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Ask Me Anything on Reddit

23 Jul

Recently, I did two AMAs on Reddit.

Click the links below to read the Ask Me Anything (AMA) segments on Reddit:

  1. Hi, I’m a Family Medicine Doctor. I find that patients that DON’T LIE to me make the best patients.
  2. Hi Reddit, I’m a Family Medicine Doctor. AMA about Celiac Disease and Gluten Intolerance.


How to do the Harlem Shake.

17 Feb

1. Canker sores are associated with Celiac Disease.

Ms. Lips.

Ms. Lips.

2. Canker sores are NOT contagious, while cold sores ARE. Typically, cold sores occur on the surface of your lips, while canker sores can occur on the inside of your mouth. Cold sores can cause viral meningitis.

Thinking of the word “viral,” my favorite viral video of the Harlem Shake comes to mind. Let’s talk about Canker & Cold Sores another day…

Three simple steps to do the Harlem Shake …

1. One person, stands in the center, with their head covered and dances for a few seconds

2. While that person is dancing and shaking, everyone around that person just goes about their normal business

3. Then, when the beat drops; everybody, in the frame joins in and starts dancing insanely and vigorously… That’s the Harlem Shake!

Below is my favorite version of the Harlem Shake:


15 Feb

Awesome. From the UK .



1 Feb


Our enemy is so pretty!



25 Jan




18 Jan


Mushrooms NOT ALWAYS Gluten Free

17 Jan

So, I came across this from

Question: Are mushrooms gluten-free?

Papa Smurf?

Answer: Plain mushrooms ought to be gluten-free — after all, they’re a fresh vegetable, right? But unfortunately, that’s not the end of the story for mushrooms if you’re particularly sensitive to trace gluten.

You see, mushroom spores are grown on gluten grains — most commonly on rye, but also on wheat and occasionally on a combination of the two grains. And this cultivation method leads to some gluten cross-contamination on the finished fungi…

The author goes on and informs us that washing and treating the mushrooms would likely reduce the 20 PPM (Parts Per Million) threshold required by US Labeling Laws to be “gluten free.”

As a patient and sure as hell as a doctor, I don’t like the statement: “washing my veggies will LIKELY result in reducing the ppm below 20.” I deserve to know if it does or does not.  The nutritional facts of what goes into my body need to be Black or White. I don’t care if I’m buying that from my local farmer’s market or from a national chain. I demand this as a consumer, a patient, and a doctor.

It’s imperative that federal food labeling laws regarding Gluten Free Foods become uniform and strongly supported by the varied patient symptoms, science, and medicine. And not be muddied by being in the Gray Zone.



11 Jan

Happy Fridays.

Gluten Free Meals at College Campuses

11 Jan

Nothing too dramatic to add to this story from the Boston Globe:

The US Department of Justice has reached an agreement with Lesley University that ­requires the school to “continually provide” gluten-­free dining options to students, to ­ensure compliance with a federal law that protects people with disabilities, authorities said.

Among the settlement’s terms, Lesley has ­also agreed to provide a space in its main dining hall to prepare and store gluten- and allergen-free foods and to pay a combined $50,000 in damages to a group of students who have celiac disease or other conditions, the Justice Department said….

Though I welcome these directives, I think a couple of things need to be kept in mind:

  1. An institution may provide gluten free meals under threat of lawsuits–but this does not mitigate risk.
  2. Offering gluten free foods without experts on hand can lead to cross contamination.

Both of the problems above–will lead to MORE lawsuits! I think the problem can be tackled with unified and consistent Gluten Free labeling and more education.




4 Jan


Puppies tend to be Gluten Free 🙂