Transcript X - CaroMont Health

CaroMont Surgical Associates
Location and Access
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CaroMont Surgical Associates (X)is located on the third floor of the Gaston
Professional Center. This building is attached to CRMC
Outpatient Surgery Center (X) is located in the same building
Easy access off I-85
Free parking
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Our Surgical Staff
Anthony P. Borzotta, MD FACS
Special Area of Interest: Trauma and Critical Care Surgery
James “Kris” Harley, DO
Special Area of Interest: Endoscopy, Trauma, Critical Care
Advanced Laparoscopy and Colorectal Surgery
Jeffrey S. Molle, MD
Special Area of Interest: Gastric, Colon and Trauma Surgery
Our Surgical Staff
DeMar A.Neal III, MD
Special Areas of Interest: Endoscopy, Acute Care and
Gallbladder Surgery
Anthony E. Raspanti, MD
Special Areas of Interest: Trauma, Critical Care, Laparoscopic
Surgery, Endocrinologic and Hernia Surgery
James “Doug” Reid, MD
Special Areas of Interest: Colon, Endoscopy, Laparoscopic
Surgery and Hernia Surgery
Our Surgical Staff
Graydon Stallard, DO
Special Areas of Interest: Trauma, Critical Care, Endocrinologic
Surgery, Hernia Surgery, Laparoscopic Surgery, and Endoscopy
Our Advanced Care Practitioners
Koren Flemming, PA-C
Kimberly McKenny, NP
Our Services
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Thyroidectomies
Parathyroidectomies
Laparoscopic Nissen Fundoplication
Laparoscopic and Open Ventral/Umbilical Hernia Repair
Laparoscopic and Open Inguinal Hernia Repair
Laparoscopic Cholecystectomy
Laparoscopic Appendectomy
Laparoscopic and Open Colon/Small Bowel Excision for any Indication
Laparoscopic Diverting Colostomy
Gastric Surgeries
Laparoscopic Lymph Node Biopsies (intra-peritoneal)
Diagnostic Laparoscopy
Our Services
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Percutaneous Gastrostomy Tube Placement (PEG tube)
Percutaneous and Open Tracheostomy
EGD and Colonoscopy
Amputations (below knee and above knee)
Denver Shunt Placement for Ascites Control in Medically Optimized
Patients
Skin Grafting
IF YOU HAVE A PATIENT WITH AN ISSUE THAT YOU FEEL IS
SURGICAL, PLEASE CALL US! IF WE CAN NOT HANDLE THE
ISSUE, WE WILL SEND YOUR PATIENT TO THE PEOPLE WHO CAN!
Our Services
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Hemorrhoid Surgeries
– THD (Transanal Hemorrhoidal Dearterialization
– PPH (Procedure for Prolapsed Hemorrhoids)
– Lancing of Thrombosed Hemorrhoids
– Traditional External Hemorrhoidectomy
– Internal Hemorrhoidal Banding
Lumps and Bumps
– Hidradenitis Suppurativa (lancing and excision)
– Pilonidal Cystectomy
– Lymph Node Biopsy (outside of the abdomen)
Abscesses (including peri-rectal)
– Removal of Perianal Condyloma via CO2 Laser and Excision
– Laceration repair
– Excision of skin lesions
Port-a-Cath Placement and Removal
– Removal is done in our office
Nissen Fundoplication
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For Treatment of Symptomatic Hiatal Hernias
Needs Gastroenterology Evaluation Pre-op - we can arrange your
patient’s visit to GI if they have not already seen them
– EGD
– pH monitoring
– Esophagram to asses esophageal function
• Depending on the results, patient may only be a candidate for a partial
wrap
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Post-op Expectations
– Patient will be started on Clear Liquids on Post-Op Day #1 and advanced to
a soft diet as tolerated
– After two weeks post-op, a regular diet can be started. Carbonated
beverages are NOT recommended post-op
– Typical length of stay in the hospital is 2-4 days post-op
– Pain is easily controlled with PO medications
Parathyroid/Thyroid Surgery
• Established relationships with the
Endocrinologists
• Patient post-op partnership
• Labs and imaging studies ordered as needed
Parathyroid/Thyroid Surgery
What to Expect:
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Typical Incisions
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Parathyroid: 3 - 4cm shirt collar incision in a natural skin crease if possible
• Despite radiologic evidence of only one adenoma, all 4 glands will be explored
Thyroid: 4 – 6cm shirt collar incision in a natural skin crease if possible (may need to
be extended in the event of a very large goiters)
• Drains are VERY rarely placed by our surgeons and the incisions are closed
with your patient’s cosmesis in mind
Your patient will be admitted to the hospital overnight for both surgeries
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To trend calcium levels (immediately post-op and post-op day 1)
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Patients will be placed on a clear liquid diet immediately post-op and
advanced to regular diet as tolerated
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Pain is easily controlled with oral medications
Patient Satisfaction Scores - HealthStream
Insights on
Demand Report
by Category
CSA Top Box
HSTM DB Top Box HSTM DB Top Box
Percentile Rank
Getting Timely
Appointments, Care
and Information
77.4%
63.2%
90
How Well Providers
Communicate with
Patients
95.9%
86.5%
96
Patients Rating of
the Provider
91.9%
81.9%
91
Access and Referral Process
• For questionable or urgent referrals, please call
our provider line at 704.671.7625
• This line is open Monday through Friday 8:30
am to 4:30 pm to assist you