General Practitioners

• Arthritis
• Medical Weight Loss
  Weight-loss surgery benefits are covered by most insurance carriers. Each insurance company has specific requirements that patients will be required to meet prior to the authorization of the weight loss surgery.
• Primary Care
  Breast self examination (BSE) is just that - check your own breasts on a monthly basis. Its easy to learn and do, takes less than five minutes and instructions are available online, from your doctor or at the TidalHealth Breast Center. Women should start this monthly exam by age 20 but I would encourage an early start - those healthy habits started young tend to persist as you get older. If you find a lump, nipple discharge or other abnormality, notify your doctor. A clinical breast examination (CBE) can be done by your OB/GYN, primary care office or at the PRMC Breast Center. Again, start at age 20 with clinical breast exams at least every 3 years and then annual exams after age 40.
• High Cholesterol
• Colonoscopy
• Electrocardiogram
• Urinary Incontinence
  Among women, morbid obesity is a risk factor for stress urinary incontinence, or uncontrollable urine loss. A large, heavy abdomen and relaxation of the pelvic muscles due to morbid obesity may cause the valve on the urinary bladder to weaken, leading to leakage of urine with coughing, sneezing, or laughing. Bariatric surgery has been found to improve stress urinary incontinence. Less weight is placed on the bladder, and other physical changes take place to improve this condition.
• Diarrhea

Gynecologists

• Female Infertility
• Pregnancy

Internists

• Kidney Cancer
  Morbid obesity may put you at a higher risk for several types of cancer, such as colon, breast, and kidney cancer. In 2003, an article in the New England Journal of Medicine estimated that obesity could account for...
• Endoscopy

Psychiatrists

• Depression
• Mental Health
  Depression is an illness that involves the body, mood, and thoughts. It affects the way a person eats, sleeps, thinks, and feels. There are many reasons people with morbid obesity experience depression. Emotional health goes hand in hand with physical health. Lifestyle improvements and renewed health can help resolve depression. Weight loss, combined with counseling, can be very helpful in improving mental health.

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
  Diagnosis and treatment of venous pathologies, including intravascular ultrasound (IVUS), central venous angioplasty / stenting, and RFA ablation.
• MRI
  Although BSE, CBE and mammography are basic screening, additional tests may also be used such as breast sonograms and/or MRI. These tests cannot replace mammography but can yield valuable information. Ultimately, an abnormality may require consultation with a surgeon and a biopsy to prove if cancer is present. Breast biopsies obtain a tissue sample to be examined under a microscope and are usually minimally invasive- performed with a needle which can be guided to the area of concern using mammography (called a stereotactic biopsy), sonogram or MRI. The result of the biopsy is generally available in 3 to 5 days and most abnormalities are not cancer (85-90% of biopsies are benign).
• X-Rays
• Mammography
  So what can you do about it? Well, we have all heard the old saying “the early bird catches the worm” and it definitely applies to breast cancer. Early detection is the key and good screening leads to early detection. There is general agreement among most of the experts on screening recommendations which include breast self examination, clinical breast examination by a health care professional and mammography.

Surgeons

• General Surgery
  Dr. David Walker has been practicing surgery in Salisbury, MD since 1986. Experienced in all areas of general surgery, Dr. Walker has a special interest in oncology surgery including breast diseases and cancer. His breast surgical practice includes thorough consultations, management and follow-up of all breast diagnoses with the use of minimally invasive biopsy procedures and breast cancer surgery with an emphasis on oncoplastic reconstructive techniques for breast conservation. He lives in Salisbury with his wife, Elizabeth. His outside interests include golf, travel and UK sports.
• Wound Care
  A Maryland native from Frederick and graduate of St. Mary's College of Maryland, Dr. Kastello joined Mid-Atlantic Surgical Group to add surgical critical care, trauma, and wound care to the group's range of specialization, bringing him closer to family and back to the water.
• Minimally Invasive Surgery
  Dr. Chin joined Mid-Atlantic Surgical group after the completion of his surgical training in 2000. He is experienced in a wide range of general surgical procedures including minimally invasive surgery utilizing both laparoscopic and robotic approach. His main interest lies in the treatment of cancers of the thyroid, gastrointestinal tract particularly of colorectal origin, pancreas, and liver along with surgical treatment of morbid obesity. Dr. Chin has been living in Salisbury with his wife Eva since 2000.
• Vascular Surgery
  The surgeons of Mid-Atlantic Surgical Group provide the most advanced surgical care to the Eastern Shore of Maryland, Virginia, and Delaware.
• Robotic Surgery
  With the Da Vinci System, surgeons operate through just a few small incisions, using a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human wrist. As a result, Da Vinci enables your surgeon to operate with enhanced vision, precision, dexterity and control. Da Vinci is used for performing routine and complex surgery. Your surgeon is 100% in control of the Da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body.
• Laparoscopy
  The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopy surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.
• Reconstructive Surgery
  For patients with arterial disease requiring traditional surgery, the Vascular Surgeons at Mid-Atlantic Surgical Group are prepared to provide advanced surgical care and hybrid endovascular technologies to speed up recovery.

Plastic Surgeons

• Breast Surgery
• Laparoscopic Surgery
  Laparoscopic surgery also referred to as 'minimally invasive surgery' describes the performance of surgical procedures with the assistance of a video camera and several thin instruments. During the surgical procedure, small incisions of up to half an inch are made and plastic tubes called ports are placed through these incisions. The camera and the instruments are then introduced through the ports which allow access to the inside of the patient.
• Cosmetic Surgery
• Bariatric Surgery
  Bariatric Surgery FAQs - We focus on quality care at a personal level, with attention to every aspect of the surgical patient’s care.