Thursday, April 26th, 2018

S Shopper Stories


TOTALCARE FOR WOMEN

A practice where women’s concerns are truly heard

by Kym Bach


Front row: Dr. Candice Geary, Dr. Gwendolyn Riddick and nurse midwife Lauren Jordan  <BR>Back row: Dr. Paul I. Lindner, Dr. George Rector, Jr. and Dr. Steven B. Powers<BR>Photo courtesy Knox Studios

Front row: Dr. Candice Geary, Dr. Gwendolyn Riddick and nurse midwife Lauren Jordan
Back row: Dr. Paul I. Lindner, Dr. George Rector, Jr. and Dr. Steven B. Powers
Photo courtesy Knox Studios

In 1999 George Rector, MD and Steven Powers, MD, two well-respected, kind and affable doctors, partnered to create TotalCare for Women, a caring and dedicated practice where a patient’s wellbeing is always of the utmost importance. These warm and approachable physicians have transformed obstetrics and gynecology in Hampton Roads. Paul Lindner, MD,  Candice Geary, MD, Gwendolyn Riddick, DO, and nurse midwife Lauren Jordan, MSN, CNM make up the passionate team committed to providing excellent patient care while always keeping their patients’ comfort in mind.


“I really enjoy making the hospital setting
feel warm and comfortable for a baby’s delivery.
I will let my patients labor and deliver in any way they like;
I encourage eating, drinking and moving around.
We promote a natural birth as much as possible.”

—Lauren Jordan, MSN, CNM


“We make sure our patients are getting their mammograms, Pap smears and colonoscopies, and we’ll even assess a patient’s overall health habits,” Dr. Powers explains.

“We have a long-term, multi-generational approach to health care,” Dr. Powers continues. “Our focus is building that bond with our patients.” As a result, many patients have been coming to TotalCare for years, and when their daughters or nieces need care, they know the doctors here are knowledgeable and trustworthy.

The newest member to join the practice, Lauren Jordan, has an extensive background in intensive cardiac care unit nursing. As she considered her options for a masters degree, she spent a month working in labor and delivery. That was all the time she needed to decide that becoming a certified midwife was what she wanted. That was over 11 years ago.

“I really enjoy making the hospital setting feel warm and comfortable for a baby’s delivery.” Lauren continues, “That being said, I will let my patients labor and deliver in any way they like; I encourage eating, drinking and moving around. We promote a natural birth as much as possible, and we only induce when it is medically necessary.”


Barbara, just one of the friendly staff members, takes a patient’s blood pressure and pulse<BR>Photo courtesy Knox Studios

Barbara, just one of the friendly staff members, takes a patient’s blood pressure and pulse
Photo courtesy Knox Studios


 Lauren can also treat non-pregnancy related health issues that affect women from teenagers to great-grandmothers. “A continuity of care for my patients and being an advocate for them is very important to me. Staying up to date on the prevention of heart disease, obesity, gastrointestinal problems and hypertension, or colonoscopy guidelines is important in comprehensive, preventative care for my patients,” Lauren emphasizes. 

The doctors of TotalCare have embraced having a midwife involved in the practice once again.

“I’m really excited about this!” Dr. George Rector exclaims. “The midwife has an important role to play. Not only will Lauren focus on delivering babies, but she will also be able to spend time educating pregnant women. And now our patients can have epidurals and still deliver with a midwife - that’s a huge change! Eventually we hope to have a midwife practice within our existing practice.” 

TotalCare is an evidence based practice, meaning they follow the newest guidelines and treatments; but they also are one of the only practices in the area that offer several in-office procedures. Patients are much more comfortable at the office where they are familiar with the warm and friendly staff and having procedures done in the office instead of a hospital also means reduced exposure to bacteria and viruses. It translates to quicker recovery times and less out-of-pocket costs to patients as well.


“I’m really excited about this!
The midwife has an important role to play...
now our patients can have epidurals
and still deliver with a midwife - that’s a huge change!
Eventually we hope to have a midwife practice
within our existing practice.”

—Dr. George Rector

 
“For decades we performed even very simple surgeries in the hospital, but we found that by doing them in-office our patients are much more relaxed and at ease, and they save time and money,” Dr. Lindner explains. “It’s much more convenient for our patients. However, not every patient is a candidate for in-office procedures due to the possible presence of other medical conditions, so each patient is screened individually. Safety is paramount!”


Dr. Candice Geary and Dr. Steven B. Powers collaborating<BR>Photo courtesy Knox Studios

Dr. Candice Geary and Dr. Steven B. Powers collaborating
Photo courtesy Knox Studios

“Our in-office procedures are performed with board certified anesthesiologists,” Dr. Powers points out. “It adds another degree of safety, and gives even more confidence to our patients, knowing that a specially qualified professional is administering the anesthetic.” 


“As we get older,
many of us experience changes
that nobody wants to talk about...
Come and see me...
There is no reason to suffer.”

—Dr. Candice Geary


Enhancing the in-office procedures even more, TotalCare for Women has moved to new, larger offices designed for the practice’s specific needs. A larger procedure room, on-site fetal non-stress test room (NST), and overall having more space make patient care much more comfortable.      

Among the in-office procedures performed are hysteroscopy and hysteroscopy with D&C. “During this procedure,” Dr. Lindner says, “we insert an instrument with a light and camera inside the uterus. There is no cutting involved. Many times we are dealing with bleeding issues and this procedure helps to assess the uterine cavity. Based on our findings, we can simply evaluate, or evaluate and immediately treat, depending on the issue.”

Another common procedure is the removal of painful fibroids. Small to medium fibroids can be removed at the office right now. Since the tools used for diagnosing fibroids or polyps have been undergoing more research and development than before, Dr. Lindner hopes to soon be able to offer removal of large fibroids in-office as well.  

A procedure called loop electrosurgical excision procedure (LEEP) is available on-site as well. LEEP is used to diagnose and treat precancerous conditions of the cervix. The treatment removes abnormal cells and tissue.

Uterine ablation is often performed in the office to treat abnormal uterine bleeding. 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. 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.

“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.

“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.”

In addition to these procedures, TotalCare is a source of understanding and empathy for patients at every stage of life. Dr. Geary likes to focus on menopausal women and their symptoms. “As we get older, many of us experience changes that nobody wants to talk about,” the physician begins. “There are prominent problems such as painful intercourse, bleeding, or leaking urine and most can be controlled easily by medications or procedures. Most women will go through menopause without any issues; but for those who are in pain a new procedure called Mona Lisa Touch rejuvenates the vaginal tissues and can alleviate that pain. No hormones are involved. In some cases, breast cancer patients can use this treatment in place of hormones.”


The new Chesapeake office, left, the new Virginia Beach office, right

The new Chesapeake office, left, the new Virginia Beach office, right


It can be difficult to determine when a patient should be treated for menopause. “If a patient is in pain, has any dysfunctional bleeding, or if night sweats are waking them up, it’s a good time to come and see me,” Dr. Geary says. “Hormones get a bad rap, but new literature has shown that if one starts taking them at menopause, it can be a good thing. There is no reason to suffer.”


Neuromodulation stimulates the nerve
that relaxes the bladder,
thus decreasing the frequency
or urgency of urination.



Many women struggle with urinary urgency, frequency and  incontinence, but they don’t have to. There are ways to prevent the bladder muscle from contracting when one doesn’t want it to. Physical therapy, Kegel exercises, or medications are a few ways to treat this problem. However, TotalCare also offers a different option called neuromodulation. This treatment stimulates the nerve that relaxes the bladder, thus decreasing the frequency or urgency of urination. The nerve is near the ankle so it’s easily accessible via an in-office, non-surgical procedure that is low risk and has little to no discomfort. Neuromodulation is not a permanent fix, however, and a patient will require an adjustment a few times a year. 
 
Dr. Riddick likes to work with teenagers. “Teaching and counseling teenagers about reproductive health and providing them with a realistic approach is very rewarding for me,” she says. “I have a special fondness for my young patients both because I was a teenage mother myself and because of my personal experiences.” 

Although Dr. Riddick enjoys her relationship with teens, she likes providing the best possible care to people of all ages and backgrounds. “Giving back to my community is so very important to me. I volunteer twice a week at the Southeastern Virginia Health System where I’m happy to provide OB/GYN services to patients with little or no insurance or means of income. Promoting good health habits is a priority for me, and the best way for me to do that is to educate my patients on the importance of regular screenings and checkups.”    
  
Part of patient care is good maintenance of records and easy access to test results for patients and doctors. Patient Portal is a secure, state-of-the-art method of providing these. This electronic medical record lets TotalCare patients access their records at their convenience so they aren’t waiting for a phone call or e-mail; it also allows the doctor to access the system whether they are at the hospital or in the office. “I still don’t believe bad news should be e-mailed,” Dr. Rector explains, “so I still make many phone calls, but the system has certainly made life easier. Patients can access their records before their appointments and let my staff know of any health changes early, which means waiting room times are shorter as well.” 

Each doctor at TotalCare for Women has their own reasons they find OB/GYN so rewarding.  For instance, Dr. Rector’s favorite part is delivering babies. Dr. Geary relishes the lifelong relationships she has built with her patients, seeing many of them for 20 years or more. Dr. Lindner enjoys seeing completion - whether it’s delivering a baby or helping someone feel better. 

Lauren perhaps says it best. “When I deliver a baby, I always tell them ‘happy birthday!’ Birth is a celebration of life, and I get excited about it every single time! That’s exhilaration that lasts.”




TotalCare for Women

667 Kingsborough Square
Chesapeake, VA 23320

757-436-0167

700 Independence Circle
Suite #1D
Virginia Beach, VA  23455

757-497-1400



http://www.totalcareforwomen.net