Doctor Kaminstein is a Board Certified Gastroenterologist, who is presently not in active medical practice due to disability. Before disability, Dr. Kaminstein practiced Gastroenterology/Hepatology in West Chester, PA for over 15 years.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Synthetic cortisone medications (corticosteroids) simulate
a naturally occurring, anti-inflammatory hormone produced by
glands. Such drugs (for example, prednisone) have since benefited
many, but are
not without potential side effects.
The two major problems related to continuous steroid
drug side effects and
symptoms due to changes in the
normal hormone secretion (withdrawal symptoms).
The production of corticosteroids is controlled by a
mechanism," involving the adrenal glands, the pituitary
brain. known as the "Hypothalamic-Pituitary-Adrenal Axis"
Using large doses for a few days, or smaller doses for more
weeks, leads to a prolonged decrease in HPAA function.
Steroid use cannot be stopped abruptly; tapering the drug
adrenal glands time to return to their normal patterns of