Skip to main content
  • Pay Your Bill
  • Donate opens in new window
  • Careers
  • Contact Us
Hoag
  • Specialties & Services
    Our institutes

    Hoag Family Cancer Institute

    View Institute
    • Find Your Cancer Type
      • View All Cancers Treated
      • Bladder Cancer
      • Brain Tumor
      • Breast Cancer
      • Colorectal Cancer
      • Endocrine Tumors
      • Gynecologic Cancer
      • Head & Neck Cancer
      • Lung Cancer
      • Pancreatic Cancer
      • Prostate Cancer
      • Renal (Kidney) Cancer
      • Skin Cancer/Melanoma
    • Treatments & Services
      • Applied Genomics
      • Cancer Trials
      • Cell Therapy
      • da Vinci® Robotic Surgery
      • Gamma Knife
      • Genetic Counseling
      • High Risk
      • Infusion Services
      • Molecular Imaging
      • Radiation Oncology

    Hoag Digestive Health Institute

    View Institute
    • Programs
      • Advanced Endoscopy
      • Bariatric Surgery Weight Loss
      • Colorectal
      • Foregut (Esophagus & Stomach)
      • Inflammatory Bowel Disease (IBD)
      • Liver
      • Midgut (Pancreas, Biliary & Gallbladder)
      • Motility

    Jeffrey M. Carlton Heart & Vascular Institute

    View Institute
    • Programs
      • Aortic Program
      • Coronary Artery Disease Program
      • General Cardiovascular Health
      • Heart Failure Program
      • Heart Rhythm Program
      • Heart Valve Program
      • Marfan Syndrome Clinic
      • Vascular Program
    • Treatment & Services
      • Aortic Disease Treatment & Management
      • Cardiac Arrhythmia Treatment & Management
      • Cardiac Rehabilitation
      • Coronary Artery Disease Treatment & Management
      • Heart Failure Treatment & Management
      • Heart Valve Disease Treatment & Management
      • Vascular Disease Treatment & Management

    Pickup Family Neurosciences Institute

    View Institute
    • Programs
      • Acute Rehabilitation
      • Addiction Medicine
      • ASPIRE (Teen Mental Health, 13-18)
      • Brain Tumor
      • Chronic Pain & Neuropathy
      • Concussion
      • Epilepsy
      • Headache
      • Memory & Cognitive Disorders
      • Multiple Sclerosis & Neuroimmunology
      • Parkinson’s & Movement Disorders
      • Skull Base & Pituitary Tumor
      • Sleep Health
      • Stroke
      • Young Adult Mental Health (18-26)
    • Diagnostics & Treatment
      • Epilepsy Monitoring Unit
      • Gamma Knife
      • Interventional Neuroradiology
      • MRI / 3T / CT
      • EEG/EMG (Neurophysiology)
      • Neuroradiology
      • Neuro Rehabilitation
      • PET / CT
      • Tomotherapy

    Hoag Orthopedic Institute

    View Institute
    • Programs
      • Elbow
      • Foot & Ankle
      • Hand & Wrist
      • Hip
      • Knee
      • Shoulder
      • Spine
      • Trauma
    • Services
      • Sports Medicine
      • Physical Therapy
      • Diagnostics
      • Sarcoma
      • Travel Program
      • International Patients

    Hoag Spine Institute

    View Institute
    • Conditions
      • Chronic Neck or Back Pain
      • Degenerative Disc Disease (DDD)
      • Herniated Disc/Lumbar Disc Disease
      • Kyphosis
      • Lower Back Pain
      • Myelopathy
      • Neck Pain (Cervical Pain)
      • Nerve Compression
      • Osteoporosis
      • Osteoarthritis
      • Radiculopathy (Pinched Nerve)
      • Scoliosis
      • Sciatica
      • Spinal Deformity
      • Spinal Tumors
      • Spinal Stenosis
      • Spinal Fractures
      • Spondylolisthesis
      • Tailbone Pain
      • Whiplash

    Hoag Women’s Health Institute

    View Institute
    • Breast Health
      • Meet the Team
      • Locations
      • Imaging
      • Diagnosis
      • Surgery
      • Chemotherapy
      • Radiation Therapy
      • High Risk
    • Gynecologic Health
      • Gynecologic Cancer Program
      • Gynecologic & Pelvic Health
      • Pelvic Health
    • Maternal Child Health
      • Pregnancy
      • Prenatal Classes / OB Education
      • Pre-Registration
      • Virtual Maternity Tour
      • NICU
      • Support Services
      • Mental Health
    • Wellness & Prevention
      • Hoag for Her Center for Wellness
      • Integrated Services
      • Meet Our Team
      • Classes

    Other Programs & Services

    View All
    • Acute Rehabilitation
    • Addiction Medicine
    • Breast Program
    • Care Coordination
    • Clinical Research
    • Concierge Medicine
    • Mary & Dick Allen Diabetes Center
    • End of Life Care
    • Executive Health
    • Functional Medicine
    • Hoag At Home
    • Hoag Endoscopy Center
    • Hoag Genetic Counseling
    • Hoag Prime
    • Melinda Hoag Smith Center for Healthy Living
    • Mental Health Services
    • Nurse Navigator
    • Occupational Therapy
    • Outpatient Lab
    • Outpatient Rehabilitation Services
    • Palliative Care
    • Pelvic Health
    • Physical Therapy
    • Pregnancy & Infant Loss
    • Radiology & Imaging Services
    • Respiratory Care
    • Robotics
    • Sleep Health
    • Smoking Cessation
    • Speech Therapy
    • Spine Institute
    • Spiritual Care
    • Sports Medicine
    • Thyroid

    Specialties & Services

    Hoag is the highest ranked hospital in Orange County. Learn more about our top rated Institutes and services in Southern California.

    View all Specialties & Services

    View All
    • Find Your Cancer Type
      • View All Cancers Treated
      • Bladder Cancer
      • Brain Tumor
      • Breast Cancer
      • Colorectal Cancer
      • Endocrine Tumors
      • Gynecologic Cancer
      • Head & Neck Cancer
      • Lung Cancer
      • Pancreatic Cancer
      • Prostate Cancer
      • Renal (Kidney) Cancer
      • Skin Cancer/Melanoma
    • Treatments & Services
      • Applied Genomics
      • Cancer Trials
      • Cell Therapy
      • da Vinci® Robotic Surgery
      • Gamma Knife
      • Genetic Counseling
      • High Risk
      • Infusion Services
      • Molecular Imaging
      • Radiation Oncology

    View All
    • Programs
      • Advanced Endoscopy
      • Bariatric Surgery Weight Loss
      • Colorectal
      • Foregut (Esophagus & Stomach)
      • Inflammatory Bowel Disease (IBD)
      • Liver
      • Midgut (Pancreas, Biliary & Gallbladder)
      • Motility

    View All
    • Programs
      • Aortic Program
      • Coronary Artery Disease Program
      • General Cardiovascular Health
      • Heart Failure Program
      • Heart Rhythm Program
      • Heart Valve Program
      • Marfan Syndrome Clinic
      • Vascular Program
    • Treatment & Services
      • Aortic Disease Treatment & Management
      • Cardiac Arrhythmia Treatment & Management
      • Cardiac Rehabilitation
      • Coronary Artery Disease Treatment & Management
      • Heart Failure Treatment & Management
      • Heart Valve Disease Treatment & Management
      • Vascular Disease Treatment & Management

    View All
    • Programs
      • Acute Rehabilitation
      • Addiction Medicine
      • ASPIRE (Teen Mental Health, 13-18)
      • Brain Tumor
      • Chronic Pain & Neuropathy
      • Concussion
      • Epilepsy
      • Headache
      • Memory & Cognitive Disorders
      • Multiple Sclerosis & Neuroimmunology
      • Parkinson’s & Movement Disorders
      • Skull Base & Pituitary Tumor
      • Sleep Health
      • Stroke
      • Young Adult Mental Health (18-26)
    • Diagnostics & Treatment
      • Epilepsy Monitoring Unit
      • Gamma Knife
      • Interventional Neuroradiology
      • MRI / 3T / CT
      • EEG/EMG (Neurophysiology)
      • Neuroradiology
      • Neuro Rehabilitation
      • PET / CT
      • Tomotherapy

    View All
    • Programs
      • Elbow
      • Foot & Ankle
      • Hand & Wrist
      • Hip
      • Knee
      • Shoulder
      • Spine
      • Trauma
    • Services
      • Sports Medicine
      • Physical Therapy
      • Diagnostics
      • Sarcoma
      • Travel Program
      • International Patients

    View All
    • Conditions
      • Chronic Neck or Back Pain
      • Degenerative Disc Disease (DDD)
      • Herniated Disc/Lumbar Disc Disease
      • Kyphosis
      • Lower Back Pain
      • Myelopathy
      • Neck Pain (Cervical Pain)
      • Nerve Compression
      • Osteoporosis
      • Osteoarthritis
      • Radiculopathy (Pinched Nerve)
      • Scoliosis
      • Sciatica
      • Spinal Deformity
      • Spinal Tumors
      • Spinal Stenosis
      • Spinal Fractures
      • Spondylolisthesis
      • Tailbone Pain
      • Whiplash

    View All
    • Breast Health
      • Meet the Team
      • Locations
      • Imaging
      • Diagnosis
      • Surgery
      • Chemotherapy
      • Radiation Therapy
      • High Risk
    • Gynecologic Health
      • Gynecologic Cancer Program
      • Gynecologic & Pelvic Health
      • Pelvic Health
    • Maternal Child Health
      • Pregnancy
      • Prenatal Classes / OB Education
      • Pre-Registration
      • Virtual Maternity Tour
      • NICU
      • Support Services
      • Mental Health
    • Wellness & Prevention
      • Hoag for Her Center for Wellness
      • Integrated Services
      • Meet Our Team
      • Classes

    View All
    • Acute Rehabilitation
    • Addiction Medicine
    • Breast Program
    • Care Coordination
    • Clinical Research
    • Concierge Medicine
    • Mary & Dick Allen Diabetes Center
    • End of Life Care
    • Executive Health
    • Functional Medicine
    • Hoag At Home
    • Hoag Endoscopy Center
    • Hoag Genetic Counseling
    • Hoag Prime
    • Melinda Hoag Smith Center for Healthy Living
    • Mental Health Services
    • Nurse Navigator
    • Occupational Therapy
    • Outpatient Lab
    • Outpatient Rehabilitation Services
    • Palliative Care
    • Pelvic Health
    • Physical Therapy
    • Pregnancy & Infant Loss
    • Radiology & Imaging Services
    • Respiratory Care
    • Robotics
    • Sleep Health
    • Smoking Cessation
    • Speech Therapy
    • Spine Institute
    • Spiritual Care
    • Sports Medicine
    • Thyroid
  • Find a Doctor
  • Locations
  • Patients & Visitors
  • Resources
    • Education
      • Classes
      • Empowered by Hoag Blog
      • Podcasts
      • Corporate Wellness
      • Volunteer
    • Resources
      • Advance Care Planning
      • Seniors / Medicare
      • Support Groups
      • For Medical Professionals
      • Health Risk Assessments
      • Clinical Research
      • For Brokers, Agents & Employers
    • Innovation at Hoag
      • Hoag Compass
      • Virtual Reality Program
  • About Hoag
    • Hoag Health Network
      • About Us
      • Leadership
      • Awards
      • Corporate Information
      • Community Benefit
      • Nursing
      • Graduate Medical Education
      • Culture of Excellence
    • News & Publications
      • Empowered by Hoag Blog
      • News
      • Hoag for Life
      • Hoag In Your Community
      • Press Room

  • Pay Your Bill
  • Donate opens in new window
  • Careers
  • Contact Us
Hoag

Search Suggestions

  • Find a doctor
  • Covid19
  • Visiting Hours
Header

Filter Stories By



OR

After a Lifelong Search, Gastroparesis Patient Finds Hope

May 10, 2022

Within minutes of their first meeting, Caitlin Houghton, M.D., said the words that Brittney Pisanelli, 33, had been hoping to hear for most of her life: “You have options.”

“I started crying in her office,” Brittney said. “I had never been told that before. Someone wanted to help me. Someone wanted to help me function and live life. That’s all I’ve ever wanted.”

Brittney has gastroparesis, a condition which prevents her stomach from properly emptying. Like many patients with this condition, Brittney had been misdiagnosed for years, bouncing around hospitals throughout the country, while her conditioned worsened and she continued to suffer.

She vomited blood but was told by a doctor in one state that she had irritable bowel syndrome. She could not keep down solid food but was told by a doctor in another state that she had lupus. Meanwhile, food clusters in Brittney’s stomach acted like ulcers, causing immeasurable pain and threatened to dislodge and travel to her lungs.

After living in and out of hospitals for five years, doctors outside of Orange County finally performed the necessary test to properly diagnose her. Even then, Brittney spent another two years unable to find the help she needed. Her condition got so bad that water made her sick. She started losing hair and she shed 100 pounds.

Brittney sought treatment from a nationally recognized medical center on the East Coast but was turned away by a renowned physician who told her that her case was too complicated.

“They gave up on me. One doctor had worked in the field for 40 years and said he had never given up on a patient, but he had to give up on me,” she said. “There were dark moments and depression, but I didn’t want to give up.”

As she continued to search for answers, Brittney moved to Orange County from Temecula. Here, she discovered the Hoag Digestive Health Institute and met gastrointestinal surgeon Dr. Houghton.

“I just remember her compassion,” Brittney said. “I could see that she wanted to do everything to help me. That was the first time I’d ever seen that.”

In addition to her compassion, Brittney was impressed with Dr. Houghton’s expertise. A skilled robotic-assisted laparoscopic surgeon, Dr. Houghton is one of the few specialists who offers Enterra therapy, an implantable medical device that regulates nausea and vomiting.

The FDA-approved neurostimulator produces small electrical pulses, which are sent through insulated wires to the lower section of the stomach. Dr. Houghton is able to adjust stimulation settings to tailor to Brittney’s individual condition as it evolves.

Unfortunately, there is no cure for gastroparesis. While the device is blocking her nausea and restoring her quality of life, the condition has started to paralyze her colon. Brittney knows she will have to address the issue if it becomes worse. But at least she now has a knowledgeable and caring team on her side.

The level of innovation and ingenuity impressed Brittney, who lost her mother to stomach cancer six years ago.

“I had never heard of a digestive center like the one at Hoag. When my mom had stomach cancer, she didn’t have anything like that,” she said. “It is so neat that they are focused on the digestive system and are super knowledgeable about diseases that most people haven’t heard of. My main goal now is to get the word out to other people who may be struggling. If you keep searching and advocating for yourself, there is light at the end of the tunnel.”

Shortly after the surgery, Brittney did something she hadn’t done in years: she met a friend for dinner.

“It was so exciting. We take the smallest things for granted, but the fact that I’m able to live and do these small things is the biggest change,” she said.

“The whole Digestive Health Institute team is so welcoming and so kind. They take amazing care of me. Hoag is the only hospital I will go to now,” she said. “I’m finally understood and getting answers. I know there is no cure, but the fact that someone is knowledgeable and can understand means more than a cure. It gives me hope.

“My body may be broken, but my spirit is not.”

Tags: Story,Digestive Health,Nutrition

What's Trending

Postpartum Bleeding Red Flags You Shouldn't Ignore
June 24, 2019
What Happens to Relationships When Sex Hurts
November 7, 2019
How A Mediterranean Diet Can Make You(r Brain) Look 19 Years Younger
May 3, 2023

Recently Written

Hoag Recognized as 2025 Top Hospitals for Patient Experience by Healthgrades
May 15, 2025
Ask the Doctor: Spring Allergies
May 14, 2025
Skin Cancer Prevention: Answers to 3 Common Questions
May 13, 2025
Facebook Twitter LinkedIn

YOU MAY ALSO LIKE

May 14, 2025
Ask the Doctor: Spring Allergies
May 13, 2025
Skin Cancer Prevention: Answers to 3 Common Questions
Hoag CFO Andrew Guarni Recognized as 2025 CFO of the Year
May 9, 2025
Marilyn Larsen Named Hoag’s 2025 Nurse of the Year
Hoag Empowers New Mom to Advocate for Her Baby–And for Others
The Heart of Healing: Celebrating Hoag’s Moms
May 8, 2025
Women Deserve to Prioritize Their Health — Without Guilt
April 30, 2025
Hoag’s Commitment to Innovation Creates New Paths for Parkinson’s Treatment

Sign up for our Newsletter

  • This field is for validation purposes and should be left unchanged.
Hoag

Need to ask a question?
Contact Us

Quick Links

  • COVID-19 Resources
  • Appointments
  • Find a Doctor
  • Locations
  • Federal Transparency in Coverage Rule
  • Price Transparency
  • CMS Open Payments Notice
  • Donate
  • Online Bill Payment
  • Hoag Connect MyChart

Patients & Visitors

  • Infection Prevention
  • Health Insurance
  • Patient & Visitor Info

About Hoag

  • About Us
  • Awards & Accreditations
  • News
  • Community Benefit
  • Hoag Orthopedic Institute
  • Hoag Medical Group
  • Careers
  • Legal

Education & Resources

  • Classes
  • Corporate Wellness
  • Support Groups
  • Volunteer
  • Clinical Research
  • For Medical Professionals
  • Brokers, Agents & Employers

© 2025 Hoag, All Rights Reserved.

Legal

×

Booking a DEXA appointment with Hoag requires a doctor's order

If you don’t have a copy of your doctor's order at the time of the appointment, your appointment might have to be rescheduled or cancelled.

Important

  • You should not have had any nuclear medicine, barium, or iodine studies 10 days before your DEXA scan.
  • The appointments shown below for DEXA scans are for the purpose of measuring bone density. For DEXA scans for body fat analysis, please use the numbers below to schedule an appointment:
    • Newport Imaging Center (Hoag Affiliated Partner): 949-721-8191
    • Tustin Imaging Center (Hoag Affiliated Partner): 714-477-8340
OR