Dr. Ruscio’s Comments
At her next visit, Lori was continuing to improve slowly and steadily. I did not feel the need to retest any of her previous GI findings for 2 reasons. Firstly, her findings were not highly significant (in my opinion). Secondly, our current program had provided the best results she has obtained in a very long time. We did retest the blood panel and decided it was best to have this monitored by her hematologist and nephrologist, neither of which expressed any concerns over the continued but varied abnormalities found on her differential and CMP.
Lori’s case provides a clear example of when abdominal adhesions therapy can have high utility. This combined with providing some basic digestive support (probiotics, enzymes, HCl), a higher dose bile supplement (due to her liver/gallbladder issues), and antimicrobials was a winning combination.
It also provides a good example of how/when collaboration with other providers is a good idea. It might be tempting to try and ‘manage’ her polycystic liver/kidney disease, but this is not an area of my specialty and therefore it would be irresponsible to attempt to do so. This prevented me from attempting to micromanage the abnormalities found on her blood work. This led to less testing/treatment. Any attempts to micromanage her bloodwork would have been in vain as her respective specialist did not find the abnormalities to be a concern given Lori’s pre-existing conditions.
Lori is now on a reasonable treatment program and making slow and steady progress. She has been more than thrilled with her results. We will work to curtail/minimize her treatment program gradually in the future.