04/04/2015
By: Luke S.
Figert, Patricia L, MD
Like some of the others have alluded to, Dr. Figert also performed my inguinal hernia repair a few months ago. I too found out, after the fact, that she had ordered a bladder catheter placed after I was anesthesized. So I go online to research the entire procedure and also Figerts backround, what I found was enlightening and surprising. Laprascopic hernia repair is relatively new, only gaining popularity since the mid 1990's. Early on Dr. Figert realized the many benefits of the new procedure over the old 'open' style where mesh was simply placed on 'top' of defect. So Dr. Figert honed her skills with special training and undertook the exceptionally long learning curve (100 plus surgeries) to become an expert using the superior Laprascopic TEP approach. (Totally Extraperitoneal) considered more difficult but better than the more invasive TAPP method (Transabdominal). Dr. Figert also wisely chose the best polypropylene mesh and the highly regarded titanium helical devices for securing the mesh. So where am I going with all of this? With all of the very wise decisions made by Dr. Figert (my surgeon) why would she cling to the outdated bladder catheterization protocol developed in the 1990's when this laprascopic surgery was in it's infancy? The assumption then was that surgeons were slow and clumsy with these new fangled, long instruments operated while viewing a monitor. And during these early, rather protracted laprascopic hernia repairs, the bladder would become distended (full) with urine and become more vunerable to injury by the surgeon. But that was 20 years ago and many thousands of hernia repairs ago. Now most experienced general surgeons perform the laprascopic procedure in 45 minutes to one hour. And simply having the patient to empty their bladders completely during the hour or two in the pre-op area will suffice. Thus a patient with a nearly empty bladder undergoing a laprascopic hernia repair by an experienced surgeon has no medical reason to receive a bladder catheter. This is where the paradox comes into play. Why would a surgeon like Dr. Figert who was very progressive on techique (TEP) and materials (correct mesh and fixation) still INSIST on ordering a relic from the past ( Foley indwelling baldder catheters) ? A Foley catheter is a foot long and about 6mm in diameter (1/4" or about the size of a pencil) and is forced into the urethra by the nurses hand using some lubricant. They always carry urethra bacteria back into the bladder (even while using sterile method) and usually cause trauma to the urethra, especially in males. On some occasions the urethra tears or is punctured or the inflatable balloon causes permanent damage to the urinary tract. Those events could affect a persons ability to self-urinate forever. So while Dr. Figert is unquestionably a qualified surgeon for the reasons mentioned, her absolute insistence on ordering painful and risky bladder catheters before ANY surgery may be enough of a reason to seek out a surgeon who does not expose patients to such archaic methods. Most general surgeons do NOT order bladder catheters for surgery's lasting under three hours. So just check with other surgeons and you'll find others who are confident and skilled and don't intentionally expose patients to unnecessary cath's. Good Luck to you.
05/13/2015
By: Luke S.
Figert Patricia MD
One would like to believe that an experienced (20 plus years) general surgeon would know the medical indications (reasons) to order bladder catheterization. And they are; Acute urinary retention, need for uncontaminated urine for tests, patient immobility and urine blockage, and finally bladder catheters are medically indicated before urinary tract & prostate surgery. Also any long duration surgery (more than 3 hours) to prevent bladder filling. So it is very surprising that this surgeon, Dr. Patricia Figert MD, would order bladder cath's for her surgery patients NOT in any of those catagories. And even for 45min. to 1 hour routine surgeries. For those who don't know, a bladder catheter, also known as an indwelling Foley catheter, is a large ( 6mm or 1/4" diameter, pencil-sized ) 15" long plastic tube that a nurse forces into the patients urethra with her hand. Its implied that it's a 'sterile' procedure, but actually the bacteria within the urethra naturally is carried back into the bladder contaminating it and sometimes causing urinary tract infections. After the plastic tip of the tube is pushed in all of the way to the bladder, the nurse uses a syringe of water to fill a balloon to secure the catheter tubing from slipping out on its own. Even after removal, these catheters have nearly always caused trauma to the urethra from extreme 'stretching' of the lining. Due to this urethra damage the ammonia in the urine causes days of urinary burning. But first you may experience many hours of induced urinary retention, another very common side effect of bladder catheterization. Occasionally severe urethra damage results from the catheterization and then surgery must then be performed for that repair (hopefully by a more caring surgeon).Dr. Figert attempts to justify 'cath' orders by claiming that she might inadvertantly puncture a slightly distended bladder during surgery (statistically an extremely low occurance). And only intern (novice) and inexperienced general surgeons can claim that excuse. For any routine surgery of less than 3 hours, simply having the patient to empty their own bladder pre-op will suffice. The surgeon could also use a bladder scanner (ultra-sound) to confirm the bladders empty status before surgery. But Dr. Figert (and some other old-school surgeons) just have old, bad habits and willingly expose their patients to the many serious risks of bladder catheters. It may be easier to find another surgeon who does not 'cath 'em all' . Good Luck, Chris T. May, 2015
12/19/2014
By: Barbara A.
Alan David Jackson, MD
My doctor advised me to go to Baptist Health, Louisville, Ky Emergency. i was of the impressionthat my doctor would be attending me but he stopped seeing patients in hospital about a month earlier. After seeing numerous doctors and lack of communication there was an error in my treatment plan that cost me dearly. I was assigned a the hospital Dr Alan Jackson. This is the worst MD I have ever encountered. He tried to dismiss me when I was having Pulmonary Embolisms. When I asked him if he was concerned about the PE ,he answered NO.Some one from Cardio had to order an MRI todetermine the PE and and extend my stay in hospital. This doctor ha little experience and does not listen to the patient. If you go to Baptist Health and is assigned this doctor RUN.I asked to be assigned another doctor and was told NO. I am not by any means an indigent patient.I asked to file a complaint with the hospital and was put off until I asked again the day of my dismissal. A nurse was sent to take the complaint and didn't even bring paper and pen or accept the notes I written down.She seemed very unconcerned and disinterested.
07/24/2016
By: Jim L.
Dr. Patricia L Figert, MD
I am writing in response to all the critical reviews of Dr. Figert and her preference to order bladder catheters for most all of her surgical patients. You should know that she is of the generation of surgeons coming out of med school when laparoscopic procedures were very new (1990's) and at a time when catheters were thought to be harmless and were routine (we now know better). And as a female she couldn't possibly appreciate a male patients perspective and his aversion to the procedure. Much like male gynocologists falling out of favor by women who now nearly universally prefer a woman ob-gyn. Although she may not really have an excuse for her stubborness to skip the cath (for patients able to fully void before surgery) at least her history provides us with an explanation. This can serve as a notice to male patients (who are able to fully self void) to seek out a male surgeon who is able to appreciate that aversion and act accordingly (by NOT catheterizing before surgeries). Jim
10/13/2014
By: Charolette W.
Spalding, Stuart, MD
I was looking for a doctor closer to my home and also within my network. I was little worried about choosing another doctor so I stopped by the office to check it out first. The office staff was really nice and helpful. When I did meet the doctor I will have to say that Dr. Stuart made my visit very comfortable. The transition was great and I feel very through. I felt like he covered my history very well and that I left there feeling like I would be in good hands. The office was clean and liked having blood work done in the same area. I did have to wait a bit but it only meant that he was taking time with others needs as well. charolette w.
06/07/2014
By: carabenn
Rosenberg A Reyes MD
Dr. Reyes is the only doc I have met, who will take the time to get to know you, and familiarize himself with your specific issues. You are not rushed. His bedside manner is impeccable. You will receive the most thorough work up. I can not say enough good stuff. The downside, expect to wait to see him. He gives everyone his time, so when it's your turn it's worth it. The staff is, 'relaxed', but kind. This is not your average uppity-money making office. I believe he cares about his patients. Bottom line. He is worth the wait time. If you go, block out at least 3.5 hours. Usually only takes 2.5 though.
10/02/2012
By: tksmisc
Kemper & Kemper MDs
Dr. Warren R. Kemper is a really great doctor. To me, he is what a physician should be. He doesn't rush in and out. He listens to you and spends an appropriate amount of time with you. He remembers things about you like to ask about your family and kids which you don't much these days. Sometimes his staff gets a little irked with him running over with his patients and to me that is a good thing. He has a good knowledge base and when I had whooping cough, he suggested to the NP that saw me that day to have me tested even though it was rare at the time-and I had it. He is spot on and I appreciate his thoroughness.
10/11/2014
By: Pam L.
Aronoff, David R, MD
Dr Aronoff was wonderful with our little Trace. He explained things in full detail & there was a lot to explain to us. Our precious little one had too much wrong with him & fought a hard battle but his little body had to give finally give up. My daughter & I were on our way home when she received a call from Dr Aronoff giving her his sympathy in the the passing of her baby. We thought that was extremely kind of him & his office. We appreciate everything he did for my daughter's son.
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04/26/2016
By: Gayle C.
Breslin Family Dentistry
My family have been patients of Breslin Family Dentistry for 10+ years. The staff is very personable and caring. Their late hours are very accommodating to my schedule and they even have Saturday hours. Dr. Breslin's office even answered my call on the 4th of July when I had cracked a tooth! The staff goes above and beyond to make sure your visit is painless! I have never questioned the quality of work from Dr. Breslin. Love this office and it's staff!!
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01/16/2014
By: ncsrish
Dr. Joilynn Marie Evans, MD
I have been with Dr. Evans for last eight years and i am a very satisfied customer. I will say that she seems very very busy and i am practically in and out but all of my questions and concerns are addressed and answered to my satisfaction and all of my issues resolved. Maybe they need to not try to take in so many patients as some that miht have more serious concerns might not feel their needs are not met. Otherwise i like the pkace
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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