- Osteoporosis
- Medical Weight LossLosing weight is a great challenge, and there are plenty of reasons to do so, like to decrease the risk of, among other problems like diabetes, high blood pressure, heart disease, arthritis, sleep apnea, gout...
- Family PracticeCathleen London, MD is certified by the American Board of Family Medicine as well as NBPAS and comes to Door to Door Doctors with years of experience in this area of specialty.
- Cataracts
- Female Infertility
- Pregnancy
- Bladder Cancer
- Kidney Cancer
- Lung Cancer
- Depression
- PsychiatryWhen a BOLIM receives a complaint, they ‘investigate’ it. They act as investigative and adjudicatory arms. They are the investigator, jury, judge, and executioner. There is a huge amount of subjectivity to the process and personal animus is clear. Watching careers ruined has given me a new purpose. This is happening all through the country and needs to stop. Physicians are a balance of empathy and scientific inquiry – the persistent attacks are designed to kill – to demoralize, punish and drive physicians to harm. That makes these licensing boards not only operating outside the law but actually culpable. Driving physicians to suicide is murder. Misusing psychiatry, the press to achieve these ends, violating the right to privacy that everyone else in society has, violating the right to due process, all of these together make them arms of destruction, bodies of harm – not bodies of protection, and they should be held accountable for this harm.
- UltrasoundMedications can relieve symptoms. Physical therapy emphasizes strengthening body core and postural muscles. Other pain relief modalities (manipulation, ultrasound, e-stim) are often also effective in relieving symptoms.
- MRIPatients of different age ranges and occupations have different considerations. It is not uncommon to get an X-ray on the first visit. An X-ray can be a useful screening tool for significant abnormalities, such as a fracture or tumor, but can be less useful for a strain type of pain. An MRI is usually ordered when there is more information needed to decide whether a more agressive treatment recommendation, such as injection or surgery, needs to be considered.
- X-Rays
- OrthopedicsAn issue that will affect Georgia patients is Malpractice Reform, also called Tort Reform.In 2005, Georgia enacted malpractice reform which allowed costs of malpractice insurance to be more in line with costs in other states that have enacted similar reforms. As a result, more doctors have chosen to practice in Georgia, which is an issue especially here in the southwest part of the state.For physicians, the risk of a malpractice lawsuit is not evenly spread across all specialties, but is especially high for fields such as orthopedics and spine surgery, and approximately 1/3 of all orthopedic surgeons can expect to be sued in a given year. High litigation rates jeopardize our ability to provide affordable health care, and overuse of expensive tests as part of defensive medicine is a result.
- Wound CareWound care: The wounds are closed with absorbable sutures. There are no stitches to remove. Occasionally, there is some drainage from the wound. A clean gauze dressing is used to cover the wound as long as any drainage is occurring. Once there is no drainage, no dressing is needed. The wound may get wet with bathing, but until the first follow-up visit, avoid going in a bath or pool (standing water). When showering, a shower chair is helpful to decrease the chance that you might slip and fall.
- Minimally Invasive SurgeryThe words “minimally invasive” refer to minimizing the amount of tissue disruption that occurs in the process of gaining access to where the surgery is to be done. In other words, instead of making a large wound, the same or comparable surgery can be done through a smaller wound.
- Ankle SurgeryMark A. Wolgin, MD, Orthopaedic Surgeon Specialist (Fellowship Trained) in Spinal and Foot/Ankle Surgery, Albany, GA, Office Phone 229-883-4707, Fax 229-435-1038
- Orthopedic SurgeryFirst, Mr. G felt that a general surgeon, which in this case was Dr. DM, a general surgeon with whom I spoke on 11/6/19, is appropriate as a “peer to peer” reviewer. I explained that a general surgeon is not a “peer” in any sense of the word. A general surgeon is not adequately trained orthopedic surgery any more than I would be an expert on gallbladder or hernia issues, and certainly is not trained in spine surgery. I also noted that when I asked Dr. DM what he suggested as a treatment plan for the patient, Dr. DM did not have any answers about how to treat the patient. Also, Dr. DM did not recognize that the procedure that was being proposed was approved by Medicare and was indeed not experimental. Mr. G felt that any medical professional could read medical guidelines and was appropriate to review these cases. Although I made very clear that Dr. DM, as a general surgeon, was not in anyway a peer, Mr. G stated he would not discuss this point further.
- Gangrene
- Lesions
- Burns
- Sports Medicine
- Physical TherapyA: Usually this term refers to any treatment that can help avoid surgery. Generally, we begin with medications and physical therapy including exercise. On occasion, we need to incorporate more aggressive interventions such as epidural injections. These techniques allow you to be more comfortable during the early phase of a painful spine problem. They are not curative, rather they are designed to give you relief while waiting for the symptoms to settle down. In the long run, a consistent, aerobic exercise program will help people decrease the frequency of the spine symptoms. In addition, it is important to understand the basic rules needed to protect your back while staying active. This may help prevent recurrences.
- Slipped DiscA: Really these are both sides of the same coin, like the difference between Kleenex and tissues. The disc is the cushion between the vertebral bodies that separates them, bears the weight, and yet allows some motion to occur. The disc has a structure like a jelly donut. Although the center is not actually jelly-like, the analogy is still appropriate. A slipped disc or herniated disc describes a condition where some of the jelly has squirted through the dough and is touching the nerve. Whether you think of the dough as tearing or rupturing or slipping, the distinction is just a choice of words. The term refers to some type of disc problem.
- Back Pain