Saturday, November 22, 2008

David Neil Brown, M.D., Gastroenterology, Meridian Medical Group at Clarian Hospital, Indianapolis, IN


David N. Brown, M.D.
Background:
Gastroenterology
Medical School: Southern Illinois University; Year of graduation: 1989
Residency: Jewish Hospital at Washington University, St. Louis, Missouri
Fellowships: 1. University of Chicago Hospitals. Chicago, IL in Inflammatory Bowel Disease 2. University of Missouri Columbia School of Medicine, Columbia, Missouri 3. Specialty training in ERCP, Milwaukee, Wisconsin
GI Board Certification: Yes
Joined Meridian Medical Group: January, 2000
Current Group Practice:
Meridian Medical Group
State License Information: Licensed in Indiana
Certification:
David Neil Brown, MD has been certified by the following ABMS® Member Board:
The American Board of Internal Medicine, 1997
Subspecialty certification Gastroenterology, 1997 and again in 2007


Very helpful internet links for patients:
Irritable Bowel Syndrome:
Inflammatory Bowel Disease (IBD) including ulcerative colitis and Crohn's disease:http://www.ccfa.org/
Hepatitis C:
Hepatitis B:
Liver disease:
American Liver Foundation: http://www.liverfoundation.org/
Liver Health Today: http://www.liverhealthtoday.org/
Hepatitis Support Association: http://www.hepatitissupportassociation.org/
Primary Sclerosing Cholangitis (PSC) http://www.psc-literature.org/FAQ.htm

Celiac disease (Celiac Sprue), requiring a gluten free diet:
http://www.csaceliacs.org/
http://www.celiachealth.org/

Other very helpful internet sites to help look up gastrointestinal (GI) and other medical disorders:

Further Links for Gastroenterology Information:

Digestive Disease Week
American College of Gastroenterology
American Gastroenterological Association
Gastroenterology on Yahoo!
The Helicobacter Foundation
National Institute of Diabetes and Digestive and Kidney Diseases, U.S.
Society of Gastroenterology Nurses and Associates, Inc.

Endoscopy Information
American Society for Gastrointestinal Endoscopy

Surgical Sites
American Society for Colon and Rectal Surgeons
Society of American Gastrointestinal and Endoscopic Surgeons
Society for Surgery of the Alimentary Tract

Liver Disease Information
American Association For The Study Of Liver Diseases
University of Penn. Liver Cancer Site
Hemochromatosis - Diagnosis, Treatment, Maintenance and Diet

Pancreas Information
National Pancreas Foundation

Women's Health Sites
National Women's Health Resource Center

Inflammatory Bowel Disease - Crohn's and Ulcerative Colitis
My UC Guide to Living Better
Crohn's and Colitis Foundation of America
Teen's with Crohn's

Cancer Sites
American Cancer Society
M. D. Anderson Cancer Center

TPN and Feeding Tube Sites
The American Society for Parenteral and Enteral Nutrition

Virtual Colonoscopy Sites
The Center for Virtual Colonoscopy at Boston Medical Center
NIH site on Virtual Colonoscopy

Celiac Sprue
Celiac Sprue Association
Celiac.com

Irritable Bowel Syndrome (IBS) Sites
International Foundation for Functional Gastrointestinal Disorders
Irritable Bowel Syndrome Resource Center
IBS Self-Help Group
The Mind Body Digestive Center
NDD Information Clearinghouse on IBS

On-Line Medical Literature Search
MEDLINEplus
PubMed

Information on Care and Life for Ostomy and Patients
International Ostomy Association


Dietary and lifestyle changes to help patients slowly lose weight:
There may be changes in diet and activity below you should not make if you are diabetic, have kidney problems or other metabolic problems—please ok these changes with your doctors.
Suggestions:
1. Calculate your BMI to see if you are overweight:

2. 2 fruits or vegetables servings each meal
3. Exercising, and lifting weights helps you burn more calories
4. Eat 5 small meals a day and avoid large meals to keep your metabolism active
5. Avoid whole or 2% milk; skim only
6. 8 glasses of water a day
7. Eat each meal slowly
8. OK to eat all the fruits and vegetables you can, however there are some fruits and vegetables are better since they have less carbohydrates
9. The overall carbohydrates, fat and protein content of many foods were printed on line by the
Department of Agriculture:

Low-carb vegetable recipes:

Fruit and vegetables with less carbohydrates:

A low carb diet really does work. It works for health. It works for fat loss.
10. Avoid white carbohydrates like rice, cereal, bread, potatoes, pasta, fried food with breading, chips
11. Try spicy flavors instead of butter for sauces. These may be great flavors with fewer calories.
12. Avoid eating with butter or oil added to your food (or very minimal use).
13. Avoid salt to also help your heart, blood pressure
14. Try to walk fast each day several times a day. This especially helps if you can do it in the morning.
15. Don’t eat just because you are bored or stressed. Drink water. Eat vegetables if you need something. Green vegetables are the best.
16. Avoid sugar sodas/pops/sugar drinks! 
17. Plan and make your meal in advance. Don’t just eat whatever you see when you get home.
18. Eating out is the toughest. Large salads with dressing on the side are the best. Fruits for dessert.
19. Protein: choose fish more often. Egg whites, avoid yolks. Try tofu. Look on the internet for great tofu recipes.
20. No fast food!
21. Eat at home as much as possible.
22. Eat as much fruit and vegetables as you can, at least 5 servings per day.
23. Don’t skip breakfast. It kicks off your metabolism. Eat at least one fruit. Avoid muffins, bread, cereal. Try egg whites, try lower calorie tofu items.
24. It’s ok to occasionally eat fatty foods—limit your intake.
25. If you need to fry something, try to cook with a cooking spray oil, use as little as possible.
26. Take your healthy lunch to work.
27. Try not to eat after dinner. Brush your teeth right after dinner so you can be reminded not to eat after that. Although this is very hard, your body will get used to it after one to two weeks. If you are super hungry, fruit or vegetable only.
28. Always keep a bowl of fresh fruit and vegetables available and cut up.
29. Read ingredients. Try to pick foods with the lowest amount of fat and carbohydrates per serving. Be careful to look at how many servings each package has. Anything that is “fat free” has less calories. However, if it has less carbohydrates, it is the best. The goal is no fat, very low carbohydrates.
For example the only item in the chips isle in the grocery store that might be fat free are pretzels. They do have quite a few carbohydrates, so eat small amounts.
30. Avoid canned foods if you can (too much salt in general). Fresh and frozen vegetables are better.
31. Avoid foods with sugar, fructose, or corn syrup among the first 4 ingredients
Low carbohydrate recipes:
Low calorie, high protein recipes: