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.
Dysphagia: Difficulty swallowing. Dysphagia is due to abnormal nerve or muscle control. It is common, for example, after a stroke. Dysphagia can compromise nutrition and hydration and may lead to aspiration pneumonia and dehydration.