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My local GI admitted that she is out of ideas to help me, both with my pouchitis and other issues. She thinks I should give up my pouch and switch to a permanent ostomy so that we can focus solely on my failing upper GI system. I am entirely not interested in that route, so I am trying to find a second opinion, hopefully somewhat close to home.

Has anyone heard of, seen, or otherwise have an opinion on Dr. Judy Collins at OHSU? She has published a paper on pouchitis, so I know she has at least heard of it before. Do you have any other recommendations for a great gastroenterologist in the Pacific Northwest?

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Have you tried everything you can to help your pouchitis? There are many things to take to jelp your infection. Don't give up. Im sure one antibiotic will help you. It really sucks to hear a doctor giving up on a patient. My infection was so bad one time I would take 2 tablets of cipro in the morning on an empty stomach and two tablets in the evening before dinner. Finally after like many days I felt it clearing up. Please try to find something. Have faith. I don't eat any dairy products while I have pouchitis. For some reason it makes it worse for me. Good luck hope you find something to cure you up.
S
Hi Sam,

I have been "pulsing" Cipro and Flagyl for 2 1/2 years now, and it seems to be doing a pretty good job of keeping my pouchitis at a simering level. I have tried some other antibiotics, but had poor results. My current GI just keeps prescribing the drugs; she has never scoped my pouch (although I was scoped in 2010 by one of her associates and that is how I got the diagnosis of chronic pouchitis). She focuses solely on my severe upper GI issues because as she sees it, there is an "easy fix" for my pouch problems. So it looks like I may need two GIs; one for my pouch and one for everything else. My surgeon quit practicing medicine with my takedown surgery, so it is not an option to simply see him.
Lorsall
Sallie,

I don't know about a GI, I have never gone to one after my takedown surgery. I just see my surgeon for any concerns. But what about consulting with another surgeon in the area? I had my surgery with Dr. Joseph Frankhouse at Good Samaritan Hosp in Portland. If he can't/won't see you for this, perhaps he can recommend another GI. His number is 503-413-5525. He's truly fantastic!

All the best,
Becky
BB
Hi Becky,

I have thought of consulting another surgeon, in fact my colectomy was done in Portland by Dr. Mark Whiteford and I have thought of going to see him. I just thought I would keep the hope alive for a little bit longer that there might, in fact, be one fantastic GI that could treat my entire system instead of subdividing it into parts. I already have seven different doctors that I see on a routine basis for different organs, and trying to communicate with all of them as well as make decisions when their opinions differ can be a bit of a nightmare. However, I like your idea of contacting a C/R surgeon in Portland to see who they would recommend. I also have an appointment with my stomach surgeon in a few days; I will certainly ask her for recommendations as well!
Lorsall
I may be having the same problem you are, i.e. getting passed from doctor to doctor in Portland because no one can figure out what to do. I have tried to find out as much as I can. Here is a little information.

Dr. Mark Whiteford is the choice of many nurses and doctors for themselves and family members. He removed the colon of a friend (an oncology nurse) in July and she ran in a half-marathon in October.

I also found Dr. Judy Collins' abstracts. She has published 20 papers in a ten year period. Most were on IBD issues such as bone density in nursing mothers with IBD.

Here is a link to the abstract of Dr. Collins pouchitis paper. http://link.springer.com/artic...0-008-9194-7?LI=true

The only other doctor who seemed at all interesting for pouchitis in Portland was Dr. David Grunkemeier. He published a couple of papers while doing research at the Cleveland Clinic and wrote a chapter in the book "Clinical Dilemmas in Inflammatory Bowel Disease" edited by Peter Irving, MD, MRCP, David Rampton, DPhil, FRCP, Fergus Shanahan. The one paper I found of his on pouchitis was on doctors creating morphine dependent patients instead of properly treating the pouchitis. He seems very passionate.

Please let me know what you find out. I'll try and keep you updated too.
S

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