Thanks kc70.

TPT

burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 8/28/2009 10:04 PM (GMT -6)   
TPT said...

I have another question: Is cortenemas a US name, and what the Canadian version of Asacol and Rowasa. I'm only on natural supplements and Canasa/Salofalk at this point, it not working anymore.

TPT


I'm in Canada. I use Entocort which is a steroid enema. Asacol is Salofalk tablet (500 mg). Rowasa is Salofalk enema (2 or 4 gm). Canasa is Salofalk suppository (1000mg).
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare for 1 year till Nov 2008.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema, Salofalk suppositories, Salofalk tablets 1000mg x 3/day, Entocort enema
Supplements: Calcium with Vitamin D, Vitamin B Complex, Vitamin C and psyllium capsules (Metamucil).

Present status: Flaring since July 2009; on 35 mg Prednisone


TPT
Regular Member


Date Joined Feb 2005
Total Posts : 102
   Posted 8/28/2009 11:02 PM (GMT -6)   
THANK YOU Burnabygirl, that helps a lot!

TPT

burnabygirl
Regular Member


Date Joined Jun 2008
Total Posts : 205
   Posted 8/28/2009 11:53 PM (GMT -6)   
You're welcome.
Ulcerative proctitis diagnosed in July 2006. Medications: Salofalk enema nightly.
Remission from Nov 2006 to Oct 2007. Then a bad cold and a bad flare for 1 year till Nov 2008.
Pancolitis diagnosed in April 2008. Current medications: Salofalk enema, Salofalk suppositories, Salofalk tablets 1000mg x 3/day, Entocort enema
Supplements: Calcium with Vitamin D, Vitamin B Complex, Vitamin C and psyllium capsules (Metamucil).

Present status: Flaring since July 2009; on 35 mg Prednisone

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