Dr. Potter is the first to explain how Jill’s various symptoms fit together.
After the nurse leaves, Jill glances around for the usual pharmaceutical propaganda promising the magic cures from the latest pill. Nothing catches her attention and then the door knock startles her. Dr. Potter enters and introduces himself. After a short description of the visit plan, Dr. Potter asks Jill to start at the beginning with her story. With a few questions by the doctor, Jill spends 30 or 40 minutes describing her symptoms, what she had tried, what tests she had done, and how she had fared with all the therapies.
Dr. Potter continues the dialogue with a review of that long and detailed pre-visit questionnaire. As he walks through her life story, he explains that birth by C-section alters a patients gut bacteria later in life. He continues with how multiple rounds of antibiotics for ear infections and strep throat in the childhood years can further disrupt gut bacterial balance. He turns to dietary habits and explains how her low fiber diet with lots of dairy and sugar almost guarantees gut problems by this time in her life. Dr. Potter definitely has her attention as her understanding of how her body functions deepens. Finishing the story of her health, Dr. Potter hints that the connections of her gut and changing hormones will surprise her even more after the physical exam.
Dr. Potter asks Jill to sit on the exam table to run over a few physical findings in search of more clues. She expects the usual quick heart, lungs, and belly exam. Interestingly, Dr. Potter methodically works down from her eyes, through a detailed exam of her mouth and teeth, then her thyroid, skin stretch, fingernails, joints, skin moisture, a detailed neurologic exam including a tuning fork buzzing her joints. Of course the heart, lung and abdomen received their due attention, but this was definitely more detailed than the usual.
They return to their seats and Dr Potter begins. “Thank you Mrs. Smith for that thorough description and for this opportunity to be a part of your healing journey. Let’s discuss how I see your body is and is not functioning correctly. First, your early life between a C section and antibiotics set your gut up for imbalances and maybe yeast overgrowth. By the time your diet of inflammatory foods without much fiber had a few years to make this even worse, you were in your 30’s. The stress of motherhood, fast food, and little time for exercise took a toll on your body. Your defenses against the gut inflammation and imbalance began opening the walls of your intestines for both food proteins and bacterial chemicals to cross the threshold leading to inflammation. The unhappy intestinal lining and surrounding muscles responded with many of the expected symptoms, pain, bloating, occasional nausea, and diarrhea. The changes in your gut cannot be seen with scopes, so that was normal in the past. We have some advanced tests that help us confirm this situation and guide how to treat it. They look at how leaky your gut wall really is and whether food sensitivities, parasites, or yeast may be contributing.”
“Earlier I mentioned that I would surprise you with another connection to your female problems. Women with leaky gut and bacterial imbalances called dysbiosis often experience hormone imbalances. These may be simple cramps and irregular cycles, or polycystic ovaries, fibroids, and infertility. Basically the inflammation from the gut spills over and bathes the ovaries with inflammation hormones. This means that your gut issues are causing your hormones issues. Let’s take this two steps further. First, these hormones and the inflammation in the gut trigger weight gain through affecting other hormones. Depending on whether the inflammation or the hormones are stronger, the weight may settle in the belly or the hips respectively. Second, inflammation and hormones also combine forces to affect energy levels. Inflammation triggers higher cortisol from your adrenal glands which when they remain elevated drain energy.”
“So, what I am saying is this. Your symptoms have a cause rooted in your life both present and past. By recognizing this root cause in your gut, we can target therapies that have far reaching benefits. We will start with a few tests and when you come back for your next visit, we will discuss how these tests impact your treatment program. The treatment program will address nutrition and other lifestyle factors as well as supplements that will restore proper functioning to your GI and hormonal systems. My last question is ‘Are you ready to move towards a healthier more abundant life?’”
As the changes take hold, so does her hope.
Jill gets a twinkle in her eye and a flutter in her chest as she says “yes”. In the coming months, she works hard to clean up her daily nutrition and follow the program. Month by month, progress builds. It seems slow at first and she wants to doubt, but she keeps pressing. As the changes take hold, so does her hope. At first, she is not sure. But then, she wakes one morning and say “yes” I am beating this. Sanctuary Functional Medicine has helped me to function again, to live a healthier life.
If you would like Dr. Eric Potter and his team at Sanctuary Functional Medicine to apply this intensive functional approach to your health or to your child’s health, click below to request an appointment.
Sanctuary Functional Medicine, under the direction of Dr Eric Potter, IFMCP MD, provides functional medicine services to Nashville, Middle Tennessee and beyond. We frequently treat patients from Kentucky, Alabama, Mississippi, Georgia, Ohio, Indiana, and more... offering the hope of healthier more abundant lives to those with chronic illness.
