The bulk of women and men I consult with come from larger rheumatology practices with positive antibodies, vague symptoms and they would like someone to take a second look.
These individuals often do not fit classification criteria for an autoimmune disease, but may have positive ANAs/ENAs, Rheumatoid Factors, other autoantibodies inflammatory markers or inflammatory pattern pain and are suspicious that their health problem was not approached sensitively, enough.
That’s where I come in. My perspective is that the diagnosis of an early autoimmune problem is an art – we essentially do not have great guidelines in approaching more vague presentations and early autoimmune diseases. This ultimately leads to patients being dismissed, led to believe they are somatoform, or treated inappropriately.
These early presentations are incredibly difficult to specify, I do my best to identify the “monster in hiding in the brush,” but at times I fall short. Minimally, I am confident I can get a sense of whether a problem is autoimmune versus not in most cases. And the good news is despite precise specification, there is much we can trial.
The problem with the conventional approach is that once the disease has differentiated into something clearly definable according to classification criteria, there is much less chance we can address things with more conservative measures such as treating the gut, clearing chronic infections, addressing hormones, nutrition etc. and one will more likely be slated to committing to more aggressive medications.
The goal is to help your body along with it’s capacity to heal itself, rather than work against it!
Who is Dr. Mitchell?
I’m a naturopathic physician whose focus is autoimmune disease.
Naturopathic Doctors are licensed health care providers able to diagnose and prescribe in the state of Arizona, who prioritize the manipulation of environmental factors in addressing your disease process and investigation geared towards finding the root cause of your illness.
That being said, my practice style is integrative, blending the best of both worlds, working alongside specialists and the standard of care.
Regardless of where you are on your health journey and whatever your goal is, my job is to work with you to get you there.
Primary symptoms investigated and diagnosed include:
Elevated Sed Rates/CRPs
Joint Pain, Back Pain
Fatigue and Brain Fog
Dry Eyes/Dry Mouth
Rashes, Skin Changes
Conditions Dr. Mitchell treats in include:
Polymyositis and Dermatomyositis
Psoriasis, Psoriatic Arthritis
Allergies, Asthma, Eczema
Irritable Bowel Syndrome
Chronic Fatigue Syndrome
Lab tests and treatments
Most patients I consult already carry a diagnosis of a rheumatologic or autoimmune disease. If they do not or I do not agree with another clinician’s conclusions (it happens), I work the patient up using guidelines established by the American College of Rheumatology. This means visiting the patients history, considering physical exam findings, blood counts, blood chemistries, disease activity markers and specificity markers (antibodies) and necessary referrals.
I differ a bit from some some of the local specialists in the area. For diagnostic testing I use:
- The Avise antibody panel through Exagen Diagnostics (Lupus, Rheumatoid, Sjogren’s, Antiphospholipid Syndrome, Hashimoto’s)
- VECTRA DA for Arthritis Disease Tracking
- Internal medicine studies outside the usual sphere of rheumatology
In seeking the cause of your illness, I use specialty laboratories that most medical doctors will not order. As my practice style has evolved, I’ve moved away from ordering of such tests as they tend to be a waste of resources for most of my demographic! But a complete list of considerations includes:
- Food Intolerance Testing
- Urine Organic Acids
- Parasitology/Dysbiosis via Stool PCR and microscopy
- Blood testing for Vitamin and Mineral status
- Infectious Disease studies
- Internal medicine studies as above
- Urine markers for Heavy Metal Toxicity
I’m sensitive to the fact that this second set of tests is may not covered by insurance. While some patients have the resources to order all of the tests, others do not. I do my best to strategize the ordering of the tests based on your history. I will always do my best to discuss tools for investigation that may be of significant cost to you and prioritize.
An overview of the therapeutic modalities I may use in your case:
- Nutritional modification
- Low dose naltrexone
- Disease modifying anti-rheumatic agents
- Nutritional supplements and herbs
- Antibiotics and antifungals
- Antiviral therapy
- IV nutrient therapy
- IV iron infusions
- Chelation (Oral and/or IV)
- Thyroid hormone replacement
- Frequency specific microcurrent
Where are you located?
If you’re not local, consultation services are available electronically. It is STRONGLY ADVISED that you first complete a discovery visit as below if you are a prospective client out of state.
Insurance and Costs
Dr. Mitchell does not contract with any insurance companies and is an out of network provider. We can provide you with a receipt of services that you may submit to your insurance company complete with the doctors NPI #, EIN#, Diagnosis Codes, and Procedural codes. This applies only to patient who are seeking medical care.
Cost for medical services:
- In depth history taking to identify triggers/perpetuators of autoimmune disease
- Physical Exam
- Ordering of labs and imaging
- Routine Health Maintenance and monitoring
- Prescriptions if we both agree and deem necessary
- Development of treatment plan (prescription or nonprescriptions), modifications and reassessment
Initial Consultations (90 minutes): $295
Followup (45-60 minutes): $175
Let’s get going! Let’s get you healthier!
Please download and complete the new patient intake forms prior to your first visit.
You can call the clinic at (480) 609-4200 and schedule your office visit over the phone or schedule it electronically here
Have further questions? Before making a financial commitment it is advised that you set up a free 15 minute discovery visit.
Would you like to meet the doctor? Do you have questions about some of the investigative measures or alternative treatments? We look forward to meeting you!
Call and schedule a discovery visit with (480) 609-4200 or schedule electronically here
Any labs or past records you have please fax to 480-609-4233