$100 Could Save Your Life!

Posted on : 09-19-2014 | By : tsimons | In : breast cancer, Discounts, Mammography, News, screening

 4572783986croppedSilver Cross offers discounted breast and lung cancer screenings for a limited time

Don’t let your health insurance coverage stop you from taking care of yourself.  Silver Cross is offering discounted screenings to diagnose breast and lung cancer through Dec. 31, 2014. The cost of each screening is just $100 (including the radiologist fee).  Cash, check and credit cards will be accepted at time of appointment.  Insurance will not be billed.  To schedule an appointment, call (815) 300-7076 or request an appointment.  A physician’s order is required for both tests. 

CT Lung Cancer Screening

Silver Cross Hospital in New Lenox and the Silver Cross Health Center in Homer Glen offers low dose screening CT scans to identify lung cancer in high risk patients.  The U.S. Preventative Services Task Force recommends annual screening in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.  A 30-pack year is the equivalent to one pack a day for 30 years, or two packs a day for 15 years.

Mammography Screening

Annual mammograms help detect breast cancer early and improve the chances that it can be treated successfully. The American Cancer Society recommends women age 40 and older should have a mammography screening every year and should continue to do so for as long as they are in good health. Both screening and diagnostic mammograms are offered at the Silver Cross Center for Women’s Health located in Pavilion B, 1870 Silver Cross Bld., New Lenox.  Patients who sign-up for the free I Matter program at http://imatter.silvercross.org/ or by calling 1-888-660-HEAL (4325) will receive discounts at over 100 local businesses at the time of their mammography appointment. 

 

 

Silver Crossings Craft & Vendor Fair Coming Soon

Posted on : 09-18-2014 | By : tsimons | In : Events

childercraft 077The Will County Union of King’s Daughters and Sons will hold the third annual Silver Crossings Vendor/Craft Fair on Saturday, Oct. 25, from 9 am. to 3 p.m. in the Silver Cross Hospital Conference Center, Pavilion A, 1890 Silver Cross Blvd., New Lenox.  Free valet and shuttle bus service.  Admission is also free.  Strollers are welcome.

Over 40 artisans will be selling handmade craft items and homemade baked goods. Lunch will be available for purchase in the Silver Cross Hospital Seasons Dining Room. Raffle tickets will be sold for $1 each or six for $5.  Prizes include three $500 cash gifts and one Christmas Trees with $250 in scratch-off Illinois Lottery tickets.  The drawing will be held on Oct. 25. Winner need not be present.

Proceeds from the Vendor/Craft Fair benefit the Silver Cross Inpatient Dialysis Unit.  For more information, call Volunteer Services at Silver Cross Hospital at (815) 300-7117.

 

Breast Cancer Physician Panel Focuses on New Treatments

Posted on : 09-15-2014 | By : tsimons | In : breast cancer, Cancer, Events, Health Tips, News

According to the American Cancer Society, breast cancer is the most common cancer among American women, except for skin cancers. About 1 in 8 (12%) women in the US will develop invasive breast cancer during their lifetime. On the contrary, there are more than 2.8 million breast cancer survivors currently in the United States. Silver Cross Hospital is offering a free program where a panel of physicians will discuss new breast cancer treatments and how more women can become survivors of the disease.

Free Program

Join University of Chicago Medicine Comprehensive Cancer Center at Silver Cross experts Dr. Anne McCall, radiation oncologist and Dr. Grace K. Suh, medical oncologist, along with Dr. Andre Edwards, radiologist on staff at the Silver Cross Center for Women’s Health, for a discussion on how the occurrence of breast cancer has changed over time and a look at new diagnostics and treatment options used to treat women with breast cancer. Participants will win a gift bag and be entered into a drawing to receive a free mammography screening. The Cancer Support Center will also share information about local services for cancer patients and families. This free program will occur on Tuesday, October 7 from 6:30 to 7:30 p.m. in the Silver Cross Hospital Conference Center, 1890 Silver Cross Blvd., Pavilion A, New Lenox. Register to attend online or call 1-888-660-HEAL (4325).

“A majority of breast cancer cases can be cured when found and treated at an early stage, so regular mammogram screenings are very important,” saidDr. Andre Edwards, musculoskeletal radiology and board-certified radiology physician who is on staff at Silver Cross Hospital.

Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. The disease occurs almost entirely in women, but men can get it, too.

Risk Factors & Prevention

Risk factors for breast cancer include older age, specific inherited genetic alterations, hormone therapy, having radiation therapy to the chest, consuming alcohol, and being overweight. It may be possible to decrease the risk of breast cancer by getting exercise and maintaining a healthy weight.

New Coordinated Approach to Treating Breast Cancer

Patients can now get recommendations from a group of breast cancer experts on the next steps to take with a convenient, one-stop experience through a new Multidisciplinary Breast Cancer Conference that is available at the University of Chicago Medicine Comprehensive Cancer Center at Silver Cross Hospital.

“We know women are extremely busy taking care of everyone else in their lives, so we wanted to make it easy for them to get all the necessary information and medical opinions to make an informed decision as quickly as possible,” said Dr. Suh. “The sooner we can start treatment, the better chance we have to eradicate the disease.”

The multi-disciplinary team meets in the Cancer Center for a Breast Conference every Tuesday morning. At the Conference, physician specialists representing general surgery, medical oncology, radiation oncology, radiology, plastic surgery and pathology review the patients’ clinical information, radiological images and pathology slides with state-of-the-art equipment to develop a consensus recommendation. The team documents the recommendations and a certified breast nurse navigator provides the recommendation to the patient’s doctor within 24 hours.

“Having all of the specialists in one room, at one time, improves communication and allows for sharing information with each other. The physicians benefit by being able to talk about the treatment plan together, and the patient benefits from timely recommendations by a team of experts,” said Dr. McCall.

Patients now benefit from a wide array of breast cancer tests and treatments on the Silver Cross campus including digital mammography, breast MRI, ultrasound and biopsies, and the latest chemotherapy and radiation therapies including clinical trials. Prone breast radiation is available, where radiation is administered on a specially-designed table to help the woman lie more comfortably in the prone position, on her stomach, which may prevent radiation to the underlying heart and lung. Certain women may also be able to receive their radiation in only three weeks. In addition, new plastic surgery techniques such as flap microsurgical breast reconstruction are now available at Silver Cross Hospital.

Patients who could benefit from the Multidisciplinary Breast Cancer Conference should contact their primary care physician.

I Matter Benefit: Pampered Puppy Dog Grooming

Posted on : 09-15-2014 | By : tsimons | In : Discounts, I Matter Benefits

e663c880d0d0400559096d666b434798Does your pooch need a pedicure or maybe a mud treatment and massage? Why not book an appointment with Pampered Puppy Dog Grooming and save 5-10% off? Just present your Silver Cross I Matter card at time of service for valuable savings on your dog’s next grooming. If you don’t have an I Matter card or need a new one, sign-up today online and you will receive your card next time your come to Silver Cross from your annual Mammogram or Cardiac Screening.

With over 20 years of professional experience in dog grooming, Joanne Polyak, the owner of Pampered Puppy Dog Grooming, is a graduate of Midwest School of Dog Grooming. She has owned dogs her entire life and care about each one of her “clients” as if they were her own. The shop is located off River Rd.–between Black Rd. and Jefferson St. in Shorewood

She offers the following services for your canine companion:

  • Nail Trims/Nail Filing
  • Bath and Brush Out
  • Bath and Haircut/Full Service Grooming
  • Teethbrushing
  • PlaqClnz Oral Hygiene Tarter/Plaque Removal
  • Madra Mor Mud Treatments with oatmeal bath and massage
  • Special shampoos available: Oatmeal, Whitening, Neem, hypo-allergenic

To schedule an appointment, call (815) 260-0026.

Need a doctor who specializes in Incontinence/Pelvic Prolapse?

Posted on : 09-10-2014 | By : tsimons | In : Incontinence, Pelvic Floor Disorders

MEHRI, N.Silver Cross Hospital is pleased to announce Nahla Merhi, M.D. has earned certification in female pelvic medicine and reconstructive surgery from the American Board of Obstetrics and Gynecology. As a board certified urogynecologist, Dr. Merhi specializes in the surgical and non-surgical treatment of pelvic floor disorders, which include pelvic organ prolapse and incontinence. She currently performs over 300 procedures annually to treat these women’s issues using minimally invasive techniques including the daVinci robot.

More than one-third of U.S. women have a pelvic floor disorder. And many don’t discuss their symptoms with their physician due to embarrassment or because they think it part of life.

“While pelvic floor disorders become more common as women get older, they are not a normal or acceptable part of aging,” said Dr. Nahla Merhi.   “These problems can have a significant impact on a person’s quality of life and can often be reversed with treatment.”

Before exploring surgical options, Dr. Merhi usually discusses the following treatments and therapies with her patients:

  • Pelvic floor muscle training (Kegel exercises) to stop urinary incontinence or improve the symptoms of prolapse.
  • Medicine to treat certain bladder control problems or to prevent loose stools or frequent bowel movements.
  • Vaginal pessary, which is a plastic device used to treat some types of prolapse and improve bladder control.

In some cases, surgery is the best treatment option and can be performed as an outpatient procedure at Silver Cross using minimally invasive techniques and often with one of the hospital’s two daVinci robots.

“Compared to traditional surgery, patients who undergo minimally invasive gynecologic surgery experience less pain, reduced blood loss, fewer complications, shorter hospital stays and a faster recovery, so they can return to normal activities sooner,” says Dr. Merhi.

Dr. Merhi performs the following procedures in Silver Cross Hospital’s state-of-the art surgical suites:

For prolapse. Surgery involves repairing the prolapse and building back pelvic floor support. There are many ways to do this, depending on the type of prolapse and other factors. Women with uterine prolapse may also have the uterus removed (hysterectomy). Women who have surgery to repair prolapse often have surgery at the same time to prevent bladder control problems. Some women choose to have colpocleisis. This surgery treats prolapse by narrowing and shortening the vagina. It works well and carries a low risk, but it is not a good choice for women who want to be able to have vaginal intercourse.

For bladder control problems. Surgery works well to treat problems holding in urine that occur because of pressure on the bladder (stress incontinence). The two types of surgery used most often are:

  • Mid-urethral sling.Dr. Merhi places a mesh strap or “sling” to hold the bladder in its normal position.
  • Colposuspension. Dr. Merhi puts the bladder back in its correct position and holds it in place by securing it to the vaginal wall and pelvic floor tissues.

For bowel control problems. Surgery may be needed to repair a damaged anal sphincter muscle or repair certain types of prolapse.

Leader in Single-Incision Hysterectomy

In addition to specializing in pelvic floor disorders, Dr. Merhi is one of a small group of physicians in the country who are using the daVinci robotic surgical system to perform hysterectomies through a single incision in the belly button with virtually scarless results. She has performed over 300hysterectomies using the daVinci robot and was the first physician on staff at Silver Cross Hospital to perform the Single-SitedaVinci Hysterectomy procedure in 2013.

Both Dr. Merhi and Silver Cross Hospital have been designated as Centers of Excellence in Minimally Invasive Gynecology (COEMIG) by the AAGL, the leading association of minimally invasive gynecologic surgeons worldwide, and Surgical Review Corporation (SRC). COEMIG designation signifies their ability to consistently deliver the safest, most advanced and comprehensive gynecologic surgical services to women across the region.

To schedule an appointment with Dr. Merhi, call (815) 717-8727. Her office is located on the Silver Cross Hospital campus in Pavilion A, 1890 Silver Cross Blvd., New Lenox.

 

Silver Cross Stops Frankfort Man’s Stroke, Identifies Brain Malformation

Posted on : 09-09-2014 | By : tsimons | In : Uncategorized

Eric Lesiak is no stranger to excruciating headaches. He had lived with them for years. But this time was different. Eric had been out running errands late in the day. His head hurt and he wasn’t able to move.

“It felt like I was drugged,” said the 39 year-old Frankfort resident.

Eric barely managed to drive himself home where he took his usual dose of aspirin, but that didn’t work. He felt jittery and couldn’t stop shaking his arm.

Finally falling asleep, he awoke the next morning nauseous and had difficult speaking. On July 16, 2013, Eric’s mother drove him to Hedges Clinic where Dr. Orest Hordysky directed him to the Silver Cross Emergency Department for a CT scan and MRI. Silver Cross Hospital is designated as a Primary Stroke Center by The Joint Commission with a staff of experienced specialists offering the full continuum of care–from diagnosis to treatment to rehabilitation, 24 hours a day, 7 days a week. 

Eric was experiencing a hemorrhagic stroke, a kind of bleeding in the brain. Hemorrhagic strokes account for about 15% of all strokes, yet are responsible for more than 30% percent of all stroke deaths. Dr. Harish Shownkeen, medical director of the Neuro Interventional Surgery Program with the Silver Cross Neuroscience Institute, confirmed Eric had a brain arteriovenous malformation (AVM), which is an abnormal connection between the arteries and veins, as well as a cerebral aneurysm.

“AVMs are usually congenital and go undiagnosed until the patient has symptoms such as headaches or seizures,” says Dr. Shownkeen. “In serious cases like Eric’s, the blood vessels rupture, causing a hemorrhage. However, once diagnosed, we can often treat a brain AVM and offer patients options of multiple modalities.”

DSC_9817Dr. Shownkeen took Eric immediately to the endovascular lab where he performed a cerebral angiogram to see exactly which vessels were involved. There, he embolized the AVM to stop the blood flow into the abnormal veins and arteries and reduce the risk for further bleeding in Eric’s brain. Eric spent a week in the ICU followed by another week on the Rehabilitation Institute of Chicago’s (RIC) inpatient unit at Silver Cross Hospital. RIC has been ranked the “Best Rehabilitation Hospital in America” by U.S. News and World Report for 24 consecutive years. And through a special partnership, RIC ensures Silver Cross patients receive an unmatched recovery experience close to home.

“Everyone thought I would be in the hospital for months, but with the help of RIC’s therapy team at Silver Cross, I was home in just a couple weeks.”

A year later, Eric is back to work with the Village of Frankfort’s Water Department. “I am lucky that I went to Silver Cross where Dr. Shownkeen and his team were able to diagnose my AVM and ultimately save my life,” says Eric.

Eric returned to Silver Cross Hospital as an outpatient for elective treatment of his cerebral aneurysm by Dr. Shownkeen to reduce his risk for future hemorrhagic strokes. To learn more about the warning signs of stroke and treatment available at the Silver Cross Neuroscience Institute, request a free Stroke Awareness Kit online or 1-888-660-HEAL (4325).

Using your own Stem Cells to treat Osteoarthritis of the Knee

Posted on : 09-08-2014 | By : tsimons | In : Bone Health, Events, News

Depositphotos_1429163_S3According to the Arthritis Foundation, about 27 million people in America have osteoarthritis. As we age, our joints often develop osteoarthritis—a destruction of the cartilage or protective tissue of the joint. Dr. Robert Daley, orthopedic surgeon who is on staff at Silver Cross Hospital, is among a select group of physicians around the country to offer stem cell treatment to relieve knee osteoarthritis pain and chronic tendonitis. Silver Cross Hospital in conjunction with Hinsdale Orthopaedics Group is offering a lecture that will educate area residents on how they can find relief with this new innovative treatment.  This free program—Using Your Own Stem Cells to Treat Osteoarthritis of the Knee, will be heldTuesday, September 30, from 6:30 to 8:30 p.m. in the Silver Cross Hospital Conference Center, Pavilion A, 1890 Silver Cross Blvd., New Lenox. Learn about this unique, nonsurgical procedure, which uses your own stem cells to promote healing. Register to attend this program online or call 1-888-660-HEAL (4325).

Do you suffer from Osteoarthritis Pain?

Osteoarthritis is the most common type of arthritis that affects the knee. Osteoarthritis is a process where the cartilage in the joint gradually wears away. Ostearthritis may be caused by excess stress on the joint such as repeated injury or being overweight.

Osteoarthritis symptoms usually develop gradually. Common symptoms include:

  • Sore joints – in the hips, knees, and lower back — after inactivity or overuse
  • Stiffness after resting that disappears after movement
  • Pain that is worse after activity or at the end of the day.

Traditionally, treating osteoarthritis consisted of a series of steps – weight loss, pain medications, anti-inflammatory medications, injections and if necessary surgery. However a new innovative treatment exists using a patient’s own stem cells to regenerate the lost cartilage and strengthen the supporting structure of the joint.

“Through this minimally invasive technology, pain can be reduced in a patient who suffers from mild to moderate arthritis of the knee when trying to avoid a total knee replacement,” said Dr. Robert Daley, orthopedic surgeon on staff at Silver Cross Hospital. “During the outpatient procedure, stem cells are removed from the patient’s hip area and implanted into the knee. Then the cells regenerate tissue that resembles natural cartilage that replaces worn out areas in joints.”

“There are many benefits of Stem Cell Therapy. Through this new technology, many patients are able to find relief from stiffness and pain caused by osteoarthritis without undergoing surgery or a long recovery,” said Dr. Daley.  “In addition, they can have reduced knee pain and their quality of life may be improved.”

Helping More Patients Return Home & Regain Independence

Posted on : 09-05-2014 | By : tsimons | In : News, Rehabilitation

Most of us know someone who has suffered a traumatic injury or significant loss of function due to stroke, brain or spinal cord injury, joint replacement or amputation.  And usually the only thing on his or her mind is getting back home and regaining independence.  At Silver Cross Hospital in New Lenox, specialists with The Rehabilitation Institute of Chicago (RIC) are helping more patients than ever before advance their ability and return home sooner.  RIC has been ranked the #1 Rehabilitation Hospital in America by U.S. News & World Report every year since 1991. The same specialized care that has earned RIC its pre-eminent reputation is available at Silver Cross. 

Dr Andrew Hendrix, Medical Director of The Rehabilitation Institute of Chicago at Silver Cross Hospital, talks with patient Lawrence Johnson of Orland Park about his treatment plan and progress after spending 6 days in the inpatient rehabilitation unit .

Dr Andrew Hendrix, Medical Director of The Rehabilitation Institute of Chicago at Silver Cross Hospital, talks with patient Lawrence Johnson of Orland Park about his treatment plan and progress after spending 6 days in the inpatient rehabilitation unit .

According to the American Medical Rehabilitation Providers Association’s outcomes database, 79% of patients who recover on Silver Cross Hospital’s CARF-accredited inpatient rehabilitation unit are discharged home—not to a skilled nursing, assisted living or extended care facility.  That is much higher than the regional average of 71% or even the U.S. average of 74%.  Last year, RIC at Silver Cross’ 24-bed inpatient unit cared for over 521 patients—a 19% increase from 2012.

“Our patients typically spend 11 or 12 days on the rehab unit, says Dr. Andrew Hendrix, medical director of RIC at Silver Cross Hospital’s inpatient and outpatient rehabilitation services.  “We develop a plan for each patient and then our team goes to work to make sure that the patient is ready for discharge.”

At Silver Cross, inpatient rehabilitation services are provided by licensed specialists under the coordination of Dr. Hendrix or one of his physician colleagues. Each patient’s care is tailored to fit their needs and care plans are developed with the input of the patient, family, physician, and rehabilitation team.  The team includes registered nurses; physical, occupational, speech, and recreational therapist; social workers and transitional care managers.  Patients may also see a dietician, respiratory therapist and behavioural health specialist to prepare for discharge.

“Although we are in a hospital, we do our best to simulate a home environment,” Dr. Hendrix says.  “Each patient has their own spacious private room.  And in our ability achievement center and kitchen, patients re-learn daily tasks and also to use appliances such as a washer, dryer, stove and microwave.  We even have a car simulator so that patients can practice getting in and out of a vehicle.”

RIC at Silver Cross has also created an apartment environment for overnight training.  This gives patients, family members and caregivers an opportunity to identify areas that require further assistance, education or practice before the patient leaves the inpatient rehabilitation environment. 

Once the patient returns home, additional rehabilitation is often required. Patients have the option to come back to the hospital for outpatient physical, occupational and speech therapy.  RIC at Silver Cross also offers physical therapy in Silver Cross’ conveniently located buildings in Homer Glen, on Route 30 in New Lenox, and the west side of Joliet. 

 “Our goal is always to help our patients return to normal of activities of daily living, but we also want to make sure that throughout their recovery process we effectively and appropriately manage and reduce their pain,” says Dr. Hendrix. 

In addition to being board certified in physical medicine and rehabilitation, Dr. Hendrix specializes in pain management providing epidural injections and sympathetic blockades in Silver Cross’ state-of-the-art procedural care unit.  He also sees patients in RIC at Silver Cross’ outpatient facility in Pavilion A on the hospital’s campus along with his partner, Dr. Michelle Muellner. To schedule an appointment, call (815) 300-2911.

I Matter Benefits: Curves

Posted on : 08-26-2014 | By : tsimons | In : I Matter Benefits

 

Curves Open House Full Page FlyerDid you know that I Matter members can save 5-10% off their membership at the following Curves?

  • Crete                                
  • Frankfort                           
  • Joliet                                 
  • Manhattan/Elwood          
  • New Lenox                       

Just present your I Matter card at any of the participating locations listed above. If you don’t have an I Matter card, you will receive one when you come to Silver Cross Hospital for your annual mammography* or heart screening.  To schedule an appointment, call (815)  300-7076.

If you are not an I Matter member, click here to join our free program!  Don’t miss out on the opportunity to reap the rewards at over 100 local businesses including Curves just for taking care of yourself.

 

* A physician’s order is required for a mammography screening.

 

They Found a Breast Lump. Now what?

Posted on : 08-26-2014 | By : tsimons | In : breast cancer, Cancer, Mammography, News

It’s every woman’s worst fear—finding a lump in her breast. Before panicking, get advice from experts on the next steps to take. And now Silver Cross is making it easier than ever before with a convenient, one-stop experience.  

“We know women are extremely busy taking care of everyone else in their lives, so we wanted to make it easy for them to get all the necessary information and medical opinions to make an informed decision as quickly as possible,” said Grace Suh, a University of Chicago Medicine Comprehensive Cancer Center at Silver Cross Hospital medical oncologist. “The sooner we can start treatment, the better chance we have to eradicate the disease.”

Front:  Laura Ragauskaite, MD; general surgeon; Alan Chen, MD, plastic & reconstructive surgeon; Patricia Clark, MD, general surgeon; Anne McCall, MD, radiation oncologist; Grace Suh; medical oncologist. Back:  Cagatay Ersahin, MD, pathologist; Matthew Endara, MD, plastic & reconstructive surgeon; Brooke Phillips, MD; medical oncologist; Mark Danielson, MD; general surgeon; Neda Zelahovitis, certified breast health nurse navigator; Aaron Guajardo, MD, radiologist.

Front: Laura Ragauskaite, MD; general surgeon; Alan Chen, MD, plastic & reconstructive surgeon; Patricia Clark, MD, general surgeon; Anne McCall, MD, radiation oncologist; Grace Suh; medical oncologist. Back: Cagatay Ersahin, MD, pathologist; Matthew Endara, MD, plastic & reconstructive surgeon; Brooke Phillips, MD; medical oncologist; Mark Danielson, MD; general surgeon; Neda Zelahovitis, certified breast health nurse navigator; Aaron Guajardo, MD, radiologist.

The multi-disciplinary team meets in the University of Chicago Medicine Comprehensive Cancer Center at Silver Cross Hospital for a Breast Conference every Tuesday morning. At the Conference, physician specialists representing general surgery, medical oncology, radiation oncology, radiology, plastic surgery and pathology reviews radiological images and pathology slides on state-of-the-art equipment and develops a consensus recommendation. The team documents the recommendations and a certified breast nurse navigator provides the recommendation to the patient’s doctor within 24 hours.

“By having all the specialists in one room at one time improves communications among caregivers and makes it easier to provide recommendations for the best course of treatment,” said Dr. Anne McCall, a University of Chicago Medicine Comprehensive Cancer Center at Silver Cross Hospital radiation oncologist.

Patients now benefit from a wide array of breast cancer tests and treatments on the Silver Cross campus including digital mammography, breast MRI, ultrasound and biopsies, and the latest chemotherapy and radiation therapies including clinical trials. With the recent addition of Dr. Matthew Endara to the team, new plastic surgery techniques such as flap microsurgical breast reconstruction are now available at Silver Cross Hospital.

“Early detection as well as prompt and precise treatment is the key to fighting cancer, which is why all the specialists involved in the Breast Conference are donating their time and expertise to provide Silver Cross patients with this unique opportunity close to home,” said Dr. Mark Danielson, general surgeon at Silver Cross.

If you or someone you know could benefit from the Multidisciplinary Breast Conference, please contact your primary care physician for a referral. If you don’t have a regular physician, find one here.