TOTALCARE FOR WOMEN
Convenience and comfort with in-office procedures
by Michelle Wagner
From left to right: Steven B. Powers, MD, Candice Geary, MD, Gwendolyn Riddick, DO, George Rector, Jr., MD, amd Paul I. Lindner, MD - Photos by Kaiser Custom Images
When it's time to undergo a medical procedure, particularly when it involves a hospital visit, anxiety can often run high for a patient and her family members.
Nobody, perhaps, knows this better than the caring doctors at TotalCare for Women. After decades of experience, they get it. They know that even minor procedures can evoke feelings of uncertainty and fear among their patients, not to mention the toll it can take on the patients when it comes to their time and money.
That is exactly why the doctors at TotalCare have made a commitment to safely provide as many minor procedures as they can right in the office - where patients feel comfortable and at ease.
"Going into a surgical procedure is going to make anyone nervous," says TotalCare's Paul Lindner, MD, who joined the TotalCare team in 2005 after being in a private gynecology practice for years. "Here in the office, patients are much more comfortable and are familiar with our friendly and warm staff. We know that puts them at ease and that's important to us."
The staff is warm and caring, and puts patients at ease. From left to right: Barbara Talhelm, M.A., Patient- Kelly Meredity, Andrea McCarthy, M.A. (standing), Dr. Candice Geary (seated), Valerie Nisewarner, LPN
"Going into a surgical
procedure is going to make anyone
nervous. Here in the office, patients are much
more comfortable and are familiar with our friendly
and warm staff. We know that puts them
at ease and that's important to us."
- Dr. Paul Lindner
Having procedures done in the office also means reduced exposure to bacteria and viruses that are commonly found in hospitals. It translates into quicker recovery times and less out-of-pocket cost to patients.
After working together for a number of years, Steven B. Powers, MD and George Rector, MD founded TotalCare for Women, which opened its doors in 1999. Since then, it has become a leader in obstetrics and gynecology in the Hampton Roads area.
Along with Dr. Powers, Dr. Rector and Dr. Lindner, TotalCare's team of knowledgeable doctors also include Gwendolyn Riddick, DO and Candice Geary, MD.
For the past four years, this team has been offering simple procedures in their offices in both Chesapeake and Virginia Beach, making it one of the first practices in the Hampton Roads area to offer such services in-house. They continue to be one of the few practices that offer in-office procedures.
With a board certified anesthesiologist on board, TotalCare's team offers safe and compassionate care while performing routine procedures such as dilation and curettage (D&C), hysteroscopy with D&C, uterine ablation, Essure sterilization, and loop electrosurgical excision (LEEP).
At TotalCare, doctors take the time to get to know their patients. They also know that their patients' time is precious, which is another reason why being able to offer these services is so important to these providers.
"These minor procedures done in the office easily fit into a patient's schedule as opposed to them having to go through the rigmarole of going to the hospital," Dr. Lindner says. "It takes less than half the time for a patient to come to the office for the procedure."
TotalCare has partnered with Anesthesia Connections, LLC, working closely with board certified anesthesiologists who focus solely on the outpatient clinic setting.
"This partnership has afforded patients a reduction in healthcare cost, significantly less time spent having a procedure, and the comfort of being in a familiar setting," Thomas D. Lesperance, Jr., Anesthesia Connections, LLC's chief executive officer explains
A woman knows her body, and sometimes irregular or abnormal bleeding may occur. Abnormal uterine bleeding is any bleeding or spotting between periods, bleeding after intercourse, bleeding more heavily or for more days than usual during menstruation, or bleeding after menopause. These instances need to be evaluated by a doctor. This can be accomplished by D&C, or hysteroscopy with D&C, and these are the two most common procedures offered in the office.
During a D&C, a doctor will dilate the cervix and use a surgical instrument called a curette to remove uterine tissue for testing, or to remove uterine polyps and fibroid tumors. During a hysteroscopy with D&C, a doctor will insert a slim instrument with a light and camera on the end into the vagina, through the cervix, and into the uterus. This allows the doctor to look on-screen for areas of abnormality.
Uterine ablation is another common procedure performed in the office. During this procedure, slender tools are inserted into the vagina and uterus. A laser beam, electricity, freezing or heating are used to destroy the uterine lining, or endometrium, in order to treat abnormal uterine bleeding. After this procedure, some women experience no bleeding at all.
The team also offers Essure permanent birth control, a non-surgical sterilization procedure that is an alternative to bilateral tubal ligation (BTL). Patients who opt for Essure benefit from quicker recovery periods than the surgical alternative, and save money at the same time. The 10 minute procedure involves a doctor placing flexible inserts into each of the fallopian tubes. Over the following few months, the body and the Essure inserts work together to create a natural barrier within the tubes.
"These minor procedures
done in the office easily fit into a patient's
schedule as opposed to them having to go through
the rigmarole of going to the hospital. It takes less than
half the time for a patient to come to the
office for the procedure."
- Dr. Paul Lindner
Loop electrosurgical excision procedure (LEEP), used to diagnose and treat precancerous conditions of the cervix, is also offered. This treatment removes abnormal cells and tissue from the cervix.
"One of the best things about providing these services in the office is that patients are still in a professional setting but have more one-on-one attention, and are surrounded by familiar and compassionate doctors and staff," Dr. Geary points out.
Dr. Paul Lindner mentors Breeanna Feauto, PA Student
"The staff adds a real personal touch to the office and takes care of all the insurance and verification steps for the patient," Dr. Geary continues. "They really walk patients through the process."
Offering these procedures for patients in the office is just one of the many reasons so many women choose TotalCare, a division of Mid-Atlantic Women's Care.
Also specializing in obstetric care for both routine and high-risk pregnancies, TotalCare services a diverse obstetric population from the first prenatal visit and 3D ultrasounds, all the way through labor and delivery at Chesapeake General Hospital.
"The staff adds
a real personal touch to the office
and takes care of all the insurance and
verification steps for the patient. They really
walk patients through the process."
- Dr. Candice Geary
"We can take care of most of our high-risk obstetrics right here," Dr. Rector says. "And if we need to, we refer patients to Maternal Fetal Medicine."
The practice is also happy to announce plans to add midwifery care to its list of services. "We offered midwifery in the past, and are looking forward to doing so again," Dr. Rector says.
Doctors here care for all aspects of gynecology for adolescents, women of reproductive age and post-menopausal women. "We also provide a great deal of care to menopausal women who are experiencing painful intercourse, urinary leaking, or want to pursue natural hormone replacement to help with mood swings and other symptoms of menopause," Dr. Geary adds.
TotalCare also offers evaluations of urinary incontinence. Doctors work closely with patients to recommend treatment options such as the nonsurgical approach InTone, a customizable device for women that aids in strengthening the surrounding muscles through Kegel exercises. Other possible treatments offered for the condition include medication, surgery or combination therapy.
Gwendolyn Riddick, DO, joined the practice in 2014. Born and raised in the small town of Gatesville, North Carolina, Dr. Riddick grew up surrounded by her large, close-knit family. The third of six children born to Selma and Carlton Riddick, she knew her career path at a very young age. "I knew that I wanted to be a physician way back in elementary school," Dr. Riddick says with a smile. "It was just something I always wanted to do."
Dr. Riddick practices all areas of women's health -obstetrics, gynecology, and laparoscopic surgery with a special interest in disease prevention and health promotion.
There is a special place in her heart for adolescents and young adults. "I enjoy all my patients, but I do love adolescent medicine and adolescent and young adult OB/GYN patients," she states with fondness. "My personal experience allows me to understand young women's issues, so I'm able to draw on that experience to help others."
During a career that has spanned 26 years, Dr. Steven B. Powers' commitment to practicing good medicine has garnered him much professional acclaim. Regarded as one of the leading obstetrics and gynecology specialists in Virginia, he was selected by the International Association of HealthCare Professionals to represent his community in the publication The Leading Physicians of the World. When he was chosen to receive this prestigious honor in August 2014, his "continued commitment to excellence and his passion for patient care" were cited as the reasons.
That commitment and passion are evidenced in his patients' gratitude. Recently, a patient now stationed in Florida by the Navy, wrote Dr. Powers to thank him for the excellent care he provided while she lived in Hampton Roads.
"There are no words to express how appreciative I am," she wrote. "I came to you in so much pain and was full of hopelessness because no one believed me. You took one look at me and knew I was suffering with endometriosis and made it go away- Thank you for making me feel like a human again! I love being able to walk straight and tall!"
You take care of others-
let us take care of you.
Providers at the Chesapeake practice are proud of the office's state-of-the-art SECURE electronic medical records system that allows doctors to see patients' medical history and records from anywhere - whether they are at the hospital, office or are on call. It also empowers patients by providing them easy and secure access to their own records.
"It's always been important to us to look for ways to improve services to our patients," Dr. Rector emphasizes. With a motivated team of doctors and staff, it's no wonder that TotalCare is one of Hampton Roads' premier women's health practices.
And it's certainly clear by the warm and caring atmosphere TotalCare provides that it stands by its motto: "You take care of others-let us take care of you."
TotalCare for Women
667 Kingsborough Square
Chesapeake, VA 23320
700 Independence Circle
Virginia Beach, VA 23455