Dr. David Franklin Farber

Dr. David Franklin Farber diagnoses and treats a wide range of digestive system disorders, including:

Inflammatory Bowel Disease (IBD) Focus

• Microscopic Colitis (often considered alongside IBD for chronic diarrhea): Though distinct from classic IBD, it's an inflammatory condition of the colon diagnosed by biopsy, causing chronic watery diarrhea.
• Crohn's Disease (Ileal, Colonic, Ileocolonic, Perianal): A chronic inflammatory condition that can affect any part of the digestive tract from mouth to anus, causing transmural (full-thickness) inflammation, pain, diarrhea, weight loss, and potential complications like strictures or fistulas.
• Indeterminate Colitis & IBD-Unclassified (IBD-U): Cases of IBD, particularly early in the disease course, where it is difficult to definitively distinguish between Crohn's disease and ulcerative colitis based on clinical, endoscopic, and histological features.

Liver, Gallbladder, Bile Duct & Pancreatic Disorders

• Autoimmune Liver Diseases (Autoimmune Hepatitis, PBC, PSC): Conditions where the body's immune system mistakenly attacks liver cells (Autoimmune Hepatitis), bile ducts within the liver (Primary Biliary Cholangitis), or larger bile ducts inside and outside the liver (Primary Sclerosing Cholangitis).
• Alcohol-Related Liver Disease (ARLD): Liver damage caused by excessive alcohol consumption, ranging from fatty liver and alcoholic hepatitis to advanced cirrhosis.

Functional Gastrointestinal & Motility Disorders

• Functional Dyspepsia & Epigastric Pain Syndrome: Persistent or recurrent pain or discomfort centered in the upper abdomen (dyspepsia) or specifically in the epigastric region, without an identifiable structural cause after investigation.
• Rumination Syndrome: A condition in which people repeatedly and unintentionally spit up (regurgitate) undigested or partially digested food from the stomach, rechew it, and then reswallow it or spit it out.

This list is not exhaustive. For personalized advice regarding your specific digestive condition, please consult with Dr. David Franklin Farber.

• Personalized Nutritional Assessment & Medical Dietary Therapy for GI Conditions: Evaluation of nutritional status and provision of evidence-based dietary advice and medical nutrition therapy tailored to specific gastrointestinal disorders like IBD, IBS, celiac disease, eosinophilic esophagitis, gastroparesis, or food intolerances, often in collaboration with registered dietitians.
• Enteroscopy (e.g., Double-Balloon, Single-Balloon, Spiral Enteroscopy): Advanced endoscopic techniques allowing deep visualization, biopsy, and therapy within the small intestine, beyond the reach of standard endoscopes, for conditions like obscure bleeding or small bowel tumors.
• Endoscopic Hemostasis for Acute & Chronic GI Bleeding: Various endoscopic techniques (e.g., injection therapy, thermal coagulation/APC, mechanical clips, hemostatic sprays) used to stop acute or recurrent bleeding from ulcers, varices, angiodysplasias, or tumors in the GI tract.
• Diagnosis & Management of Small Intestinal Bacterial Overgrowth (SIBO) & Intestinal Methanogen Overgrowth (IMO): Utilizing glucose or lactulose breath tests for diagnosis and providing targeted antibiotic/antimicrobial therapy, prokinetics, and dietary advice for SIBO and IMO.
• Interpretation & Correlation of Advanced Digestive Health Diagnostic Tests: Expert analysis and clinical correlation of results from endoscopies, biopsies, imaging studies (CT, MRI, MRCP, ultrasound), breath tests (e.g., for H. pylori, SIBO, lactose intolerance), stool tests (e.g., calprotectin, FIT), motility studies, and genetic testing for GI conditions.
• Colonoscopy (Screening, Diagnostic, Surveillance) & Polypectomy: Comprehensive examination of the entire colon (large intestine) using a colonoscope to detect and remove precancerous polyps, screen for and diagnose colorectal cancer, evaluate symptoms, and diagnose other colonic conditions like colitis or diverticular disease.
• Capsule Endoscopy (Small Bowel & Colon): Non-invasive procedure where the patient swallows a vitamin-pill sized camera that takes pictures of the small intestine (for obscure GI bleeding, Crohn's disease) or colon (as an alternative to colonoscopy in select cases).

Note: This list provides a general overview. Specific procedures and treatments are determined after a thorough evaluation. Discuss with Dr. Farber for care relevant to your specific condition.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant gastroenterological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Farber practices at Cité de la Santé de Laval, located in the vibrant neighborhood of Chomedey North in Laval. The facility is situated along the Major East-West Commercial Corridor, providing easy access for patients. Public transit options are available through the Société de transport de Laval (STL), making it convenient for patients to reach the clinic. The building is wheelchair accessible, ensuring barrier-free access for all visitors. Paid parking options are conveniently located nearby to facilitate easy and secure parking during visits.

Are consultations and procedures like endoscopies with Dr. Farber, a Gastroenterologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Gastroenterologist like Dr. Farber, as well as most diagnostic procedures (e.g., endoscopies for investigating symptoms, biopsies for medical reasons) and treatments for provincially insured digestive conditions (e.g., IBD, celiac disease, screening colonoscopies as per provincial guidelines, liver disease management), are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Procedures considered purely for screening outside of guidelines, or for non-medical reasons, and some advanced technologies or specific drug therapies might have different coverage. It's crucial to discuss coverage specifics for any proposed treatment or procedure with Dr. Farber's office, the hospital/clinic's financial services, or Régie de l'assurance maladie du Québec (RAMQ) beforehand.

Do I need a referral from my family doctor to see Dr. Farber, a Gastroenterologist?

Yes, in nearly all cases, a referral from your family physician or another specialist (such as an internist or surgeon) is required to schedule an appointment with a Gastroenterologist like Dr. Farber for services covered by the provincial health plan. Gastroenterological issues often require initial assessment and preliminary investigations by your primary care provider. The referral ensures that a specialist consultation is appropriate, helps with prioritizing appointments, and facilitates coordinated care, including the transfer of relevant medical information.

Will I be asleep for my endoscopy or colonoscopy with Dr. Farber?

For most endoscopic procedures like upper endoscopy (gastroscopy) and colonoscopy, patients are typically given sedation to help them relax and be comfortable. This is often called 'conscious sedation' or 'moderate sedation,' meaning you'll be drowsy and may not remember much of the procedure, but you won't be under general anesthesia (completely unconscious with a breathing tube). The specific type and level of sedation can vary and will be discussed with you by Dr. Farber or the anesthesia provider beforehand. Because of the sedation, you will need to have someone accompany you to drive you home after the procedure.

What's the difference between Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD)? Can Dr. Farber diagnose and treat both?

Yes, a Gastroenterologist like Dr. Farber can diagnose and treat both IBS and IBD, but they are very different conditions. IBD, which includes Crohn's disease and ulcerative colitis, is characterized by chronic inflammation and physical damage (like ulcers and strictures) to the digestive tract, visible during endoscopy and on biopsies. It's an autoimmune-related condition. IBS, on the other hand, is a functional gut disorder, meaning the GI tract doesn't work correctly, but there's no visible inflammation or damage on standard tests. IBS causes symptoms like abdominal pain, bloating, and altered bowel habits. While IBS can significantly impact quality of life, it doesn't cause the destructive inflammation seen in IBD. Diagnosis involves different criteria and investigations for each.

What are some common procedures a Gastroenterologist like Dr. Farber typically performs?

Gastroenterologists like Dr. Farber are highly skilled in performing a range of endoscopic procedures. The most common are upper endoscopy (also called EGD or gastroscopy) to examine the esophagus, stomach, and duodenum, and colonoscopy to visualize the entire colon. During these procedures, He can take biopsies (small tissue samples for analysis), remove polyps (which can prevent colon cancer), dilate narrowed areas (strictures), control bleeding, and place feeding tubes. Other procedures may include flexible sigmoidoscopy (examining the lower colon), capsule endoscopy (swallowing a tiny camera to see the small intestine), and more specialized interventions like ERCP or EUS depending on their training and practice focus. Many also specialize in managing specific areas like hepatology (liver disease) or IBD.

Cité de la Santé de Laval
1755 boul René-Laennec
Laval, QC H7M 3L9

Phone: (450) 668-1010

The facility is wheelchair accessible.

Dr. Farber is a licensed Gastroenterologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Farber for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=99236