Office Procedural Care
AMBULATORY BLOOD PRESSURE TESTING
You come to the office and your blood pressure is way too high,
but you are convinced it is just “white coat hypertension” and
just coming to the office makes it raise. You tell your doctor
it is fine at home and when you check it at the local supermarket.
He/she may recommend a small portable BP device that you will
wear at home that will check your BP at timed intervals, even
during your sleep. We can use this information for any needed
medication or changes in your medications.
DERMATOLOGIC TREATMENT,
INCLUDING LESION REMOVAL
Minor dematologic surgical procedures, including but not limited
to, mole/lesion removal, wart treatment, cyst removal, wound debridement,
ingrown toenail removal, and cyrotherapy.
EVENT MONITOR FOR CARDIAC
ARRHYTHMIA
For those patients with complaints of heart racing, palpitations,
shortness of breathe or near fainting that disappears once they
come to the doctor, we have the ability to hook you up to cardiac
monitor you will wear at home. We will send you with a small, discrete
monitor you can wear around your neck or on your belt loop for
30 days. When you have these symptoms you simply push the button
on your device and it will record your heart rhythm which will then be transmitted
to your physician for interpretation.
NASOPHARYNGOSCOPY
Nasopharyngoscopy is a test in which the physician uses a flexible
fiber optic scope to examine the upper airway. By examining the
upper airway in this fashion, the physician can determine whether
there are any fixed blockages in the upper airway such as a deviated
septum or nasal polyps.
NERVE CONDUCTION TESTING FOR CARPAL TUNNEL AND DIABETIC NEUROPATHY
EMG’s- Testing for carpal tunnel or diabetic neuropathy has never been easier. With our non-invasive (no needles) approach we are able to test right here in our office. Nerve conduction studies are the “gold standard” diagnostic tool for the assessment of neuropathies, such as Carpal Tunnel Syndrome and Diabetic Peripheral Neuropathy. Neurodiagnostic testing is also useful in the evaluation of back pain or sciatica, helping to determine the presence of nerve root involvement in cases of lumbosacral radiculopathy and lumbar spinal stenosis.
TREADMILL (CARDIAC STRESS) TESTING
A cardiac stress test is used to assess the heart muscle's response to the need for additional oxygen, which occurs during increased physical activity. This procedure is most often done for the following reasons:
- To evaluate if complaints of chest pain are related to the heart
- To determine if blockages exist in a coronary artery or arteries supplying the heart with oxygen-rich blood (coronary heart disease or CHD)
- To identify an irregular heart rhythm that only occurs during activity
- To monitor the heart's response to cardiac treatment or a procedure to open a coronary artery
- To determine a safe level of participation before the start of an exercise regimen
- To plan the pace and intensity of rehabilitation after a heart attack
- To screen for the presence of asymptomatic CHD in certain high risk people
VASECTOMY
A vasectomy is usually done in your doctor's office or in an
outpatient surgery center. The operation takes about half an
hour. You'll be awake during the procedure. Your doctor will
give you a local anesthetic to numb your scrotum.
After you're numb, your doctor will cut a small opening (an incision) on one side of your scrotum and pull out part of the vas deferens on that side. You may feel some tugging and pulling. A small section of the vas deferens is removed. The ends of the vas deferens will be sealed by stitching them shut, by searing them shut with heat, or by using another method. Your doctor will then do the same thing on the other side.
Your doctor will close the 2 openings in your scrotum with stitches. After 3 to 10 days, the stitches will disappear by themselves.
