This is a soapbox, but I find that doctors in general are by the nature of their training, molded to be very conservative and closed-minded (thus those that aren;t are excceptional gems) and yet, within this conservative, closed-minded subset, GI docs make most other docs look like raving liberals.
I am not talking politics, I am talking being
open-minded to new ideas, cutting edge research that isn't yet fully "evidence based", etc.. Think how nowadays, probiotics are considered pretty standard common sense even by many mainstream docs, for intestinal health (heck, mainstream even acknowledges now that the "flora" of the gut is a ig player in IBD). Yet 20 years ago if you asked a doc, much less a GI doc, about
probiotics he;'d l;ecture you about
not falling for "quack" ideas. Unfortunately that is the same thing now about
ideas such as the hygiene hypothesis (parasites used as immune modulators etc.) to name but one example.
I don't know what it is about
GI's in particular that attracts the dullards, but it does. I think we should all shop around, but not dump a GI until you have a good one available, because even the dinasours tend to be booked up months in advance for new patients.
The ideal would be to have a progressive-minded GI and also an alternative doc on the side in case you want to try something that isn't fully 'doctor approved' yet (but might be in 10-20 years, but who has that kind of time on their hands.)
The funny thing is, there was an old style-sounding country-doc style GI who also happened to be very
open-minded- that Dr. Eugene May who used to run that CCFA advice forum until they shut it down (very sadly). I used to love his web-board- awesome advice, a mixture of conservatism and
Pancolitis dx'd 1986, full med-free remission 88-97
Flaring or simmering ever since
10 20 mg pred, 100 mg Imuran
Probiotics (mainly Primal Defense)
Turmeric/circumin, various vitamins/minerals,
Low-carb version of Specific Carb Diet