Surgical outpatient clinics: are we allowing enough time? (1/56)
BACKGROUND: Performance management initiatives, such as the UK's Patient's Charter, are creating pressure for patients to be seen earlier at out patient clinics, thus increasing clinic workloads. There is, however, little information about whether this can be absorbed, either by utilizing spare capacity or by more efficient use of time, or whether it is likely to affect patient care adversely. METHODS: Nine surgical clinics, run by four general surgeons, in an English district general hospital were studied during a typical week. Clinic schedules and numbers invited to attend were extracted from clinic records. An observer recorded the actual time each patient spent with the surgeon to the nearest 5 seconds. Scheduled and actual times of commencement and completion of clinics were also recorded. RESULTS: The number of patients booked to attend each clinic varied from 11 to 82 (mean 37). The median consultation for new patients was 4.3 minutes and for follow-up patients it was 3 minutes. Consultants spent a median 2.7 minutes with patients whereas junior staff spent 4.2 minutes. These aggregate results conceal considerable variation between surgeons, even though the scheduled time available was similar. The median time spent with new patients by one consultant was 1.3 minutes and by another 13.1 minutes. Seven of the nine clinics overran their scheduled time (by up to 55 minutes). All doctors, with one exception, arrived late for the clinics (range 10 minutes early to 30 minutes late). The first patient was invariably seen after the scheduled starting time for the clinic (mean 17 minutes, range 5-50 minutes) and the median interval between a doctor arriving and seeing their first patient was 10.6 minutes. Overall, only 50% of the time spent by doctors at the clinics was with patients. IMPLICATIONS: The amount of time spent by patients with surgeons is already so short as to cause concern about both the appropriateness and value of consultations. It is unreasonable to increase workload further. There is a clear need for outpatient clinics to be managed, with regular examination of what is taking place and how long it takes. Only then will it be possible to tailor schedules to the actual requirements of the service. (+info)Workflow analysis and evidence-based medicine: towards integration of knowledge-based functions in hospital information systems. (2/56)
The large extent and complexity of scientific evidence described in the concept of evidence-based medicine often overwhelms clinicians who want to apply best external evidence. Hospital Information Systems usually do not provide knowledge-based functions to support context-sensitive linking to external information sources. Knowledge-based components need specific data, which must be entered manually and should be well adapted to clinical environment to be accepted by clinicians. This paper describes a workflow-based approach to understand and visualize clinical reality as a preliminary to designing software applications, and possible starting points for further software development. (+info)Medicare and Medicaid programs; hospital Conditions of Participation: anesthesia services. Final rule. (3/56)
This final rule amends the Anesthesia Services Condition of Participation (CoP) for hospitals, the Surgical Services Condition of Participation for Critical Access Hospitals (CAH), and the Surgical Services Condition of Coverage for Ambulatory Surgical Centers (ASCs), and, with its publication, withdraws the January 18, 2001 final rule (66 FR 4674).This final rule maintains the current physician supervision requirement for certified registered nurse anesthetists(CRNAs), unless the Governor of a State, in consultation with the State's Boards of Medicine and Nursing, exercises the option of exemption from this requirement consistent with State law. (+info)Impact of questionnaires and telephone screening on attendance for ambulatory surgery. (4/56)
The purpose of this study was to determine whether patient questionnaires along with pre-operative telephone screening could help to reduce the number of cancellations or postponements of patients listed for day case endoscopy and local anaesthetic procedures and thereby provide cost effective and more efficient patient care management. A total of 566 questionnaires were sent out with a return figure of 477 (84.27%). Of those not returning the questionnaires, 56 (9.89%) were contacted by telephone giving an overall figure of 533 (94.16%) patients contacted. The cancellation rate for this group was only 2.25% compared to figures between 8-12% as noticed in the previous year. We conclude questionnaires along with telephone screening are a very effective tool in reducing cancellations and postponements of day case patients. (+info)The effect of physician-owned surgicenters on hospital outpatient surgery. (5/56)
Hospitals increasingly find themselves subject to competition from freestanding outpatient treatment facilities such as diagnostic imaging centers and ambulatory surgery centers. That competition causes hospitals particularly intense concern when the freestanding facility is owned by physicians who are on the hospital's medical staff. We find some basis for that concern. Further, this particular form of rivalry raises competitive complications that differentiate it from the standard antitrust analysis of new competitive entry. (+info)The community hospital as a focus for health planning. (6/56)
A community hospital focus for health planning has been developed by a Department of Community Medicine in a "non-teaching" voluntary hospital. Results of three years of planning experience have included: descriptions of service area populations and utilizer populations; implementation of neighborhood based health centers with transportation and outreach programs; integration of emergency services with other ambulatory care resources; and proposals for geriatric day-care, ambulatory surgery, and patient education. Working relationships have been developed between the hospital Department and local planning bodies, among them the Comprehensive Health Planning agency, the County Health Services Department, consumer groups, voluntary agencies and a University Health Services Center. (+info)Focused factories? Physician-owned specialty facilities. (7/56)
Using data from Round Four of the Community Tracking Study site visits, this paper describes the recent rapid increase in physician-owned specialty hospitals and ambulatory surgery centers, reasons for this increase, possible impacts, and potential policy options. These facilities could lead to excess capacity, provision of unnecessary services, and lower quality because of decreased volume at some facilities. They also could reduce community hospitals' net revenue and thus their ability to subsidize socially necessary but unprofitable services. But regulatory intervention should be cautious, because data on impact are inconclusive, and these facilities could have the potential to function as "focused factories" that improve quality and reduce costs. (+info)Comparing the mix of patients in various outpatient surgery settings. (8/56)
Medicare's facility payment rates for an ambulatory surgical procedure differ among settings. These differences raise questions about how Medicare should pay for the same procedure in various settings. In exploring this issue, it is important to look at whether the type of patients treated varies by setting. The recent growth in specialty facilities offers another reason to analyze the mix of patients. This study compares the medical complexity of Medicare beneficiaries treated in ambulatory surgical centers (ASCs) and outpatient departments. Outpatient departments treat beneficiaries who are more medically complex, so ASCs might incur lower costs when providing similar procedures. (+info)A surgicenter, also known as an ambulatory surgery center (ASC), is a specialized healthcare facility that provides same-day surgical procedures, including diagnostic and preventive procedures, in an outpatient setting.
A surgicenter, also known as an ambulatory surgery center (ASC), is a specialized healthcare facility that provides same-day surgical procedures. These facilities are equipped with operating rooms and recovery rooms but do not have beds for overnight stays. Surgicenters primarily focus on providing outpatient surgeries, which allow patients to recover at home instead of being admitted to a hospital.
Procedures performed at surgicenters typically include minor to intermediate-complexity surgeries such as:
1. Orthopedic procedures (e.g., arthroscopy, joint repairs)
2. Ophthalmologic procedures (e.g., cataract surgery, LASIK)
3. Pain management procedures (e.g., epidural steroid injections)
4. Dental surgery
5. Endoscopies and colonoscopies
6. Plastic and reconstructive surgeries
7. Gynecologic procedures
Surgicenters offer several advantages, including lower costs compared to hospital-based surgeries, increased convenience for patients, reduced risk of infection due to shorter stays, and a more personalized care experience. They are often affiliated with hospitals or medical groups and must adhere to strict regulations and accreditation standards to ensure patient safety and quality of care.
Healthcare in the United States
Surgicenters are examples of specialty clinics. Hospice services for the terminally ill who are expected to live six months or ...
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Off site, the outpatient SurgiCenter opened. In the mid-1990s, hospital administrators realized the only way for the hospital ...
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Jay R
He is also a commercial model for Bench Body, Techno Marine, Unisilver, Adidas, Skechers and Calayan Surgicenter. In 2008, ...
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Bollier joined her father's practice at Surgicenter of Kansas City. Bollier retired from medicine in 1999. She then began to ...
Roxana Cannon Arsht
2.5 million in support of the construction of the Roxana Cannon Arsht Surgicenter. She died at Christiana Hospital in Newark, ...
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... and the New Year's Day bombing of the Hillcrest Women's Surgi- Center in Washington D.C. All three men were found guilty; ...
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In January 2017, Kanawha Surgicenter shut down after the doctor running the clinic moved to California, leaving the state with ...
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... which owns and operates 15 medical clinics and surgicenters in the Philippines, in Metro Manila, Cebu City, Pampanga, and Davao ...
List of MeSH codes (N02)
... surgicenters MeSH N02.278.050 - bed occupancy MeSH N02.278.065 - biological specimen banks MeSH N02.278.065.200 - blood banks ... surgicenters MeSH N02.278.421.639 - teaching hospitals MeSH N02.278.421.639.725 - university hospitals MeSH N02.278.421.660 - ...
Margie Pitts Hames
She would eventually serve as legal counsel for the Atlanta Surgi Center, the Hillcrest Clinic, the Summit Medical Center, ...
Guthrie Corning Hospital
... and a same day surgicenter in Big Flats, New York. It received a provisional trauma center designation August 28, 2023. Center ...
Saint Peter's Healthcare System
... including the CARES Surgicenter, an ambulatory surgery center adjacent to the hospital in New Brunswick, and a Family Health ... NJ Cardio Metabolic Institute The Breast Center Central Jersey Lung Center CARES Surgicenter Notes "RWJBarnabas Health, St. ...
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Shaalan Surgi Center Theodor Bilharz Research Institute Sheikh Zayed specialized Hospital Heliopolis Neuro-Center Zahraa ...
Los Robles Hospital & Medical Center
Besides 24-hour emergency services, the hospital is also home of Los Robles SurgiCenter, Radiology and Breast Center, Conejo ...
ECU Health
Rehabilitation ECU Health Pain Management Centers ECU Health Radiation Oncology ECU Health Sleep Centers ECU Health SurgiCenter ...
Davida Rochlin
Fountain Valley Cancer Surgicenter, Fountain Valley, California 1994, Cigna Montclair Clinic, Montclair, California 1994, Cigna ...
ChristianaCare
Its campus is also home to the Roxana Cannon Arsht Surgicenter, Wilmington Hospital Health Center, an HIV program and the First ... This center, located at Roxana Cannon Arsht Surgicenter on the Wilmington Hospital campus, will contain 6 operating rooms, 6 ...
Christiana Surgicenter
Surgicenter Concept - Behance - Architektura - Max3D.pl
Helena SurgiCenter
... is a caring, comfortable, and convenient facility that provides patient-centered care in an outpatient ... "I cant say enough good things about Helena SurgiCenter!". They are very efficient and professional and constantly check to ... The physicians at Helena SurgiCenter are leaders in their specialty and some of the most respected surgeons in the area. ... At Helena SurgiCenter, we provide same day surgery services in many specialties including, endoscopy, otolaryngology, ...
Doctors
The physicians at Helena SurgiCenter are leaders in their respective fields and are dedicated to providing best-in-class care ... Designed with our patients in mind, Helena SurgiCenter combines the expertise of many of the areas most respected surgeons ... The medical staff of Helena SurgiCenter consists of over 30 physicians across nine different medical specialties. Each surgeon ... makes Helena SurgiCenter an ideal choice for Helena area residents who require outpatient surgery. ...
SurgiCenter - ECU Health
The SurgiCenter is a joint venture between ECU Health Medical Center and local physicians who provide the best care to patients ... The ECU Health SurgiCenter has been helping families in eastern North Carolina since 1982. Licensed and accredited by The Joint ... The SurgiCenter routinely performs at the top of the list on measures of quality, performance and patient satisfaction. Were ... The ECU Health SurgiCenter received the Go Clear Award™ for 2021 from the Association of PeriOperative Registered Nurses (AORN ...
Facilitation - Galileo Surgicenter
lauren - Mile High SurgiCenter
Broadway - Castle Rock SurgiCenter
Guam SurgiCenter | For providers
The Medical Staff Shall Be An Open Staff And Support The Mission Of The Guam Surgicenter Providing Competent, Quality Care ... "The Medical Staff shall be an open staff and support the mission of the Guam SurgiCenter providing competent, quality care in ... Physicians, podiatrists, dentists and oral surgeons who wish to perform procedures at Guam Surgicenter must first apply for ... Credentials applications are available on request by contacting Melissa Waibel at Guam Surgicenter at 671-646-3855 ...
Special Archives - University SurgiCenter
cancer prevention - Regional SurgiCenter
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May 2018 - Island Eye Surgicenter
2023 Island Eye Surgicenter , Privacy Policy. HOME. ABOUT US. SURGICAL PROCEDURES. FIND AN EXPERT. NEWS & EVENTS. CONTACT US. ... Island Eye Surgicenter. 1500 Jericho Turnpike. Westbury, NY 11590. Tel: (516) 877-2400. ... The Island Eye Surgicenter website does not provide medical advice, diagnosis or treatment. Responses to any questions you ... Reliance on any Content provided by the Island Eye Surgicenter website is solely at your own risk. The Content is not intended ...
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Directions | Physicians' SurgiCenter | United States
SurgiCenter which allows patients to return home the same day of surgery. ... Physicians SurgiCenter will be in the first strip mall on the left next to the Provident Bank. The Provident Bank is the first ... Thank you for selecting the Physicians SurgiCenter for your same day surgical needs. ... unit in that Building and the Physicians SurgiCenter is unit 2-4. ...
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Palos SurgiCenter - Welcome to Palos SurgiCenter
ABOUT PALOS SURGICENTER. At Palos SurgiCenter, we dedicate ourselves to upholding the highest standard of outpatient surgical ... WHY CHOOSE PALOS SURGICENTER?. At Palos SurgiCenter, we dedicate ourselves to upholding the highest standard of outpatient ... At Palos Surgicenter patient safety and patient care is our central focus. We appreciate your patience and understanding in ... The SurgiCenter Staff will do everything possible to make your visit as pleasant as possible and help you progress toward a ...
Anesthesiology - Preferred Surgicenter - Chicago's Spine & Orthopedic Experts
Dr. Wafai has over 25 years as a practicing physician. He received his medical degree from Damascus University and completed his Anesthesia-Cardio/Thoracic residency at the Illinois Masonic Medical Center. He is board certified in Anesthesiology and serves as the chairman for the Department of Anesthesia at Advocate Condell Medical Center ...
Saadat, Ardavan A., MD - Golden Triangle Surgicenter
Book An Appointment | Eye Associates & SurgiCenter | NJClinic surgicenter1
- To schedule an appointment at The Eye Clinic Surgicenter, contact us today by calling 406-252-6608 or visiting theeyeclinicsurgicenter.com . (theeyeclinicsurgicenter.com)
Helena SurgiCenter8
- Helena SurgiCenter is a caring, comfortable, and convenient facility that provides patient-centered care in an outpatient setting. (helenasurgicenter.com)
- For over 20 years, Helena SurgiCenter has consistently maintained our signature commitment to the care and improvement of patient lives by delivering high-quality, cost-effective healthcare in the community. (helenasurgicenter.com)
- The physicians at Helena SurgiCenter are leaders in their specialty and some of the most respected surgeons in the area. (helenasurgicenter.com)
- I can't say enough good things about Helena SurgiCenter! (helenasurgicenter.com)
- Designed with our patients in mind, Helena SurgiCenter combines the expertise of many of the area's most respected surgeons with advanced technology and personalized care. (helenasurgicenter.com)
- The physicians at Helena SurgiCenter are leaders in their respective fields and are dedicated to providing best-in-class care to the community they call home. (helenasurgicenter.com)
- The medical staff of Helena SurgiCenter consists of over 30 physicians across nine different medical specialties. (helenasurgicenter.com)
- Their continued commitment to studying new medical advances and techniques, along with our state-of-the-art surgical facility, makes Helena SurgiCenter an ideal choice for Helena area residents who require outpatient surgery. (helenasurgicenter.com)
Surgery5
- When you have surgery at the Christiana Surgicenter, you're back in the comfort of your own home the very same day. (christianacare.org)
- Choosing to have surgery at the SurgiCenter is typically 35-45 percent less expensive than doing a procedure in a hospital setting. (ecuhealth.org)
- From a special tour to prepare children for surgery to a long list of amenities for you and your loved ones while you're with us, we're always thinking about ways to make your experience at SurgiCenter a positive one from entry to exit. (ecuhealth.org)
- Thank you for choosing the Palms West Surgicenter for your upcoming surgery or procedure. (palmswestsurgicenter.com)
- The Surgicenter will attempt to contact the patient a minimum of 24 hours prior to admission regarding their estimated financial responsibility (co-pays, deductibles, percentages, etc.) due the day of surgery. (riversideparksurgicenter.com)
Physicians6
- The SurgiCenter is a joint venture between ECU Health Medical Center and local physicians who provide the best care to patients in our region. (ecuhealth.org)
- Physicians, podiatrists, dentists and oral surgeons who wish to perform procedures at Guam Surgicenter must first apply for privileges at the center by completing a credentials application. (guamsurgicenter.com)
- Physicians' SurgiCenter will be in the first strip mall on the left next to the Provident Bank. (physicianssurgicenter.com)
- The Provident Bank is the first unit in that Building and the Physicians' SurgiCenter is unit 2-4. (physicianssurgicenter.com)
- Thank you for selecting the Physicians' SurgiCenter for your same day surgical needs. (physicianssurgicenter.com)
- ECU Health SurgiCenter is a freestanding facility with a multi-specialty staff of approximately 200 physicians, all guided by a single goal: to provide quality outpatient surgical care in a patient- and family-centered environment. (ecuhealth.org)
Surgical4
- The SurgiCenter earned the award by undergoing comprehensive surgical smoke education and using appropriate devices to evacuate surgical smoke during all smoke-generating procedures. (ecuhealth.org)
- At Palos SurgiCenter , we dedicate ourselves to upholding the highest standard of outpatient surgical care. (palossurgicenter.com)
- To start the pre-surgical assessment process, Palms West Surgicenter requests that you complete your medical history online with One Medical Passport. (palmswestsurgicenter.com)
- Surgicenter of Kansas City provides a variety of different surgical services and procedures to our patients. (sckcmo.com)
Content2
- The contents of the Island Eye Surgicenter website, such as text, graphics, images, and other material contained on the Island Eye Surgicenter website ("Content") are for informational purposes only. (islandeye.net)
- Reliance on any Content provided by the Island Eye Surgicenter website is solely at your own risk. (islandeye.net)
Pathology1
- Laboratory/Pathology - Riverside Park Surgicenter submits specimens to different laboratories/pathology providers which areaccording to the patient's insurance plan. (riversideparksurgicenter.com)
Surgeries1
- The ECU Health SurgiCenter specializes in outpatient, same-day surgeries for residents across eastern North Carolina and beyond. (ecuhealth.org)
Diagnosis2
- Galileo SurgiCenter is a State-of-the-Art Eye Center with Eye Care Professionals and Facilities for the diagnosis and treatment of Visual Problems and Eye Diseases. (galileoeyecenter.com)
- The Island Eye Surgicenter website does not provide medical advice, diagnosis or treatment. (islandeye.net)
Health3
- The ECU Health SurgiCenter has been helping families in eastern North Carolina since 1982. (ecuhealth.org)
- For directions to ECU Health SurgiCenter, click here . (ecuhealth.org)
- The ECU Health SurgiCenter received the Go Clear Award™ for 2021 from the Association of PeriOperative Registered Nurses (AORN). (ecuhealth.org)
Staff2
- excerpt from Article 1 of the Guam SurgiCenter Medical Staff Bylaws. (guamsurgicenter.com)
- The SurgiCenter Staff will do everything possible to make your visit as pleasant as possible and help you progress toward a quick recovery. (palossurgicenter.com)
Care2
- See the stories of unique individuals, who all received expert care from SurgiCenter. (ecuhealth.org)
- At Palos Surgicenter patient safety and patient care is our central focus. (palossurgicenter.com)
Operating Room1
- The SurgiCenter with Hospital of University of Pennsylvania is seeking an experienced operating room nurse to join their team! (pennmedicine.org)
Patient2
- The SurgiCenter routinely performs at the top of the list on measures of quality, performance and patient satisfaction. (ecuhealth.org)
- In the event a patient is unable to pay, our Surgicenter may offer a short term repayment schedule after a minimum down payment is made. (riversideparksurgicenter.com)
Website2
- Responses to any questions you submit to the Island Eye Surgicenter website are not to be considered medical advice and do not take the place of a visit to a physician. (islandeye.net)
- Never disregard professional medical advice or delay in seeking it because of something you have read on the Island Eye Surgicenter website! (islandeye.net)
Free1
- Free parking in the surgicenter parking lot. (christianacare.org)
Process1
- Riverside Park Surgicenter at this time does not have an application process for any financial assistance programs. (riversideparksurgicenter.com)
Dermatologic SurgiCenter3
- When you need a Philadelphia, PA dermatologist, innovative and skilled care is available at Dermatologic SurgiCenter which is owned and operated by the Benedetto Family. (localy.org)
- People trust the care at our center because we go the extra mile to give you the results you want.nnAt Dermatologic SurgiCenter, our goal is to provide every patient with personalized care. (localy.org)
- Call the Dermatologic SurgiCenter in Philadelphia, PA, to make an appointment for a complimentary consultation and learn how you can get smoother, younger, healthier-looking skin. (benedettoderm.com)
20231
- Murfreesboro Medical Clinic & SurgiCenter (MMC) in Tennessee has recently confirmed that the protected health information of more than half a million patients was compromised in what it describes as "a series of attacks on our network and IT systems," which were discovered on or around April 24, 2023. (my.id)
Saint Luke's Surgicenter5
- In December 2011, Thomas Tharp went to Saint Luke's Surgicenter, in Lee's Summit, Missouri, to have his gallbladder removed. (medscape.com)
- This unique online service is a simple, secure way to provide our team at Saint Luke's Surgicenter - Lee's Summit with all of your vital statistics and medical history. (saintlukessurgicenter.org)
- Shortly before your scheduled procedure, a representative from Saint Luke's Surgicenter - Lee's Summit will call to confirm the details of your appointment. (saintlukessurgicenter.org)
- We'll ask you to complete a simple questionnaire about the care you received at Saint Luke's Surgicenter - Lee's Summit, as we strive to continuously provide the highest level of care. (saintlukessurgicenter.org)
- Saint Luke's Surgicenter - Lee's Summit is pleased to offer convenient, secure online bill pay, which is designed to eliminate misunderstandings and questions while keeping the payment process clear and easy to follow. (saintlukessurgicenter.org)
Clinic4
- Welcome to our section of The Eye Clinic Surgicenter in Lander, Wyoming! (alloptometristnearme.com)
- The Eye Clinic Surgicenter is always exploring and embracing new technologies. (theeyeclinicsurgicenter.com)
- These are just a few of the recent innovations at The Eye Clinic Surgicenter. (theeyeclinicsurgicenter.com)
- This process of constant re-evaluation and improvement will remain part of our philosophy because at The Eye Clinic Surgicenter, we know it's Your Vision, Your Life, and Our Passion. (theeyeclinicsurgicenter.com)
Call3
- If you have any problems with your scheduled arrival time or you need special arrangements, please call the Spartan Health Surgicenter as soon as possible. (spartansurg.com)
- If you have a specific concern that is not addressed satisfactorily, please feel free to call SpinalCARE SurgiCenter at (949) 297-3838. (spinalcaresurgicenter.com)
- It is not necessary to call Surgicenter of Johnson County once your pre-registration has been completed. (surgicenterjc.com)
PATIENTS1
- Children - A parent or legal guardian must accompany all patients under the age of 18 and must remain at the Spartan Health Surgicenter while the patient is in the operating room. (spartansurg.com)
Hours1
- You will be contacted by a member of the Spartan Health Surgicenter staff within 48 hours following your visit to evaluate your recovery and to answer any questions you may have. (spartansurg.com)
Provide1
- The Island Eye Surgicenter website does not provide medical advice, diagnosis or treatment. (islandeye.net)
Team1
- Your medical information will only be used by your medical team at Surgicenter of Johnson County and never released to anyone other than your medical team. (surgicenterjc.com)
Terms1
- The science descriptors adopted were "Surgicenters" and "Coronavirus Infections," according to the DeCS-MeSH terms system. (bvsalud.org)
Website2
- Responses to any questions you submit to the Island Eye Surgicenter website are not to be considered medical advice and do not take the place of a visit to a physician. (islandeye.net)
- Never disregard professional medical advice or delay in seeking it because of something you have read on the Island Eye Surgicenter website! (islandeye.net)