Dr. Cutler (AKA Doctor Butler) has made significant advances in the practice of Proctology including Expansion of practical office based treatments of colorectal disorders; Adjunctive treatment advances in long-term therapy of colorectal disorders; Infrared light-based therapy advances in treatment of hemorrhoid disease; FDA protocols for medication development, formulation and compounding; Wound Healing principals and the development, including production of medication based on the practical application of these concepts; Research into development for clinical applications of early detection system to prevent anorectal cancer progression, and reduction for the potential to spread viral pathogens. Dr. Cutler also performs FDA approved Clinical Trials and has had formal research training: Human Subject Assurance Training, OHRP/NIH and Good Clinical Practice for Investigators, Quintiles.