David Gutman, MD, FACG, has been a gastroenterologist for more than 30 years. Most of that time he spent specializing in reflux at his practice in Mineola, N.Y. But in February, he moved five and a half hours north to the village of Carthage, N.Y. Known for its forest land, streets lined with Victorian homes and proximity to the military outpost of Fort Drum, Carthage and the military base are tended by a cast of primary care practitioners. However, Dr. Gutman is the only gastroenterologist in