Category Archives: Health

The Presentation of Celiac Disease is Changing and a Dead Tree Photo!

The Presentation of Celiac Disease is Changing and a Dead Tree Photo!

I have no idea why dead trees catch my eye, but they do. I almost always take photos of them and never like the photos I take… I really don’t even like this image, which is why I had fun in Perfect Photo Suite 9, utilizing both Perfect Effects 9 and Perfect Effects B/W 9.

It’s a dead tree! I have seen some images of dead trees that are appealing! Those images have textures, the trees often appear lonely,  surrounded an amazing sky or background. There is more to the image than the dead tree! Maybe I’m trying to find that fantastic image! I guess I’ll keep photographing dead trees to find one that I like.

New Celiac Disease research

Recently  an article on Celiac Disease made the rounds on the various news sites, even made the DrudgeReport. The essence of the article was that celiac disease is occurring in patients that have non-classical symptoms.

Here’s the actual published paper: The changing clinical profile of celiac disease: a 15-year experience (1998-2012) in an Italian referral center

Classical symptoms are malabsorption-related issues, i.e. Diarrhea

Few bullets from the paper

  • 80% of the patients had symptoms(classical or non-classical), 20% had no symptoms at all, positive serology only
  • Of those with symptoms 66% had non-classical symptoms vs 34% with classical symptoms
  • Diarrhea as a symptom was only present in 27% of the patients
  • Aphthous Stomatitis(Chronic Canker Sores) occurred in 18% of the patients!
  • 1/2(52%) of the patients in the study had Osteoporosis/Osteopenia
  • 34% had Anemia
  • a large proportion of the diagnosed patients had other autoimmune disorders

A majority of patients that are diagnosed with Celiac Disease report no classical gastrointestinal symptoms. If we continue to look for classical symptoms we are missing  2/3rd of the potential patients that could benefit from a diagnosis.

There is still a stigma with a Celiac diagnosis. It’s often easier to get other diagnosis’ where there is a defined treatment. Have diabetes, take insulin; have arthritis, take medication, etc. Have Celiac Disease, clean out the kitchen, stop eating out with friends and eliminate all the foods that are fun to eat! Also, as someone that doesn’t have gastrointestinal issues related to gluten, we hear loud and clear from those that do!

As a clinician that looks for signs and symptoms related to Celiac Disease I run into the stigma of Celiac Disease. If I see a patient with Recurrent Aphthous Stomatitis(Canker Sores) I’ll mention the data and often ask a few more questions and most of the time I will recommend that they talk to their physician about a possible Celiac Serology test. I often hear, “Doc, but I don’t have any stomach issues and I could never give up bread!” These patients on rare occasion get tested, because they don’t have the classical signs and symptoms.

I have talked with Physicians that write lab slips for Celiac tests that do not(less that 10%) get filled, the only ones that get filled are those that have classical symptoms. The patients read up on Celiac disease and think they could never give up cupcakes!

I don’t know how to change this stigma, but I do know we need clinicians to discover this research and start talking about the benefits of this diagnosis. Sadly, many cases the non-classical symptoms are there waiting for a clinician to recommend testing, but are missed. We in the Celiac community need to start talking about the benefits of our diagnosis and stop talking about leaky, bloated guts.  Nobody wants to hear about the last time we were glutened! We have a diagnosis that is treatable by what we eat and in many, the Gastrointestinal issues that were not issues before are better now and the non-classical symptoms improve as well! That is a good thing and should be embraced by clinicians and patients! Serology tests for Celiac Disease should be encouraged for those with both classical and non-classical symptoms.

As I keep photographing the elusive dead tree, we need to challenge the status quo of Celiac Disease!

Love to hear some feedback

Holly! and a few personal notes below

And it’s leaves are surprisingly sharp! I accidentally bumped into them!Day 341 of 365 12-07-2013 via Photo a Day-2013 I was recently reminded that Colonoscopies are important. Just got word that a friend of mine had been diagnosed with Colon Cancer in his early forties. If you’re 40 it’s a good idea to go… Continue Reading

Gluten Summit Day-1 Recap

The Gluten Summit kicked off on November 11, 2013. Dr. Tom O’Bryan did an amazing job putting the program together. On Day 1 Dr. O’Bryan released four interviews: 1: Before Marsh III: Why the Early Stages of Celiac Disease Must be Taken Seriously Michael Marsh, MD, DSC, FRCP 2: How Sensitivity to Gluten Can Impact Your… Continue Reading

Getting Rid of GMO’s at the Cash Register

Dr. Mercola has an interesting article about the Tipping Point Against Genetically Modified Foods(or Organisms)- How Genetically Modifed Foods Will Be Eradicated. It has nothing to do with politics or the Government but how each one of us chooses to eat. This statistic from Whole Foods is interesting: The tipping point of consumer rejection of genetically… Continue Reading

Golden Gate Glow

Winter in California means rain. In fact, the state just had its first rain of the new season over the previous two days. But the weather forecast suggested there might be an opening in the clouds —and an opening for me to get out to this location well before dawn. I pulled myself out of…

Mesquite Sand Dunes Sunrise!

Sunstar over Death Valley Sometimes you have to be an early riser to catch a landscape in its most pristine state. For this shot of the Mesquite Flat Sand Dunes, I arrived in Death Valley National Park at 5:30 a.m. Wearing my trusty headlamp, I began my hike in. (You’d be amazed at how dark…

Anitas in Reine Norway

Anitas in Reine Norway

You can nearly smell the briny waters of the Norwegian Sea’s Vestfjord—literally “the West fjord”—in this brisk scene. I shot it in the remote fishing village of Reine in Norway’s Nordland region. And just behind me? Anita’s Seafood (, a  restaurant and fish market serving both fresh-caught fish and dried cod. Arctic cod spawn in these waters during…

Northern Lights of Norway!

Northern Lights of Norway!

Finally got to see the Northern Lights! Seeing—and photographing!—the Northern Lights has long been on my bucket list. So, from transportation, accommodations, and all the usual travel details, I had planned as much as I could several months in advance for my recent trip to Lofoten, Norway. Still, there was one thing which was decidedly…

Hamnøy Village

Hamnøy Village

It took four separate (and lengthy!) airplane trips and another one-hour ride by car to get to what feels like the end of the earth. But all that travel—and braving the elements above the Arctic Circle—was well worth it. This is winter in Hamnøy Village, located at the far west end of Norway’s Lofoten Islands. The…

Gold Rush on McGee Creek

Gold Rush on McGee Creek

Aspen aglow over McGee Creek Early last month, some photographers friends, my son, and I met up near Mammoth Lakes, California in the Eastern Sierra Mountains. Just after sunrise, we ventured over to nearby McGee Creek just in time to catch the aspen trees, glowing neon-yellow, in the morning light.   [Photo caption:] Yellow aspen trees glow…

Family Get Together Photo Tips

Family Get Together Photo Tips

Q: “With the holiday season coming up, what are some tips to take better indoor photos of my family and friends?”   A: Although you may be tempted to try to fit every last family member in one elaborate photo, you’ll end up with better images, if you simply take several close-ups of individual friends and…

Ask Doug: Do you have any special tricks for photographing flowers and gardens?

Q: Do you have any special tricks for photographing flowers and gardens? My garden is starting to wind down, but I still want to get some close-up shots of my squash blossoms, interesting butterfly visitors, and that sort of thing.  Above-Left: This water lily image is a great depth-of-field-example. Above-right: Floral close-ups are best shot…

Orange Beach Glow

Carlsbad Sunset Almost Missed For every gorgeous sunset, I have been lucky enough to capture on film there are scores of others that get away from me. Sometimes I’m a few minutes too late. Sometimes too many clouds muscle in, obscuring my view. And, sometimes, admittedly, a particular sunset just doesn’t look as spectacular when…

Why You Should Make Prints of your Photos and How

Q: I take a lot of digital photos, but I think I’d like to convert some of them into physical prints. What are some good options for printing my photos?   A: With a smartphone in nearly every pocket, it seems as if we are all taking more photos than ever before. Even so, many…

1 2 3 87Next →

Disclaimer: Every so often a link will appear in the text to a few merchants that I’m an affiliate for,, On1Software, Smugmug and NETWISP HOSTING. I do earn a small referral fee from those purchases that the user clicks through to. Thank you for clicking on through! Nothing here should be construed as medical advice, but only topics for further discussion with your doctor.