Patients of Dr. David Gutman

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longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 12/29/2010 5:27 PM (GMT -6)   
I have just passed this web site on to my doctor. I have to tell you how pleased I am that Dr.Gutman stays updated on everything out there. He is the Director of the Reflux Center of Long Island. Are there any members out there from NY or Long Island? Would like to see how your treatment, surgery is going and who treated you.
Thanks

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 12/30/2010 8:49 AM (GMT -6)   
Good Morning and thank you for sharing this site with your Doctor.  I am gald to know you like your physician as that is so important in dealing with your disorder. It sounds like you advocate for yourself very well.
 
Happy New Year to you.
~~Kitt~~
Moderator: Anxiety/Panic, Osteoarthritis, GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"If you can't change the world, change your world"

longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 12/30/2010 4:16 PM (GMT -6)   
Yes Kitt I try. Dr. Gutman has been great. He does not push for surgery unless he is 100% sure it is indeed acid reflux. He was very happy to see that there is a web site such as yours where people can connect on these issues. This web site has been great for information. Glad I found it.

Happy New Year to you as well!

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 7:18 AM (GMT -6)   
Hi longislandchick,
I am new to these boards and found your recc. for Dr. Gutman. I too am a "long island chick" and I have an appt. with him tomorrow. Thanks for getting this info out there, I was very worried about finding the right Dr! Will keep you posted.
Best,
Nick

longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 1/10/2011 3:41 PM (GMT -6)   
Good luck with your appt with Dr. Gutman. I can tell you two things. Please do not get frustrated if your waiting for a long period of time to see him. When he is with a patient he likes to devote his complete attention on only that patient. Sometimes people, myself included have waited for 2 hours to see him, even with a scheduled appt. I can tell you this. You will be getting a great doctor. He has found some things with my LPR, that other doctors did not even diagnose. Some were all to quick to load me up on meds. Dr. Gutman took a different approach and did all testing before making any conclusion on acid reflux. He is also the only doctor on Long Island that actually is known for treating acid reflux in particular. We should consider ourselves fortunate. Keep me posted on how you make out. I am waiting for my biopsies to come back and then we will see where this goes.

Michele LIC

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 4:37 PM (GMT -6)   
Hi Michele!
Thanks for your reply. Thanks so much for your info on Dr. Gutman. Believe me I do not mind waiting for a Dr. who actually cares and listens (imagine that!), which Dr. Gutman seems to be! I have had my share of B.S. with Dr.'s, not just with G.I. issues, but that's another story... I've actually been doing the "Dropping Acid" diet by Dr. Jamie Koufman. It has helped the throat/ LPR issues, but I have still been getting reflux, not alot but it's still there. I am thinking I have a motility issue as I have had chronic constipation since childhood and accompanied by stress, I guess this is the result, the body gets tired and can't fight anymore... Hope your biopsy results help to put your puzzle pieces together. I will definitely keep you posted on my appt.

Best,
Nick

P.S., not to be too nosey, but I will LOL, where on Long Island do you live? I'm in North Babylon/ Deer Park in Suffolk county.

longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 1/10/2011 5:28 PM (GMT -6)   
Your not being nosy. I am down the street in Huntington area. I have LPR and Dr. Gutman discovered that I have two inlet patches of gastric metaplasia. The inlet patches form when you are an embryo. I have seen about 6 doctors from Beth Israel Hospital to you name it. So far Dr. Gutman is the only one who has made any sense out of what could possibly be causing my reflux. If it is indeed that. I have no heartburn etc. Just hoarseness, feeling lump in throat etc. He most likely will have you get a bunch of tests. Make sure you have an updated endoscopy and then take it from there. When I had mine done last week he did attached the Bravo capsule. Read up on this. You may want to have this done as well, if your insurance provider will cover.
Are you sure you have LPR? What are your symptoms and have you been to other doctors who said it was LPR?

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 5:42 PM (GMT -6)   
Hi Michele,
Well well, Huntington, we'll have to get together for a Non-Acidic lunch! LOL!
Well, I have never had any tests, I'll admit I have been scared... I smoke so I keep thinking the "C" word... Anyway, I kinda came to my own conclusion on the LPR, just because my symptoms really match: Lump in Throat, Sore Throat, not too much Reflux... It has been on and off for the last 4-5 years. Started when a Dr. Overdosed me with Oral Progesterone, which relaxed my LES, Yay! I love Dr.'s! I went to an ENT who took a look and said, "Yup, you got GERD", and gave me Aciphex. It totally worked and I just went on with my life like nothing happened... Then about 1 1/2-2 years later, a seriously stressful event happened and Blammo, woke up with the darn ****t again! Tried Aciphex and I think Prilosec OTC, and they helped again, then after that the episodes got closer and closer, like once every few months, then 2 months, now weekly, but my stress has also been unrelenting...coincidence? I think not! So, I have tried/ used Tums, Prilosec, Aciphex, Nexium, Zegerid, Zantac, DGL, Aloe Vera, Magnesium, Chewing Gum, "Dropping Acid" diet... What seems to be helping right now is the "Dropping Acid" diet and the Zantac before bed. Also, DGL and chewing gum throughout the day with Magnesium at night, whew! Let me ask you, do you have tightness in your diaphram area? Sometimes it feels like it is so tight it is actually pushing up gaseous acid. Oh, I also have all those Nasal LPR symptoms which have just recently developed, FUN!

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 6:01 PM (GMT -6)   
Wow, that is amazing that he found the inlet patches of gastric metaplasia. I hope this is the problem for you and that he can resolve it! Good luck, It seems that You (We) are in good hands! : )

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/10/2011 6:14 PM (GMT -6)   
nick,
The testing isn't that bad.
EGD is done under sedation. You can have the Bravo inserted at the same time.
The barium swallow is just drinks a chalky mixture while they take a video xray or photos. The video methods the best.
The stomach emptying is a breeze. Eat food and stand in front of a special camera.
The only one I hated was the manometry. You have a sensor on a cathetor stuck down your nose to your stomach. You have to drink 10 perfect swallows of water before they take it out. I didn't like the chokey feelings and not being allowed a sedative to calm my nerves.
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 6:22 PM (GMT -6)   
Hi Joy,
Thanks so much for the info on the tests! I know I've been being a big baby about it! I mean I had a Cystoscopy! Here is the definition of what that is:
http://www.webmd.com/a-to-z-guides/cystoscopy-16692
Think, Camel through Eye of Needle... very fun indeed! (Sarcasm)
Anywho, I almost hope he is able to do some of the easier tests tomorrow like the Barium or the Swallow, etc...
I will post my experience! I'm almost excited to see a Dr! Imagine that! : )
Best,
Nick

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/10/2011 6:27 PM (GMT -6)   
The barium swallow must be done on an empty stomach. So he will probably schedule it later.

I was excited until the manometry. Thank goodness it was the last test or I might have chicken out.

I was so nervous for many of the tests they had to give me 20mg of valium to relax me.
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/10/2011 6:44 PM (GMT -6)   
LOL! I already have some valium here! I'm already anxiety ridden, without having the tests! I didn't take a valium before the Cytoscopy, but when the Dr. brought in the "Scope" and told me where it was to be inserted, I nearly fainted!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/11/2011 3:39 PM (GMT -6)   
It's always fun the get those kinds of surprises. :S

I didn't know what an manometry was until they did the test. :<
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/11/2011 5:07 PM (GMT -6)   
@ Joy- Yes, the manometry does sound like LOTS of FUN! LOL! Can't wait!
@ Michele- Just got home after seeing Dr. Gutman. Wow! I am sooo grateful to you for putting his name here on the boards! I literally cried because he was soooo niiice! : ) I did have to wait nearly 3 hours to see him, but It's definitely worth the wait! I'm having an Endoscopy this Sat., I'm almost not scared anymore because he is so awesome! Then he wants me to have a SITZ test, where they check your motility. I joked with him that the capsule will probably never come out because I CAN'T POOP! LOL! Anyway, I will keep you updated on all the FUN!
Best,
Nick

longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 1/11/2011 5:54 PM (GMT -6)   
Nick:
That's great news. I am sure he will get to the bottom or top LOL of what is causing all of this. I know stress must have a part in mine somewhat. I was symptom free for a long time and then my Dad passed away about a year or so ago. It seems weird but right after he passed away my acid was out of control. Everything that Joy (couchtater) love that name has said, is correct. She has been through a lot more then the both of us. I have to thank her as well. Since I talked with her that made me have that endoscopy again. And hence Gutman found the patches. Please keep us updated on how everything goes. Once I get my results back I will let you know how I make out as well.
Now hunker down and get ready for the 2 feet of snow coming our way. I could use an acid free lunch, after this all gets put to rest.
(: Michele

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/11/2011 6:15 PM (GMT -6)   
Hey Michele,
I told him that you were the reason I made an appt. with him. He said, Michele? I see alot of Michele's... LOL! I said she's from Huntington... He couldn't put his finger on who you were, but he said he was gonna check it out to figure out who you were! LOL! He is sooo sweet, such a nice man, really.
Hey, guess what, I Do Not Think It Is Weird, all this Sh***t with me started after my Mom passed away! I don't care what ANYBODY says, STRESS IS THE NUMBER 1 PROBLEM/ CAUSE FOR EVERY DISEASE! PERIOD!
I bet they're just *Hypin* up that snow storm, so they look like heroes 'cause they really screwed up last time! ; )
Stay warm! Too bad Hot Chocolate is OFF the menu! WAHHHH! Do they make Hot Carob? I wonder.......
Best,
Nick

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/11/2011 7:22 PM (GMT -6)   
So glad you've found a good doctor both of you.
Yes, stress is a big factor in Gerd. Mine started the year I moved to a new town by myself and started a new career- elementary school teacher. Talk about stress! Wow!!

I took on the name couchtater because my mother called me that growing up. I would plant myself in front of the tv when I got home from school and not move. She'd shoo me out the door telling me to go play and not be a couchtater.
I'm still a bit of a couchtater today, but it's the computer more than the tv now.
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/12/2011 7:46 AM (GMT -6)   
Yes, finding a good Dr. is the key! Unfortunately we do have to "Search Out" for good Dr.'s... What ever happened to the Hippocratic Oath? I guess it was bought out by the Drug Companies...
I've had some pretty scary experiences with "Dr.'s"... Laughing at me, looking at me like I was crazy, Oh, and even thinking I WAS Crazy and keeping me in the hospital against my will in one of those "rubber rooms"... Well, I can assure you I Am NOT Crazy, I just saw some Lazy, Uncaring Dr.'s. Turns out I had a Hyperthyroid and Mineralcorticoid Deficiency (I blew out my adrenal glands during a very stressful period). Finally saw an amazing Endocrinologist, who basically saved me before I got Full Blown Addisons! Of course he didn't take insurance, hmmm, surprise, surprise! That's why he was able to take the Necessary tests and wasn't limited by the Insurance Co.'s B.S.
Hey Joy, my nickname as a kid was "Bugs", as in Bugs Bunny. Partly cause I was a couchtater and watched cartoons all day, and partly cause I have an overbite! LOL!
Best,
Nick

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/12/2011 7:56 PM (GMT -6)   
Hello,
I am writing because I have a strange question/ symptom. I did tell Dr. Gutman about this, and I hope he can figure it out. In the evening, like just now, but ONLY in the evening, I sometimes sneeze, and I get this itchy/ burny irritation in my throat about 10 mins later. It clears up within 10-15 mins later and is gone. I am assuming it has something to do with the
GERD, but the weird part is that I sneeze, only at night, oh, and ONLY ONCE, and then it happens.... ???????
Could this be an allergy? I guess I should probably keep track of what I have for dinner to see if I kind find a pattern.
This is weird though, right?
Thanks!
Best,
Nick

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/12/2011 8:06 PM (GMT -6)   
Keep a journal of when it happened and what you ate. Also what you ate and what you are doing at the time.

The next time it hits chew a tums or two and see if it stops it.
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/12/2011 8:08 PM (GMT -6)   
Hi Joy,
Thanks for the advice! Yes, I really need to keep a journal! I usually chew some gum, and it helps. Does this seem weird to you though?

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/12/2011 8:12 PM (GMT -6)   
Dr. Oz on tv today said gum chewing sometimes helps people. I think it's the production of saliva washing the acid down????
Joy

nick69
Regular Member


Date Joined Jan 2011
Total Posts : 22
   Posted 1/12/2011 8:20 PM (GMT -6)   
Oh yes, it is the saliva washing the acid down. But I think the part about sneezing only at night and only once is weird. I would think you would be more likely to sneeze during the day while your outside in the elements?????

longislandchick
Regular Member


Date Joined Dec 2010
Total Posts : 26
   Posted 1/13/2011 4:47 PM (GMT -6)   
Nick:

Joy is correct. Keep a journal with all of your symptoms and when they occur etc. I had some things such as a build up of ear wax before I started taking Dexilant. I also have a lot of tearing with my eyes. You guys are going to laugh but at one time I told my GYN this was all due to menopause. She laughed it off. The fact is I know my own body pretty well, and all of these things didn't just happen out of the blue. I am sure age had a lot to due with some things but I know my LPR is a contributing factor. When I first had any sign it was back was when I had a persistant cough. Then sneezing, post nasal drip etc. I started to blame it on my job. I work in construction. Thought maybe dirt, dust, concrete etc. Now after 2 years of doctors etc, I am just down to the globus sensation. The Dexilant is making a difference with some of my symptoms. Every once in a blue moon, I start to lose my voice. Not sure what the heck causes that. It happened to me on Xmas Eve. I was doing a lot of eating sweets, booze etc. Who knows? The one thing that always seems to amaze me, is how uninformed people are about acid reflux. They seem to think a simple pill is the answer. My burning question has always been, do you really think the LES is going to sew itself back up? Look at it from a logical stand point. It's broken and needs to be repaired. Period! End of Story!
Thanks for letting me sound off! Just want to get this resolved once and for all!
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