S e r v i c e s   /   P r o c e d u r e s
 

  Office Visits
  Lab Tests
  Physical Exams
  EKG
  Preoperative Evaluations
  Immunizations / Medication Injections
  Pulmonary Function Testing
  Echocardiogram
  Holter Monitor (24-hour EKG)
  Bone Mineral Density (DEXA)
  Joint Procedures
  Ear Cleaning
  Dermatologic Procedures
  Carotid Artery Ultrasound
  Peripheral Vascular Testing

Office Visits:



An office visit is a standard appointment in our office. These appointments are scheduled for patients who need to see the doctor for a specific problem or for recommended follow-up of chronic medical conditions. Most patients with ongoing medical problems need to be seen regularly. We recommend that when you are finished with your visit, you schedule your next appointment so that we may call to remind you. Appointments typically last 10-30 minutes.

 


Lab Tests



For your convenience we offer blood draws right in our office. This testing is often used to diagnose and monitor specific medical conditions and to provide screening for a wide range of illnesses. Click here to view an explanation of common laboratory tests.

Patient Preparation

Lab testing for physical exams is usually done fasting. Fasting requires you to not have any food or drink for 12 hours before blood is drawn. Drinking water, black coffee, or plain tea are exceptions and will not alter the results. If you typically take morning medications, which do not need to be taken with food, these should be taken as well. Elderly patients and patients with diabetes should only fast if they have an early morning appointment. Please report to the laboratory and bring your physician’s order with you on the day of your test. Also, be sure to have your insurance card and referral form (if necessary) with you. Results are usually available within 7-10 days.


 

Physical Exams

A physical exam is a comprehensive evaluation of your general health. It is designed to determine the current status of your health and identify any potential problems or risks to your future health. A physical exam involves a total body examination, fasting blood work, and various diagnostic tests including those recommended by the American Cancer Society, such as annual breast exams, mammograms, pelvic exams and pap smears, digital rectal exams and prostate exams, and colon cancer screening. A physical exam appointment typically lasts 30-45 minutes and results are available within 7 to 10 days

 


EKG

The EKG is a test often used as part of an assessment of the heart. Electrical activity of the heart is recorded and a tracing is generated which gives information on the heart rhythm and can be helpful in identifying several cardiac disorders.

What to Expect

The test usually takes a few minutes and involves adhesive leads which are placed onto the skin of the chest, abdomen, and ankles.


 

Preoperative Evaluations

Before scheduling a surgery, your surgeon may recommend a pre-operative evaluation to determine your general fitness for surgery. A comprehensive examination, EKG, and often lab tests are part of the evaluation. Depending on results of the initial preoperative visit, further testing may be necessary. To allow for adequate time to perform our evaluation, it is important to schedule your pre-op visit as soon as your surgery is scheduled. Upon completion, a written summary will be forwarded to your surgical team.


 

Immunizations / Medication Injections


Our medical staff is available to provide in-office injections for a variety of medications, including B12, and immunizations. Immunizations are shots which are given to prevent diseases such as influenza (flu), pneumonia, hepatitis, tetanus, etc. These shots may be given as part of an office visit with your physician or as a separate visit with the nurse. It is important to discuss with your physician if these injections are recommended for you.


 

Pulmonary Function Testing



This simple in-office test is done to assess a patient’s lung function. It is used to identify the cause of breathing difficulties, monitor the condition of chronic lung disease, monitor the effects of smoking on the lungs, and diagnose several lung ailments such as asthma, bronchitis, and emphysema. It can also be a useful tool in evaluating a patient’s respiratory status prior to surgery.

What to Expect

A patient blows forcefully into a plastic tube connected to a small computer which monitors the flow of air and develops a set of data to compare the patient’s lung function to an age-matched normal individual. We recommend three “tries” to confirm accuracy in the data which is obtained. The test is the exam room under the direction of one of our medical staff.

Patient Preparation

No prior preparation is required.

 

Echocardiogram
 


 

An echocardiogram is an ultrasound designed to assess the function of your heart. It is used to determine the cause of a heart murmur, evaluated the function of the valves in the heart, and to determine the motion and strength of the heart muscle.

What to Expect

This test is similar to an ultrasound where a probe is guided over a conducting jelly over the surface of the chest to take images of the heart using sound waves. The test is done while lying on your back on a standard exam table and does not involve any injections or contrast dye. It is performed by a certified echo technician and the study is reviewed by a Board-Certified cardiologist. The test takes approximately 30 minutes. Results are usually available from your physician within 7 days.
 

Patient Preparation

No prior preparation is required.

 

Holter Monitor (24-hour EKG)

This test provides a 24-hour recording of the rhythm of your heart. It is useful in evaluating the cause of palpitations, racing heart beat, dizziness and passing out, chest pain, monitoring the status of electrical abnormalities, and determining the need for a pacemaker.

What to Expect

Wire leads are taped to the skin of the chest and arms, and the electrodes are connected to a small digital recorder worn on a belt or on a neck/shoulder strap. While wearing this monitor, the patient is expected to keep a log of all activities and symptoms. No restrictions in activity are required, except those involving water such as showering or swimming. If any symptoms occur, the patient is expected to press a button on the recorder which marks the location of the potential rhythm abnormality. This monitor is usually worn for 24-hours and returned to the office the next day. The data obtained from the monitor are fed into a computer for analysis. Your physician will personally review the results which are available in 3-5 days.
 

Patient Preparation

Plan to wear a blouse or shirt that buttons in the front. Approximate time to hook up the monitor is 15-20 minutes


 

Bone Mineral Density (DEXA)

Bone mineral density or DEXA scan testing is a painless, noninvasive and safe way to measure the bone density in your spine and hip, the most common site of fractures due to osteoporosis. Your bone density is compared to two standards known as “age matched” and “young normal”. The age-matched reading compares your bone density to what is expected in someone of your age, sex, and size. The young normal reading compares your density to the optimal peak bone density of a healthy young adult of the same sex. The information from a bone density test allows your doctor to identify where you stand within ranges of normal and to determine whether you are at risk for fracture. The DEXA scan allows your physician to initiate treatments to significantly decrease the risk of future fracture.

What to Expect

After filling out a brief informational questionnaire, you will be asked to lie on your back on an open exam table. If you have any clothing that has any metal around the waist area, you will be asked to change into a gown. The technologist will position you for scans of your lower spine and your hip. A scan arm, which will not come in contact with your body, will move over the top of your body to generate scan images on a computer. The scanning process may need to be halted to reposition you on the table if the images are not correct. The test does not involve any injections or contrast dye. The exam will last approximately 20 minutes. The results will be available within seven days.
 

Patient Preparation

No prior preparation is required.


 

Joint Procedures

Aspiration is a useful method of removing fluid from a joint to analyze the fluid for infection, arthritis, and gout. Removing fluid can also be used to relieve the discomfort of joint swelling from various conditions. Injection of medication into or around a joint can relieve the inflammation of joint disease and is a method of treating common forms of bursitis and tendonitis.

What to Expect

The joint is prepared by cleaning the skin with an iodine solution (or alternative if allergic) to prevent infection. The area is then treated with a local anesthetic to reduce the discomfort of the procedure. When adequately anesthetized, a needle is inserted into the joint or surrounding area and fluid is removed. Medication, such as a steroid, can then be injected into the area. After the procedure, a small dressing is applied. No aftercare is usually required by the patient.
 

Patient Preparation

No prior preparation is required.


 

Ear Cleaning

Our physicians and medical staff are able to remove clogged and impacted ear wax from the ear canals. Impacted ear wax is a common cause of decreased hearing and pressure in the ears. Clogging of ear wax often occurs as a result of long-term hearing aid use.

What to Expect

Warm water is injected into the ear canal which forces wax from the ears. Occasionally, wax dissolving drops may be placed into the ear canal to assist in the removal.
 

Patient Preparation

No prior preparation is required.


 

Dermatologic Procedures
 


Our physicians are trained to perform procedures for diagnosis and treatment of various skin conditions. Common procedures include cryosurgery for warts and actinic keratosis (precancerous sun damage), removal of skin tags, incision and drainage of abscesses and cysts, and biopsy of moles and other lesions.

What to Expect

Each procedure is performed in the exam room and is done under sterile conditions. Every effort is taken to limit the amount of discomfort felt during the procedure, including the use of local anesthetics. Depending on what was done, a dressing may be applied to the site, and some care may be required by the patient for a few days after the procedure.

Patient Preparation

No prior preparation is required.

 

Carotid Artery Ultrasound
 


 

A carotid ultrasound is a test designed to evaluate the blood flow of the arteries of the neck which supply blood to the brain. The ultrasound can take pictures of the arteries, determine if there is any cholesterol buildup, and determine the strength of the blood flow. Any abnormalities found can be treated by your doctor to prevent TIA’s and stroke.

What to Expect

This test is similar to an ultrasound where a probe is guided over a conducting jelly over the surface of the neck to take images of the arteries using sound waves. The test is done while lying on your back on a standard exam table and does not involve any injections or contrast dye. It is performed by a certified vascular technician and the study is reviewed by a Board-Certified cardiologist. The test takes approximately 15 minutes. Results are usually available from your physician within 7 days.
 

Patient Preparation

No prior preparation is required.

 

Peripheral Vascular Testing
 


 

An ABI test is designed to evaluate the flow of blood in the arteries of the arms and legs. Blockages in these arteries can cause heaviness and pain in your extremities, lack of exercise endurance, skin ulcers, poor healing, and can be a signal of blockages in the arteries that can cause heart attacks and strokes.

What to Expect

This test involves measuring blood pressures using cuffs placed on both arms and legs as well as taking Doppler measurements using a Doppler probe similar to that used during an ultrasound. The test is done while lying on your back on a standard exam table and does not involve any injections or contrast dye. It is performed by a certified vascular technician and the study is reviewed by a Board-Certified cardiologist. The test takes approximately 20 minutes. Results are usually available from your physician within 7 days.
 

Patient Preparation

No prior preparation is required.

 


 

   
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