The 2018 Winter Olympics are on their way. Its an amazing to see all the athletes doing their very best!
At this point many of us have already spent hours on end rooting for our favorites at the 2018 Winter Olympics. We have seen a few gold medals come in already for snow boarding, skating and and a few other events. We enjoy the excitement and the unifying nature of sports. In the end, like music and food, sports bring us together. Even after our favorites are off the picture a good sport well played is a joy to watch.
We hope all athletes involved in the games have the greatest of times. Its not every day a person can say they competed with the best each country can offer. Those few who can say it, even if they don’t make the podium, should be most proud. We root for all of you!
LET IT SNOW! is the theme.
Transit was fair this morning while getting in. Our office is open and ready to see you. New York is such a great city. You can expect there to be so much activity any day, even under a snow storm. We keep plowing along because nothing stops us. For those of you who had to stay home, keep warm and enjoy the day off.
New York Urological Associates PC wants to wish you a very happy NEW YEAR. 2017 is closing and with it we turn a page to whats new. Let 2018 be a time of reflection and improvement for all of us.
Best regards and see you soon!
Happy Holidays to all!
Holiday season is here. Many of us are in the middle of the Christmas rush getting things ready for the big day. This is a time when people are joyful and warm. A time when family, friends and companies celebrate in one way or another. We all get together and share food, drinks laughs and sometimes even presents. Santa Claus multiplies into Secret Santa and Kris Kringle and other iterations while we create fond memories of this years festivities. Whichever way or holiday you celebrate, enjoy, have fun with others!
Aside from celebration, this is also a time of reflection and meditation. This is as good a time as any to think about what goes on around us, the rest of the world and see how we can contribute towards making things better. This is a great time to show good will and kindness to others, not the only time to do so, but a start. This is a time to help others where and when we’re able and do a good things for one another.
New York Urological Associates PC, wishes all a very happy holiday season 2017.
We want to thank everybody for your support day today year by year. We are most grateful to have great patients like yourselves who keep this practice thriving. We love to take care of you and want to be there for you for years to come. Thank you to all referring doctors for giving us the chance and opportunity to take care of your patients. We always want to give patients a way to get better when they are concerned about their health.
One more time thank you all for giving us your support and we hope you’re enjoying Thanksgiving along with your family and friends in a safe and healthy environment.
Re: Changes to our Financial Policy
As its prone to happen occasionally, we’re making changes to our financial policy. These come in response to the multiple changes to insurance policy coverage as well as the continuous shift in payment responsibility to our patients. As you as an insured party, may have become accustomed to, DEDUCTIBLES, CO-INSURANCE and CO-PAYS are commonplace and very high. To that end as of January 1st, 2018 we will require our patients to please provide a valid credit card to keep in their secure file. This credit card or debit card will be used once your claims are processed by your insurance and your responsibilities have been defined. This in turn will streamline our payment collection and billing. We hope, with your cooperation and understanding this will be a simple and painless task. We have amended our Financial policy to accommodate these clause. Additionally, a new form will be made available to you where you can fill in the pertinent information and sign your agreement.
Besides that, we have also made clearer some of our most common NON-MEDICAL fees, including our LATE CANCELLATION policy, fee for COPY OF RECORDS and LATE PAYMENT FEES. We hope once you review our amended policy you will see its simple to understand. You can follow this link for a copy. FINANCIAL POLICY
Thanks for your time,
The Billing Office
As we’re becoming more and more used to insurance company deductibles and coinsurance, we have to be even more aware of our medical expenses. Health care today is more convoluted and confusing than ever. One of the issues many patients are facing is the decision of seeing a doctor who is on staff at a hospital or hospital system as opposed to a doctor in private practice. As we have noticed in our area, many hospital systems are acquiring private practices. This is obviously to better their presence in their area and capitalize on the existing population of patients the private sector has. Health care is a business, we should all as patients understand and accept that. Now then, as we’re in the middle of receiving services, the provider (be it doctor or hospital) getting paid for said service and the insurance paying said services we need to be cautious about expenses as we would with any other goods or services we receive. Why are we mentioning this?
The truth of the matter is, when a hospital staff doctor sends a bill to the insurance he/she is billing their part plus a fee for the facility. By comparisson, when a private practice doctor bills for their services, they are billing only for their services, and normally they’re not allowed to invoice for the facility fees. As we understand it from multiple sources we have read a hospital’s invoice for facility fees when a patient is seen by their staff doctor at their office. The facility fee pertains the use of the hospital premises, staff and supplies. While this sounds like a logical fee for some, keep in mind the cost for your visit may be as much as 3 or 4 times higher than when you see a private doctor at his office.
Take a look at this article published by the ORLANDO SENTINEL:
While this article is now about 2 years old, it describes a practice and matter that is important for all of us to understand before we see a doctor. As it describes, even the same doctor who, last month was in private practice and today is a hospital staff doctor will show different fees for the same service. This may be true even if the doctor has not changed physical location. Please keep that in mind as some of these costs add up very easily and your portion will obviously rise with it. Ask about this before seeing your doctors.
Its the hurricane season. We sometimes take this for granted as we do not get the brunt of it. Most of it stays down south and the Caribbean. Today its Maria, a week ago it was Irma and Harvey was earlier this month. However even if their winds don’t touch our geographical area, they touch our hearts. Having several staff members with families in the Caribbean Islands, Puerto Rico, Texas and Florida we understand the stresses and concerns. Our hearts and thoughts are with all of you. Here from our computer screens, we see what the news casters can show us. Some of us have been in these storms ourselves, hearing the winds blasting outside while we huddle in the safest spot possible waiting for it to pass.
These things while unfortunate, always bring us together and always makes us stronger. We hope and pray that all the people now suffering the storm will have a bright day later and will come out unharmed.
Once more our hearts are with you!
Urinary incontinence is defined as the involuntary loss of urine which the patient describes as being “wet”. Urinary control is maintained by an intact nervous system which directs the muscles and sphincters of the pelvis. If there is compromise of the nervous system (neurologic disease such as Parkinson’s, Alzheimer’s, Diabetes, etc.) or the muscles/sphincters (trauma, surgery, radiation, infection) then urinary control may be adversely affected.
In addition to the above, there are general causes of incontinence which often vary by gender particularly as men/women age. In men, there may be overflow incontinence in which the bladder is blocked often by an enlarged prostate. In women, there may be stress incontinence, caused by laxity of the pelvic muscles which occurs with age and is often accentuated as a result of childbirth.
Both men and women suffer from urgency incontinence (i.e., getting to the bathroom in time). This occurs as the bladder becomes fibrotic (less compliant) with age. As a result of this, older adults can’t postpone urinating and void more frequently that younger people. The same is true for older people whose bladder awakens them at night and often interferes with what had been ‘normal’ sleep habits.
There is treatment available for all forms of incontinence and urinary urgency and frequency. These run the gamut from behavioral therapy, timed voiding, medication and surgical procedures.
Bladder cancer is any of several types of cancer arising from the tissues of the urinary bladder. It is a disease in which cells grow abnormally and have the potential to spread to other parts of the body. The most common symptoms include blood in the urine and pain with urination.
[Risk factors for bladder cancer include smoking, prior radiation therapy, frequent bladder infections, and exposure to certain chemicals (paints, aniline dyes). The most common type is transitional (urothelial) cell carcinoma. Other much less common types include squamous cell carcinoma and adenocarcinoma.]
Diagnosis is typically by cystoscopy with tissue biopsies. Staging (how far the tumor has spread) of the cancer is typically determined by medical imaging such as abdominal/pelvic CT scan or MRI.
Treatment depends on the stage of the cancer. The basic staging of the disease is either invasive or non-invasive. If the latter, limited endoscopic surgical removal (transurethral resection) may be all that is required. If the tumor is high grade or multifocal (multiple areas) within the bladder then some form of intravesical therapy (medication instilled directly into the bladder) may reduce the frequency and severity of any recurrence as bladder tumors have a high propensity to return. If the tumor is invasive (i.e. into the bladder wall) treatment may include some combination of surgery, radiation therapy, chemotherapy, Surgical options may include additional transurethral resection, partial or complete removal of the bladder, with/without urinary diversion. Typical five-year survival rates in the United States are 77% for all grades/types of bladder cancer but less than 50% for those patients whose disease has penetrated (muscle invasive) into the bladder wall.
World-wide Bladder cancer, as of 2015, affects about 3.4 million people with 430,000 new cases a year. Age of onset is most often between 65 and 85 years of age. Males are more often affects than females. In 2015, bladder cancer resulted in 188,000 deaths.
In the past decade, considerable progress in patient survival has been made with the use of chemotherapy prior to bladder removal for those with invasive disease. Progress has also been made with the various forms of urinary diversion.