Any Physicians in the US that knows anything about dealing with Indian microbes?

#1 Jun 15th, 2018, 23:26
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#1
Has anyone run into a physician in the US that has ANY expertise in dealing with intestinal microbes?

So far I have only run into totally clues ones
#2 Jun 15th, 2018, 23:29
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Sorry about your intestines. I think that you speciality you need might be called tropical medicine.
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#3 Jun 16th, 2018, 03:36
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#3
Tried one University 'travel clinic' - No help
#4 Jun 16th, 2018, 04:16
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Whats the problem?
#5 Jun 16th, 2018, 04:50
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Since you say your location is Wyoming, that university travel clinic was at U of WY in Laramie? Good luck on finding any dr with travel med advice in your wide, open spaces.

I'd say you'd have to travel out of state if doctors are stumped.
Try some bigger cities on the west coast like Portland, Seattle, LA. Either travel/tropical medicine clinics or at teaching hospitals associated with universities. Too bad you're not near Chicago where people fly into from all over the world hence the need -- University of Chicago has a clinic for Infectious Diseases and Global Health as do other major hospitals. Google is your friend.

Good luck!
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#6 Jun 16th, 2018, 06:52
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Well to be blunt, a piece of rat shit in some namkeen from Indore some years ago. Tinidazole did an excellent but temporary job and now whatever it is is fully resistant to tinidazole.

I am forgetting the brand but it was the big regional company that covers MP and parts of MH
#7 Jun 16th, 2018, 10:32
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#7
Quote:
Originally Posted by WyoFly View Post Has anyone run into a physician in the US that has ANY expertise in dealing with intestinal microbes?

So far I have only run into totally clues ones
A directory of specialists in the field is here - with the list of options in California: http://www.astmh.org/for-astmh-membe...ants-directory
I chose California because the Jackson Hole airport offers connections to LA and SF. You might prefer a different location, but there are no listings in Wyoming.
Good luck. A list of natural remedies for parasites is here. http://ldn.proboards.com/thread/1667...ernatives-help. If the issue is in the microbiome (which would have been negatively affected by the Tinidazole), one source of data about fecal transplants is here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627401/. This is not advice, just a pathway to two resources you may not have thought of.
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#8 Jun 16th, 2018, 10:38
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Depending on where you are in WY, Salt Lake City might be an easy drive. I do not have any personal experience with this doctor but you could try him. We do use the U of Utah hospitals for our health needs and it is of a good quality.

https://healthcare.utah.edu/fad/mdde...ianID=u0274364
#9 Jun 16th, 2018, 14:28
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#9
When in doubt check for Indian names..
#10 Jun 16th, 2018, 15:28
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I thought it very likely that USA would call it "tropical medicine" too. London has an entire hospital devoted to it. Or had; I'm out of touch with what the NHS has closed down in recent decades; let's hope has.
#11 Jun 16th, 2018, 18:00
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#11
"Tinidazole did an excellent but temporary job".

Just wondering if Tinidazole is the top recommendation for severe tummy problems in India?

I understand that one should let nature "take it's course" if possible, but a tourist on a short holiday does not want to spend half of their visit in the toilets.

Any medication that can be taken along with beer would be a bonus...

Ed.
#12 Jun 16th, 2018, 18:12
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That medicine is used to treat Giardiasis, which does not go away on its own. The treatment causes dysbiosis and lactose intolerance which compounds the problem.
#13 Jun 17th, 2018, 04:37
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#13
Salt Lake U of Utah Travel Clinic I did last year. Because I am dealing with rat species, not typical human species, stool tests dont find anything (because they are not looking for those species) so because of that they refused to do anything.

The basic problem is physicians generally refuse to talk with you unless in person so spending 3-4 days traveling and all the expense just to get the usual 'sorry no species ID, no treatment" is not a thrilling prospect
#14 Jun 17th, 2018, 06:39
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I understand that one should let nature "take it's course" if possible
This is very bad advice for Amoebic and for the more severe cases of Bacillary as well (small children, etc). Amoebic can set in and damage the liver, etc. Even for healthy souls if its serious and prolonged get a stool test. Of course, much of stomach ailments are due to a change of clime, food, and stress. But, there is a difference in intensity..
#15 Jun 17th, 2018, 14:31
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#15
I don't understand.

For stool, or any other tests, surely they are looking for microorganisms, parasites, etc, not fury things with tails? So what does the origin species matter?

Anyway, interaction, for better or for worse, with rats, etc etc is hardly rare.

My experience (UK) of "travel clinic" is a nurse with a fridge full of stuff to inject, a prescription pad, and a list by country. A basic prophylactic/advice service. It's not a place to go after the event. Is that different in USA? Do they treat "foreign" diseases there?

I'm wondering if the OP's treatment is being covered by insurance, and if so, why the insurer is not interested in helping them find an effective specialist. But, again, maybe that's not how it works in USA.

I'm sorry to be so ignorant of USA. But I am not entirely ignorant about insurance companies: they have an interest in their claim payments being finite, not going on and on.

Maybe the OP should come back to India for treatment!

And, PS... Yes. Letting nature take its course is something adults can do for simple Delhi-belly-type stuff. Certainly not for anything more serious. It just means not running for the chemical cork on day one. Unless you have to.

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