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02/02/2014
By: debandbj
Miller, James W, MD
Dr James Miller has been my Dr since I moved to Nebraska in July 2008. I have never even considered changing Doctors since I found him. I respect his opinion and trust in his care. He is both personable and professional. He has a very knowledgeable staff, both Doctors and Nurses and Office Staff - are all commendable and make you feel welcome and that you matter to them and I appreciate that very much about them all! Dr. Miller's Nurse is Ange and she always greets you with a smile! I am not the easiest patient they have to deal with, by far, because I have so many health problems. But they have never made me feel like a bother because of my frequent visits and hospital stays. Even the ones that answer the phone always have a cheerful demeanor and sound like they are actually SMILING when they answer their phone. All these things may seem like little things but putting them all together is what makes this THE DOCTORS OFFICE to have as YOURS! This is not a requested review at all. I just WANT people to know that there are GOOD and CARING DOCTORS still around and THIS GROUP does EVERYTHING!! They have a Lab and X-Ray Staff right there. There is even a Good Neighbor Pharmacy called Bert's Pharmacy attached to this Office and it is owned by Tom Choquette, Pharmacist and YES, I do use ONLY this Pharmacy!! Why go anywhere else? it's ALL here, everything you need in ONE STOP!! I am grateful to ALL of these people in this Doctors Office and this Pharmacy. Without them, I probably would not still be here! Thanks to all of these hard working individuals because they help so many of us feel better and have a better life! (Debbie Moore)
Tips & Advices
This depends on the facility. Patients should call to find out if they'll need a referral from their physician prior to making an appointment.
Aside from hyperbaric oxygen treatment, most wound care centers offer:
  • Debridement: The removal of dead skin and tissue surrounding the wound. This can be done surgically, using a whirlpool bath, syringes, enzymes that dissolve the tissue, or wet dressings that dry on the wound and absorb the dead tissue.
  • Dressing: Wrapping the wound in a protective film, gauze, gel, or foam.
  • Compression stockings: Tight-fitted fabric sheaths that encourage blood flow.
  • Artificial skin: A covering that is applied to the wound for several days as it heals.
  • Ultrasound: The use of sound waves to promote healing.
  • Growth factor therapy: The use of materials naturally produced by the body to encourage quick cell growth.
  • Negative pressure therapy: Creating a vacuum around a wound to encourage faster blood flow to the area.
Depending on where the treatment is administered, hyperbaric oxygen treatment  can cost $100- $1,000. After insurance is applied, patients may have a copay of $10 -$50 or a coinsurance fee of 10 percent to 50 percent.
Most wounds should heal within two to six weeks. An individual should seek chronic wound treatment if a wound has not begun to heal after two weeks or is not completely healed after six.
Most health insurance plans cover wound care. Patients should check with the clinic and their health insurance provider before seeking treatment to be sure.

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