there's a c-section and it goes through it

all so you know right off the bat we can start to get some clues like how much antibiotics and we know that so many of our kids on the spectrum had been through the antibiotic trade for their ear infections and other types of things and so you know both in terms of history and obviously part of the history is getting into granular detail about what poops look like and It's really funny because especially the kids who have the cognitive ability to get it, they find it hilarious, you know, when you start asking details about what their poop and what their poop looks like and whether there's any undigested food particles.

Are you passing logs? Are you passing soft-serve ice cream? I always like to kind of give a little food analogy for the poops.

They kind of think that's funny, too.

But it tells you a lot, you know, and how much do I need to function on because, you know, at a minimum, when I'm working with one of my special kids, I at least want to know, How are their levels of the good flora? And are there any pathological bacteria or yeast present? Now, if a kid is having relatively normal stools, that may be the limit of the tests that I do.

But if a kid is having chronic constipation, chronic diarrhea, mucousy stools, bloody stools, recurring abdominal pain, et cetera, I'm also wanting to do tests on inflammatory markers of the bowel, like lactoferrin, calprotectin.

I'm wanting to know, you know, digestive markers, elastase.

R-E-L-E-A-F, clinic.

Like, where did you grow up? Where did you do your training? And then how did you shift gears in your career from being a professor of surgery and then now with the work that you're doing? with, I guess, as a physician executive?

Yeah, so backstory.

I was born in Brooklyn, grew up on Long Island.

I was very sick very often as a child.

I had childhood asthma from the time I was born, in and out of the doctor's office.

And I think that's really where I developed my interest in medicine.

Despite the fact that I was really sick as a child and missed a lot of school, I graduated high school at 16.

I mean technologists and scrub nurses.