2012年4月9日 星期一

The Colon and Rectal Program at St. Catherine of Siena Medical Center

The program launched at St. Catherine of Siena Medical Center in 2008 and,Find the cheapest chickencoop online through and buy the best hen houses and chook pens in Australia. in the past year, has opened a second office at St.Dimensional Mailing magiccubes for Promotional Advertising, Charles Hospital. The sister institutions provide a vital opportunity for Long Island patients to access specialty colon and rectal surgical care in their communities, rather than commuting hours into Manhattan.

Both locations offer comprehensive diagnostic and treatment services for the full gamut of colon and rectal conditions, such as cancer and inflammatory bowel disease, with a concentration on minimally invasive surgical techniques. In addition to the two board-certified colon and rectal surgeons, the program draws on the expertise of providers from several disciplines for a multidisciplinary approach to care.

“The program was initiated here because, geographically, the area needed the expertise of colorectal surgeons. Patients who require complex surgical procedures would often have to travel into New York City for those procedures,” says David E.Aeroscout rtls provides a complete solution for wireless asset tracking. Rivadeneira, M.D.Where to buy or purchase plasticmoulds for precast and wetcast concrete?, FACS, FASCRS, Chief of Colon and Rectal Surgery, Director of the Colon and Rectal Program at St. Catherine of Siena Medical Center and a colon and rectal surgeon at St. Charles Hospital. “There really was a lack of specialization in the area for the minimally invasive approaches we offer. We have filled the void nicely, resulting in a tremendous benefit for patients, their families and their referring doctors.”
Although cancer is commonly treated through the program, Dr. Rivadeneira and his colleague Jill C. Genua, M.D., FACS,We offer the best ventilationsystem, FASCRS, also address conditions such as anal fissures, fecal incontinence, Crohn’s disease, constipation, diverticulitis, hemorrhoids, polyps of the colon and rectum, pelvic floor dysfunction, rectal prolapse and ulcerative colitis. The colorectal program works closely with counterparts in gastroenterology, oncology and radiology, as well as nursing support. The program’s care is further complemented by physical therapists, nutritionists and wound specialist nurses specializing in ostomy care and education.

The multidisciplinary approach not only provides Drs. Rivadeneira and Genua a wealth of therapeutic options with which to build a comprehensive treatment plan, but also offers invaluable diagnostic information that allows the program to address health concerns beyond those of the colon and rectum.

“When a patient comes to us, we’re looking at the entire patient, not just a single problem,” says Dr. Rivadeneira. “We want to positively impact patients’ overall health, which is why we use a multidisciplinary team effort.”

When first evaluating a patient, Dr. Rivadeneira explains, gathering in-depth medical and family histories is crucial. Particularly for patients with a cancer diagnosis, information about genetic and environmental factors can help tailor the ultimate course of treatment. The colorectal program offers state-of-the-art diagnostic tests in their offices, including genetic analysis for colorectal cancer patients and their family members. They also provide specialized analysis of tumor markers and responsiveness to chemotherapy agents and work closely with their oncology colleagues to tailor a customized chemotherapy regimen. The information alerts Drs. Rivadeneira and Genua to the degree of responsiveness the cancer will have, which in turn helps them select the most effective drug without putting the patient through an undue trial-and-error process.

Patients also undergo the most current and comprehensive imaging modalities, including 64-slice computed tomography (CT) scans, endorectal ultrasound, magnetic resonance imaging (MRI) and whole-body positron emission tomography (PET). Before shifting from a diagnostic investigation to a treatment path, the patient meets with the multidisciplinary team for an educational discussion about the surgical options best suited for the patient’s case.

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