General Practitioners

• Erectile Dysfunction
• Pneumonia

Radiologist

• Ultrasound
  Following a comprehensive examination by your family physician or vascular surgeon, they will arrange for an ultrasound (U/S) of your carotid arteries.  The U/S is a painless, risk-free test which provides a preliminary picture of these arteries.  It may be done in the office or outpatient hospital.   Following interpretation of the U/S by your vascular surgeon, further tests may be required.
• MRI
  Aneurysms can most often be found during a routine physical exam that includes palpation of the abdomen. Abdominal aortic aneurysms can be felt as a pulsating mass typically to the left of the midline at the level of the belly button (umbilicus). Various test modalities are available to evaluate the extent and size of aneurysms, these include: ultrasound (U/S), CT (computerized tomography) scan, MRI (magnetic resonance imaging), and arteriography. These tests vary in extent of resolution as well as pricing and although are very useful alone as a screening tool they are typically used in combination when preparing for surgical repair.
• X-Rays
• Computed Tomography
  Endovascular repair offers several advantages when compared to traditional (open) surgery including a significant reduction in medical complications and length of hospital stay. Endovascular repair has been shown to significantly reduce the occurrence of myocardial infarction (heart attack), cardiac arrhythmia (irregular heartbeat), congestive heart failure and blood loss during surgery. Hospital length of stay for traditional surgery averages six (6) days, with at least 24-48 hours in an intensive care unit. The hospital recovery for endovascular repair is usually 1 or 2 days and fewer patients require time in the intensive care unit. Prior to discharge, a CT scan, ultrasound, or abdominal x-ray will be performed to ensure that the endovascular graft is working properly. Once discharged, most people return to a normal level of activity by 2 weeks compared to 6-8 weeks for traditional repair. Follow-up visits thereafter will be approximately biannually based on an individual situation.

Surgeons

• General Surgery
  Lemuel G. Yerby, III, M.D., a native of Raleigh, attended Georgia State University, and received his medical degree from Emory University in Atlanta, Georgia.  He then completed his general surgery residency at Vanderbilt University Medical Center in Nashville, Tennessee.  He has also completed a Fellowship in Critical Care Medicine at Duke University Medical Center. Dr. Yerby is certified by the American Board of Surgery and is Chief of Surgery at Western Wake Medical Center. Dr. Yerby served our country in the Gulf War as a naval officer. He and his wife, Ann, have one daughter.
• Vascular Surgery
  Victor A. Medina, M.D., F.A.C.S., originally from Rhode Island, attended undergraduate, graduate, and medical school at the University of Nebraska - Lincoln and at the University of Nebraska Medical Center in Omaha where he was a Nellie House Craven Scholar in Academic Medicine.  He completed his general surgical training at Yale-New Haven Hospital and St. Mary's Hospital in Connecticut, and his Fellowship in Vascular Surgery at St. Vincent Medical Center in Ohio.  Dr. Medina is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons and the Southeastern Surgical Congress.

Plastic Surgeons

• Breast Surgery
  David Zeiler, M.D., was born in Montreal, Canada, and was raised in Massapequa, NY. He received his undergraduate and graduate degrees from The State University of New York at Buffalo, and in 1980 received his medical degree from the University of Vermont Medical School. He trained as a General Surgical Resident at the University of Rochester in Rochester, NY, and was chief resident in the Medical Center Hospital in Burlington, VT. He practiced with Rhode Island Group Health Association and its successor, the Harvard Community Health Care Plan, serving as president of the group for several years. In 1994, Dr. Zeiler started the surgical program at Lakeview Medical Center in Suffolk, VA, and also served as Chief of Surgery at Sentara Obici Hospital. Dr. Zeiler is certified by the American Board of Surgery. His interests include general and advanced laparoscopic hernia repair, breast surgery, and hemorrhoidal and gall bladder disease. He is also interested in complex abdominal wall hernias.
• Laparoscopic Surgery
  Advances in technology have led to various successful methods in the treatment of hernias. Laparoscopic surgery can decrease operative time although it is typically more expensive than the standard repair. Furthermore, not all hernias can be repaired using laparoscopic techniques. The Kugel Hernia Patch repair, on the other hand, is quick, decreases postoperative disability as well as maintaining a low risk of hernia recurrence. The Kugel Hernia Patch, designed by Dr. Robert D. Kugel, is a patented design, which reduces recurrence rate by covering the entire inguinal floor. The Kugel repair is a minimally invasive procedure that combines the best features of the open hernia repair and the Laparoscopic hernia repair. The Kugel procedure is a tension free near "suture-less" repair. Post operatively, patients are released to "common sense" activities. Best of all, the repair is performed quickly through a single small incision, usually under local or regional anesthesia.

Dermatologists

• Ulcer
  Varicose veins are often hereditary and inevitably become larger and more numerous over time (especially with pregnancy). As a result, symptoms may progress to swelling (edema) of the legs and ankles, causing heavy, tired, aching legs. They may also cause localized tenderness, burning, itching and pressure-like sensation to the area of the varicosity. In addition, you may experience increased warmth, redness, (erythema), and pain as a precursor to formation of a blood clot (superficial phlebitis). Chronically untreated varicose veins associated with recurrent bouts of phlebitis may lead to irreversible leg discoloration, swelling, and ulcer formation.

Physical Therapists

• Physical Therapy
  Physical Therapy: Our surgical staff provides instruction on pre and post-operative range of motion exercises that will aid the patient in maintaining optimal function.