Dr Howard in Lewes, DE with Reviews - YP.com
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By: Robert L.
Gita Pillai MD
I made an appointment with Orthopedic Associates of Southern Delaware to have my shoulders looked at. Dr Pillai was the doctor assigned to me. Prior to meeting with her a Physicians Assistant took down information about my shoulders - popping noise and fairly significant pain in the back of each shoulder when weight training. X-rays were then taken after which I met with Dr Pillai. She didn't ask any questions about my shoulders. She showed my my x-rays and told me that I had osteoarthritis in each shoulder. On the x-rays she showed me how tightly the ball of my shoulder fit into the socket due to the build up of bone in the ball. It wasn't clear to me how bone builds up in the bone, and why the pain was located in the scapula area. Dr Pillai felt that her explanation was more than sufficient to preclude any further questions from me, so most of her subsequent responses to my questions began with something like "as I've explained". I got the sense that she thought my questions were unnecessary. She was very clinical and didn't have much in the way of a bedside manner, and as I said previously, never asked me what the problem was, which I found surprising. ]She suggested that I get physical therapy but the discussion of the physical therapy went by pretty quick and so I had to rely on the physicians assistant (who was great, by the way) to give me the name of the place to receive the physical therapy.Overall I was not happy with the level of care I received. This is probably the first time I've ever received the advice of a doctor where I am going to get second opinion.
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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