I'm w/ you Jazzy. When I was hoping I could just get the procedure done here in LA opposed to flying back to NYC to see Dr. Cahill, this is the response I received from the Head of Tropical Medicine at UCLA. What a joke.
Bear in mind, my evaluation at the Cleveland Clinic was IBS-D. Unreal.
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Sorry, no. Without going into details or being disrespectful to a colleague, let me simply say that Dr. Cahill's methods are his own and not followed by most people in my field, myself included. It seems to me you got a thorough evaluation at Cleveland Clinic.
Also, for the record, my practice is limited and I only see new consults who have been referred by local physicians and will return to their care after I see them. Based on years of experience, I have found this works best for all concerned.
Hope this helps.
Claire Panosian MD
Past-President, American Society of Tropical Medicine and Hygiene
Professor of Medicine / Infectious Diseases
CHS 37-121, UCLA Medical Center
10833 Le Conte Avenue
Los Angeles, California 90095-1688
Voicemail (310) 794-6053
Facsimile (310) 825-3632
Appts (310) 794-5583
Man, these guy's idiots, and they have no respect for the kind of deep learning and inquisitive clinical experience that is needed to diagnose parasites. Most of them do not even know that stool tests are hardly adequate. So sad, but the test Cahill does is on the books, and it has always been there, and they do not read the literature to know that. These doctors give infectious disease a bad name.
Amazing that this doctor clare dismissed you like that.
One Italian doctor laughed and said "yes, most american doctors like to call parasitic illnesses IBS, of course one could close one's eyes and say this to anybody who had so-called bowel problems." At least in some of the world, IBS is a joke, and they do not believe in it.
Brian, did you tell this doctor after you got better, how you got better, and why? You need to complain. Obviously, these doctors do not like to do the dirty work. or do some reading man; because they got other things to do, like take care of there homes with four car garages, etc.
>Sorry, no. Without going into details or being disrespectful to a colleague, let me simply say that Dr. Cahill's methods are his own and not followed by most people in my field, myself included. It seems to me you got a thorough evaluation at Cleveland Clinic.
>Also, for the record, my practice is limited and I only see new consults who have been referred by local physicians and will return to their care after I see them. Based on years of experience, I have found this works best for all concerned.
Unbelievable! I like to know what Dr. Cahill's methods this dr is talking about.
Also, for the record, my practice is limited and I only see new consults who have been referred by local physicians and will return to their care after I see them. Based on years of experience, I have found this works best for all concerned.'
This doctor is a m*o*o*n; tha fact that other doctors do not this test that Dr, Cahill does is good enough for her. She should be kicked out of practice, and not learning why stool tests are useless. But this is the state of affairs now in the medical profession. They are not interested in diagnosing, unless you have cancer or something "big" that shows up, in some test or a blood test. Blood test is the golden test for most of these guys, and if things are "within range" then nothing is wrong with patient.
I am so scared for the future of people, because, if you go to book store today, and the medical section, you will see how many of the books are devoted to treating symptoms and how few are there about trully diagnosing.
How many doctors tell patienst that everything is in their heads; doctors have become psychologists.
The method Cahill uses to detect Histolytica are mentioned in acknowledge medical literature already in the 1930's
yes this is true. already in 1930's the classical accepted medical literature told stool test were unreliable for detecting E. Histolytica, and that if stool test missed it then normally mucus scrapings would detect it if one had EH.
This is well known (was well known), and described in some of the best books on tropical medicine, not only in Cahills excellent book.
This is what is so remarkable and surprisingly. Many even infection specialists seems to keep ignoring the literature. It is shocking. If this was a new recent invention test method by Cahill one could understand few doctors used the method,.
But this is a method known to be much much better at detecting Histolytica than stool tests since the 1930's. I would not even be surprised if much more doctors practiced sigoidscope for EH detection in these older times.
I am surprised so many infection specialists seems more interested in defending their Ego, rather than look up the literature, and think may be they are doing something wrong, and that they may be need to discuss more with doctors that have specialised in known tests. Also on treatment methods they need to discuss more.
Unfortunately many patient suffer unnecessary.
One of the best Nobel Prize winners (that I not will mention here) indicated that knowledge not necessary keep increasing. And clearly many doctors ignore old well known and well tested information on how to test etc. Defending their own ego seems to be most important. If they have diagnosed patients in year after year with IBS and other crap it is naturally very though for them to admit they possibly have been wrong all the time. That if they had done proper diagnose as described in literature many of their patients could likely have been cured. How can they admit that now? send out letters to thousands of patients and admit their IBS diagnosis just likely just were crap? That they will have to evaluate patient for free...These ignorant doctors would never do this? they would even be so afraid of getting sued. It is better for them to keep defending each other and hold on to their own ego than to truly try to find out what is causing IBS, chronic fatigue syndrome and other syndrome symptom diagnoses.
what I dont understand is why isnt Cahill using his clout to get the word out about this dire problem? (any one have a personal relationship with him to speak with him about this?). I asked him during my exam why this testing wasnt being done and he told me gastroenterologists laughed at him and told him they can make more in a day than he makes in a day. (that was the end of that conversation, Cahill is notoriously short on words).
I have been trying to brainstorm a way to get this "story" told to the general public. (something like 60 minutes status). I think its of utmost importance for following generations and shame on the medical system for loosing what they learned not so long ago. This technique is not new nor difficult.
I think part of the problem came about with modern medical lab testing and doctors began to rely on them for diagnosis; and of course no doctor today wants to do such menial/messy testing or deal with fresh samples under a microscope, so much more easy to just direct patients to the lab.
After dealing with some of the lab techs at my local Kaiser I can say I worry about accuracy in general. They are not dealing directly with a patient who is looking towards them and expecting results.
So any ideas how to get this story out into the open? This is serious.
we know arrogant idiot doctors keep ignoring EH diagnosis, here is just one evidence of this from 1980s:
"An elderly woman, resident throughout her life in Scotland presented with abdominal pain and diarrhoea. A provisional diagnosis of ulcerative colitis was made on sigmoidoscopy."
first after she died they found large numbers of Hisolytica in her. She would likely have been saved for lots of pain and would likely have lived many more years if they had just looked for EH when they did the sigmoidscope. You can bet they also had done stool tests for parasites.
"At post mortem Entamoeba Histolytica was demonstrated in considerable numbers in the mucosal ulcers. It would appear though extremely rare that amoebiasis should be considered in the differential diagnosis of colonic ulceration."
So when still alive she was diagnosed with colitis based on sigmoidscope. Again sigmoidscope not done by expert on parasites are close to useless. This I know first hand. The few gastro doctors doing sigmoidscope will often not even take mucus samples, even less do they often know how to diagnose such fresh samples quickly (must be fresh this many books says) under microscope for Histolytica.
What is interesting here is that they actually found out what she died from. I would think quite a lot of people in western world unfortunately still die from EH because misdiagnosed as colitis, IBS and other crap, and doctors typically do not find out after death either, and yes one can suffer with EH for very very many years without dying also, but in partiular when getting old and immune system naturally weekend somewhat death risk from EH is likely increasing. After death doctors would normally need signature from family to do autopsy, and also it has to be done before the histolytic tropocytes die off..and even in dead people one need to know how to diagnose Histolytica. Again I suspect this women just to be evidence of tip of an iceberg. We know most doctors ignore literature on how to diagnose Histolytica, they simply ignore the methods that are known to be most reliable.
This is what doctor Cahill actually "warned against" already in the 1970s version of his book, that people sadly even now in the western world die of histolytic that in most cases easily can be treated with right antibiotics if diagnosed corectly. For example giving cortisone steroids (as often? is done for colitis) can be very dangerous in Histolytica as krotisone steroids tend to depress immune system that keeps EH under some control.
This women could likey easily have been saved if they just had followed the diagnostic procedures well known in literature, but ignored by almost every doctor, almost even every topical medicine doctor these days...As we can see clearly doctors still ignored Chaills knowledge that he published in 1970s on this (and likely even earlier). And again this women that died from undiagnosed EH is likely just tip of iceberg. Many people die without proper knowledge of reason why. I know personally people that had gastro symptoms for years where doctor never found cause and gave crap diagnose, and the people died way too early. Cause was never fully established. Histolytica in late stage can also easily be mistaken for cancer, and have in mind Histolytica in late stage can invade many different places in the body. Histolytica attacking colon can be deadly on its own if going on for too long time, this the big books says. When patients comes to doctor complaining about gastro pains and diahrea how can they just give stupid diagnoses such as colitis and IBS ? Yes because they keep ignoring literature, and keep not excluding important pathogens by proper testing.
and read on how the idiot doctors portect each other
" It would appear though extremely rare that amoebiasis should be considered in the differential diagnosis of colonic ulceration.""
they basically seems to claim it is extremly unlikely with EH so that they not looked for EH on the sigmoidscope when she was alive they can not be blamed for? They should loose their doctors licence! Of course it seems unlikely as most doctors do not do sigmoidscope and know how to diagnose EH.
Did you use the term "rectal smear"? I had one person contact me about a doctor on the east coast who found infection via rectal smear but through no other method. Of course as others have mentioned the person examining the smear would have to be experienced in identification, and the smear would have to be fresh.
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Places for sigmoidoscopy with mucosa scraping test? 
