Chronic anemia develops in people with long-term inflammatory conditions, such as autoimmune diseases or cancer, which decrease the body's ability to produce new blood cells; the treatment for chronic anemia targets the underlying cause of the problem. Gastric dysrhythmias and nausea of pregnancy. Please verify your coverage with the provider's office directly when scheduling an appointment. Jenny Li-Chun Lin, Xin Geng, Sangeeta Das Bhattacharya, JaeRan R. Yu, Rebecca S. Reiter, Bhagyalakshmi Sastri, Kenneth D. Glazier, Zafar K. Mirza, Kenneth K. Wang, Peter S. Amenta, Kiron M. Das, Jim J.-C. Lin. He completed a residency at Hartford (Conn . In memoriam: Robert M. Stern (1937-2020). There are many potential causes of pain in the lower right abdomen. United - River Valley Neighborhood Health Partnership, United Healthcare - Direct Choice Plus POS, Weve published patient experience ratings for, Find Continuing Care Retirement Communites. Tips for Relieving Daily Stress and Calming Down, Stomach Ulcer Diet: Foods to Eat and Avoid. Baptist Health Boca Raton Regional Hospital, University of Pittsburgh School of Medicine. Dr. Keneth S. Horth, MD | La Crosse, WI | Gastroenterologist | US News Lipase Supplementation before a High-Fat Meal Reduces Perceptions of Fullness in Healthy Subjects. Austin Gastroenterology 7200 Wyoming Springs Dr # 1300, Round Rock, TX, 78681 12 other locations (512) 244-2273 OVERVIEW RATINGS & REVIEWS LOCATIONS INSURANCE OVERVIEW Dr. Kenneth Ellis. He then completed a combined residency Before you shop the pharmacy aisle, make sure youre not falling for these eight common misconceptions about OTC medications. He is up front and straight forward." Dr. Kenneth R. Rosenthal, MD | Miami, FL | Gastroenterologist | US News Spends appropriate amount of time with patient and provides thorough examinations. He is one of the best doctors I have encountered and am grateful to God that he was able to treat me plus empower me to finally get a colonoscopy. Isolation and sequencing of a novel tropomyosin isoform preferentially associated with colon cancer. Dr. Koch's office is located at Henry P. Parkman, Emily P. Sharkey, Richard W. McCallum, William L. Hasler, Kenneth L. Koch, Irene Sarosiek, Thomas L. Abell, Braden Kuo, Robert J. Shulman, Madhusudan Grover, Gianrico Farrugia, Ron Schey, James Tonascia, Frank A. Hamilton, Pankaj J. Pasricha, Kenneth L. Koch, William J. Ray, Peter J. Gianaros, Max E. Levine, Eric R. Muth, Symptoms Suggestive of Gastroparesis in a Community-Based Cohort of European Americans and African Americans with Type 2 Diabetes Mellitus, Landon K. Brown, Jianzhao Xu, Barry I. Freedman, Fang-Chi Hsu, Donald W. Bowden, Kenneth L. Koch, Marijuana Use in Patients with Symptoms of Gastroparesis: Prevalence, Patient Characteristics, and Perceived Benefit, Henry P. Parkman, Emily P. Sharkey, Linda Nguyen, Katherine P. Yates, Thomas L. Abell, William L. Hasler, William J. Snape, John Clarke, Ron Schey, Kenneth L. Koch, Braden Kuo, Richard W McCallum, Irene Sarosiek, Madhusudan Grover, Gianrico Farrugia, James Tonascia, Pankaj J. Pasricha. 2005 - 2023 WebMD LLC, an Internet Brands company. AGMD Conversations with Dr. Kenneth Koch - Gastroparesis and Diabetes Transplantation of a Human Tissue-Engineered Bowel in an Athymic Rat Model. Eric R. Muth, Robert M. Stern, Kenneth L. Koch, Asian Hypersusceptibility to Motion Sickness, Robert M. Stern, Senqi Hu, Sebastian Uijtdehaage, Eric R. Muth, Lihua Xu, Kenneth L. Koch. Please verify your coverage with the provider's office directly when scheduling an appointment. 39400 Paseo Padre Pkwy, Fremont, CA, 94538, University Of Louisville School Of Medicine. Find out more about their symptoms and when to seek emergency care. Effects of phenytoin on vection-induced motion sickness and gastric myoelectric activity. Clinical-histological associations in gastroparesis: results from the Gastroparesis Clinical Research Consortium. Body weight in patients with idiopathic gastroparesis. P. W. Benson, J. Dr. Kenneth I. Fields, MD | Memphis, TN | Gastroenterologist | US News William L. Hasler, Radoslav Coleski, William D. Chey, Kenneth L. Koch, Richard W. McCallum, John M. Wo, Braden Kuo, Michael D. Sitrin, Leonard A. Katz, Judy Hwang, John R. Semler, Henry P. Parkman. Effect of Domperidone Therapy on Gastroparesis Symptoms: Results of a Dynamic Cohort Study by NIDDK Gastroparesis Consortium. Thomas J. McGarrity, Kenneth L. Koch, Dennis A. Rasbach, Robert M. Stern, Kenneth L. Koch, H W Leibowitz, I M Lindblad, C L Shupert, W R Stewart, Exacerbation of diarrhea after iodinated contrast agents in a patient with VIPoma, G S Weinstein, Thomas M. O'Dorisio, R J Joehl, B Pokorney, K L Koch. This provider currently accepts 20 insurance plans including Medicare and Medicaid. Jennifer (Healthgrades.com), "I see several different specialists and Dr. Ellis with Austin Gastroenterology Associates is by far the most knowledgeable and has the best bed side manner. Dr. Kenneth Lee, MD - Gastroenterology Specialist in Pomona, CA Chris Kresser RHR: Treating GI Conditions with Functional Medicine, with Dr. Ken Brown by Chris Kresser, M.S. William L. Hasler, Henry P. Parkman, Laura A. Wilson, Pankaj J. Pasricha, Kenneth L. Koch, Thomas L. Abell, William J. Snape, Gianrico Farrugia, Linda Lee, James Tonascia, Aynur Unalp-Arida, Frank A. Hamilton, Gastric Electrical Stimulation and the Eye of the Beholder. Kenneth L. Koch, William L. Hasler, Mark L. Van Natta, Jorge Calles-Escandon, Madhusudan Grover, P. J. Pasricha, William J. Snape, Henry P. Parkman, Thomas L. Abell, Richard W. McCallum, Linda Nguyen, Irene Sarosiek, Gianrico Farrugia, James Tonascia, Linda Lee, Laura Miriel, Frank A. Hamilton, Effectiveness of gastric electrical stimulation in gastroparesis: Results from a large prospectively collected database of national gastroparesis registries, Thomas L. Abell, Goro Yamada, Richard W McCallum, Mark L. Van Natta, James Tonascia, Henry P. Parkman, Kenneth L. Koch, Irene Sarosiek, Gianrico Farrugia, Madhusudan Grover, William L. Hasler, Linda Nguyen, William J. Snape, Braden Kuo, Robert J. Shulman, Frank A. Hamilton, Pankaj J. Pasricha. Shopping for over-the-counter medications can be confusing, but your local pharmacist can help. Before you shop the pharmacy aisle, make sure youre not falling for these eight common misconceptions about OTC medications. A fluoroscopic-electrogastrographic study. Are you looking for the best pediatrician for your child? Regence Washington - Preferred Provider Network, United Healthcare - Direct Choice Plus POS, Weve published patient experience ratings for, Find Continuing Care Retirement Communites. Office staff is kind and always helpful" BC, Copyright var dToday = new Date(); document.write(dToday.getFullYear()); Austin Gastro. If youve been on Medicare prior to age 65 because of a disability, turning 65 offers another opportunity to review your benefits and coverage selections. The choice between an MD or DO physician often depends on personal preferences, philosophical alignment and the type of health care experience you seek as a patient. Eric R. Muth, Kenneth L. Koch, Robert M. Stern, Julian F. Thayer, A double-blind multicenter comparison of domperidone and metoclopramide in the treatment of diabetic patients with symptoms of gastroparesis, David J. Patterson, Thomas L. Abell, Robin D. Rothstein, Kenneth L. Koch, Jeffrey L. Barnett, Gastric Myoelectrical Activity in Patients With Gastric Outlet Obstruction and Idiopathic Gastroparesis, Ronald J. Brzana, Kenneth L. Koch, Sandra I. Bingaman, Effect of leuprolide acetate in treatment of abdominal pain and nausea in premenopausal women with functional bowel disease: a double-blind, placebo-controlled, randomized study, John R. Mathias, Mary H. Clench, Thomas L. Abell, Kenneth L. Koch, Glen A. Lehman, Malcolm K. Robinson, Robin D. Rothstein, William J. Snape. Koch Kl, Shankey Tv, Weinstein Gs, Dye Re, Arthur B. Abt, Current Wl, M. E. Eyster, Envenomation Coagulopathy from Snake Bites, Alfred N. Butner, Robert W. Tallon, Kenneth L. Koch, Scott G. Barnes, James O. Ballard, Toby L. Simon, Thomas G. Grace, Richard S. K. Young, Barton L. Hodes, Robert P. Cruse, Kenneth L. Koch, Marvin R. Garovoy. Gastroenterologists diagnose and treat digestive disorders, such as stomach pain, ulcers, reflux, constipation and Crohn's disease. Before you shop the pharmacy aisle, make sure youre not falling for these eight common misconceptions about OTC medications. Dr. Rosenthal specializes in celiac disease, colon cancer, hepatitis and inflammatory bowel disease. Hospital affiliations include Providence Tarzana Medical Center. Please verify your coverage with the provider's office directly when scheduling an appointment. Click here to learn more about our methodology. Here are the top questions they wish consumers would ask them about OTC medications. Dr. Kenneth Hepps, MD, is a Gastroenterology specialist practicing in Northridge, CA with 37 years of experience. Cox, A. J.,Ng, M. C.,Xu, J.,Langefeld, C. D.,Koch, K. L.,Dawson, P. A.,Carr, J. J.,Freedman, B. I.,Hsu, F. C.,Bowden, D. W. Effect of liquid and solid test meals on symptoms and gastric myoelectrical activity in patients with gastroparesis and functional dyspepsia. Dr. Fields' office is located at Looking for something else? Brent T. Cengia, Paula S. Stuart, Kenneth L. Koch, Outcomes and Factors Associated with Reduced Symptoms in Patients with Gastroparesis, Pankaj J. Pasricha, Katherine P. Yates, Linda Nguyen, John O. Clarke, Thomas L. Abell, Gianrico Farrugia, William L. Hasler, Kenneth L. Koch, William J. Snape, Richard W. McCallum, Irene Sarosiek, James Tonascia, Laura Miriel, Linda Lee, Frank A. Hamilton, Henry P. Parkman, Aerosolization of a Human Norovirus Surrogate, Bacteriophage MS2, during Simulated Vomiting, Grace Tung-Thompson, D. Libera, Kenneth L. Koch, Francis L. de los Reyes, Lee-Ann Jaykus, Amitriptyline for Functional Dyspepsia: Importance of Symptom Profile and Making a Case for Gastric Emptying Testing. Gastroenterologists diagnose and treat digestive disorders, such as stomach pain, ulcers, reflux, constipation and Crohn's disease. But what exactly is it? Effects of age, gender, bolus condition, viscosity, and volume on pharyngeal and upper esophageal sphincter pressure and temporal measurements during swallowing. Doubleblind, randomized, placebocontrolled study to evaluate the effects of tegaserod on gastric motor, sensory and myoelectric function in healthy volunteers, Nicholas J. Talley, Michael Camilleri, D. Burton, George M. Thomforde, Kenneth L. Koch, M. J. Rucker, J. Peterson, Alan R. Zinsmeister, David L. Earnest. American Society for Gastrointestinal Endoscopy Robert M. Stern, Senqi Hu, Richard B. Anderson, Herschel W. Leibowitz, Kenneth L. Koch. Chronic esophagitis is inflammation of the esophagus, the tube that connects the mouth to the stomach, through which food is passed when we swallow. Learn more about berberine, its benefits and side effects and what products are currently on the market. Microsomal prostaglandin E synthase-1 is overexpressed in inflammatory bowel disease. Paul F. Spears, Kenneth L. Koch, Francis P. Day. I highly recommend him for any procedure, or health concern. New patient Current patient Schedule now via phone 1-844-3-ADVOCATE Location Illinois Gastroenterology Group, LLC 2501 Compass Road Suite 130 Glenview, IL 60026 Get directions Office: 847-677-1170 Fax: 847-677-1233 New patients are welcome. Kenneth L. Koch, Robert M. Stern, Michael W. Vasey, John J. Botti, G. W. Creasy, A. Dwyer. Kenneth H. Park, MD | Cedars-Sinai Madhusudan Grover, Gianrico Farrugia, Matthew S. Lurken, Cheryl E. Bernard, Maria Simonetta Faussone Pellegrini, Thomas C. Smyrk, Henry P. Parkman, Thomas L. Abell, William J. Snape, William L. Hasler, Aynur UnalpArida, Linda Nguyen, Kenneth L. Koch, J. Calles, Linda Lee, James Tonascia, Frank A. Hamilton, Pankaj J. Pasricha, Catherine Peyrot des Gachons, Gary K. Beauchamp, Robert M. Stern, Kenneth L. Koch, Paul A. S. Breslin, Clinical features of idiopathic gastroparesis vary with sex, body mass, symptom onset, delay in gastric emptying, and gastroparesis severity, Henry P. Parkman, Katherine P. Yates, William L. Hasler, Linda Nguyen, Pankaj J. Pasricha, William J. Snape, Gianrico Farrugia, Kenneth L. Koch, Thomas L. Abell, Richard W. McCallum, Linda Lee, Aynur Unalp-Arida, James Tonascia, Frank A. Hamilton. William L. Hasler, Laura A. Wilson, Linda A. Nguyen, William J. Snape, Thomas L. Abell, Kenneth L. Koch, Richard W. McCallum, P. J. Pasricha, Irene Sarosiek, Gianrico Farrugia, Madhusudan Grover, Linda A. Lee, Laura Miriel, James Tonascia, Frank A. Hamilton, Henry P. Parkman, Pankaj J. Pasricha, John O. Clarke, Yale Kim, Linda Nguyen, Nighat Ullah, William J. Snape, Nata DeVole, Mary Greene, Candice Lee, Courtney Ponsetto, Katerina Shetler, Steven Kantor, Vanessa Lytes, Amiya Palit, Kellie Simmons, Reza Hejazi, Kathy Roeser, Denise Vasquez, Natalia Vega, Thomas L. Abell, Karen Beatty, Lisa Hatter, Ronna Howard, Lindsay Nowotny, Shou Tang, Om S. Amin, Olivia Henry, Archana Kedar, Valerie McNair, Susanne Pruett, Margaret Smith, Danielle Spree, William L. Hasler, Michelle Castle, Radoslav Coleski, Sophanara Wootten, Kenneth L. Koch, Lynn Baxter, Anya Brown, Samantha Culler, Judy Hooker, Paula S. Stuart, Cheryl E. Bernard, Jorge Calles-Escandon, Jose Serrano, Frank Hamilton, Steven James, Rebecca Torrance, Rebekah Van Raaphorst, Patricia Belt, Erin Corless Hallinan, Ryan Colvin, Michele Donithan, Mika Green, Milana Isaacson, Wana Kim, Linda Lee, Patrick May, Alice L. Sternberg, Mark L. Van Natta, Ivana A. Vaughn, Laura Wilson, Katherine P. Yates, Transcriptomic signatures reveal immune dysregulation in human diabetic and idiopathic gastroparesis, Madhusudan Grover, Simon J. Gibbons, Asha Nair, Cheryl E. Bernard, Adeel S. Zubair, Seth T. Eisenman, Laura A. Wilson, Laura Miriel, Pankaj J. Pasricha, Henry P. Parkman, Irene Sarosiek, Richard W. McCallum, Kenneth L. Koch, Thomas L. Abell, William J. Snape, Braden Kuo, Robert J. Shulman, Travis J. McKenzie, Todd A. Kellogg, Michael L. Kendrick, James Tonascia, Frank A. Hamilton, Gianrico Farrugia, miR-122 inhibition in a human liver organoid model leads to liver inflammation, necrosis, steatofibrosis and dysregulated insulin signaling, Hossein Sendi, Ivy Mead, Meimei Wan, Marjan Mehrab-Mohseni, Kenneth L. Koch, Anthony Atala, Herbert L. Bonkovsky, Colin E. Bishop. Gastroenterologists diagnose and treat digestive disorders, such as stomach pain, ulcers, reflux, constipation and Crohn's disease. P. J. Pasricha, Madhusudan Grover, Katherine P. Yates, Thomas L. Abell, Cheryl E. Bernard, Kenneth L. Koch, Richard W. McCallum, Irene Sarosiek, Braden Kuo, Robert S. Bulat, Jiande Chen, Robert J. Shulman, Linda Lee, James Tonascia, Laura Miriel, Frank A. Hamilton, Gianrico Farrugia, Henry P. Parkman, Pankaj J. Pasricha, Robert Burns, Guillermo Barahona Hernandez, Megan McKnight, April Mendez, Kyle Staller, Andrea H. Thurler, Christopher Velez, Casey J. Silvernale, Zubair Malik, Alan H. Maurer, Amiya Palit, Natalia Vega, Denise Vasquez, Sean Connery, Karina Espino, Marvin Friedman, Thomas L. Abell, Abigail Stocker, Bridget Cannon, Lindsay McElmurray, Kelly Cooper, Catherine McBride, Kenneth L. Koch, Lynn Baxter, Anya Brown, Paula S. Stuart, Amirah Abdullah, William J. Snape, Nata DeVole, Karen Earle, Kjersti Kirkeby, Candice Lee, Mimi Lin, Doug Troyer, Anna von Bakonyi, Robert Shulman, Bruno P. Chumpitazi, Liz Febo-Rodriguez, John Hollier, Cynthia Bouette, Heather Charron, Samuel Nurko, Stephanie Wall, Madeline Kane, Kent C. Williams, Lina Yossef-Salameh, Frederick W. Woodley, Cheryl Bernard, Jose Serrano, Sherry Hall, Stephen P. James, Rebecca Torrance, Margaret Adamo, Patricia Belt, John Dodge, Michele Donithan, Milana Isaacson, Jill Meinert, Laura Miriel, Emily P. Sharkey, Jacqueline Smith, Mike Smith, Alice L. Sternberg, Mark L. Van Natta, Annette Wagoner, Laura Wilson, Goro Yamada, Katherine Yates, Clinical characteristics associated with idiopathic rapid gastric emptying in patients referred for gastric emptying studies, Ted Xiao, Kenneth L. Koch, Brent Bones, Jean-Luc Claude Urbain, Paige Bennett, Jared Rejeski. Pouches or pockets that develop in the intestines are called diverticulosis. Chronic anemia develops in people with long-term inflammatory conditions, such as autoimmune diseases or cancer, which decrease the body's ability to produce new blood cells; the treatment for chronic anemia targets the underlying cause of the problem. Kenneth D Chi, MD Specialty: Gastroenterology Independent practitioner Schedule an appointment Have you seen this doctor before? Diverticulitis of colonPouches or pockets that develop in the intestines are called diverticulosis. Medical Center Blvd, Winston Salem, NC, 27157, Atrium Health Wake Forest Baptist Medical Center, Atrium Health Wake Forest Baptist-Lexington Medical Center, Penn State Milton S Hershey Medical Center, University of Iowa Roy J. and Lucille A. Dr. Remy's has clinical interests in both adults and children in bioethics, international health, humor therapy, and palliative care. Are you looking for the best pediatrician for your child? You guys are amazing and thank you once again Dr. Ellis for being such an amazing doctor. This doctor practices at a U.S. News Best Regional Hospital, 40 Reviews Total|0 Reviews Within Last 12 Months, Previous patients' satisfaction in their perception of the thoroughness of the examination they received from this physician, Previous patients' satisfaction of the followup care they received from this physician and responsiveness to their concerns, Previous patients' satisfaction with the time this physician spent with them during appointments, Previous patients' assessment of this physician's friendliness and caring attitude, Previous patients' satisfaction with the physician's treatment of a condition or outcome of a procedure, Previous patients' trust in this physician, likelihood to see this physician again, or willingness to recommend this physician to another patient, Previous patients' general assessment of this physician. Bitter taster status predicts susceptibility to vection-induced motion sickness and nausea. Max E. Levine, Marcum Gillis, Sara Yanchis Koch, Anne C. Voss, Robert M. Stern, Kenneth L. Koch. Cholecystectomy and clinical presentations of gastroparesis. He immediately makes me feel like he will help me and heal me. Anemia is a low number of red blood cells, some of which carry oxygen throughout the body and are necessary for the exhalation of carbon dioxide from the body. Kenneth H. Park, MD IM Gastroenterology Interventional Gastroenterology 8720 Beverly Blvd., Beverly Building, Lower Level Los Angeles, CA Scheduling In person visits 310-423-6082 Fax: 310-423-1826 1-800-233-2771 Call to Schedule Schedule a Call Back 4.9 38 Ratings 10 Reviews About Provider Locations 3 Experience Insurances Reviews 10 Languages Henry P. Parkman, Mark L. Van Natta, Goro Yamada, Madhusudan Grover, Richard W. McCallum, Irene Sarosiek, Gianrico Farrugia, Kenneth L. Koch, Thomas L. Abell, Braden Kuo, Laura Miriel, James Tonascia, Frank A. Hamilton, Pankaj J. Pasricha. Here are the top questions they wish consumers would ask them about OTC medications. He graduated from THOMAS JEFFERSON UNIVERSITY in 1987. New patients are welcome. Dr. Kenneth S. Breslin is a gastroenterologist in Yardley, Pennsylvania and is affiliated with multiple hospitals in the area, including Jefferson Health-Thomas Jefferson University. Thank you Dr. Ellis for being so patient and kind." Relating gastric scintigraphy and symptoms to motility capsule transit and pressure findings in suspected gastroparesis. Role of functional luminal imaging probe in the management of postmyotomy clinical failure. Dr. Kenneth Koch is a gastroenterologist in Winston Salem, North Carolina and is affiliated with multiple hospitals in the area, including Beckley Veterans Affairs Medical Center and Atrium. Rated highly on their manner and listening skills. Gastroenterologists diagnose and treat digestive disorders, such as stomach pain, ulcers, reflux, constipation and Crohn's disease. Proteomics in gastroparesis: unique and overlapping protein signatures in diabetic and idiopathic gastroparesis. Henry P. Parkman, Erin Hallinan, William L. Hasler, Gianrico Farrugia, K. L. Koch, J. Calles, William J. Snape, Thomas L. Abell, Irene Sarosiek, Richard W. McCallum, Linda Nguyen, P. J. Pasricha, John O. Clarke, Laura Miriel, Linda A. Lee, James Tonascia, Frank A. Hamilton. If these pouches become inflamed, it can cause infection and pain this condition is known as diverticulitis. The choice between an MD or DO physician often depends on personal preferences, philosophical alignment and the type of health care experience you seek as a patient. 34.6% of people visit the site that achieves #1 in the search results; 75% of people never view the 2nd page of Google's results Find out more about their symptoms and when to seek emergency care. Rated highly on their manner and listening skills. Eric R. Muth, Kenneth L. Koch, Robert M. Stern. Unsure when to visit the ER? The choice between an MD or DO physician often depends on personal preferences, philosophical alignment and the type of health care experience you seek as a patient. Gastroesophageal reflux disease presenting with intractable nausea. Read the reviews. Dr. Kenneth Fields, MD, is a Gastroenterology specialist practicing in Covington, TN. While there, he completed additional training in liver transplantation, diagnostic and therapeutic ERCP, and endoscopic ultrasound. Berberine has recently gained a lot of attention on social media, with many people calling it "nature's Ozempic." Sham feeding. 216.799.0195. There are many potential causes of pain in the lower right abdomen. Evidence for person-to-person transmission. 200 Plano, TX 75093 Phone 972-867-0019 Request Appointment Quick Facts Virtual Telemedicine Visits Available, Call For Details Board Certified Gastroenterologist This doctor practices at a U.S. News Best Regional Hospital, 81 Reviews Total|38 Reviews Within Last 12 Months, Previous patients' satisfaction in their perception of the thoroughness of the examination they received from this physician, Previous patients' assessment of this physician's ability to answer all of their questions, Previous patients' satisfaction in the clarity of this physician's instructions for taking care of their health condition, Previous patients' satisfaction of the followup care they received from this physician and responsiveness to their concerns, Previous patients' satisfaction with the time this physician spent with them during appointments, Previous patients' assessment of this physician's friendliness and caring attitude, Previous patients' satisfaction with the physician's treatment of a condition or outcome of a procedure, Previous patients' trust in this physician, likelihood to see this physician again, or willingness to recommend this physician to another patient, Previous patients' satisfaction in the degree to which they felt included by this physician in care and treatment decisions, Previous patients' general assessment of this physician.