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One out of every seven Americans will face a substance addiction. Here are some resources to help you help a loved one, and notice…
4333 Collins AveMiami Beach, FL 33140
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It was a pleasure working with Steven Pollak from the Aventura Turnberry Jewish Center last week at the B'Nai Mitzvah on November 23rd, 2013. The ce…
945 Arthur Godfrey RdMiami Beach, FL 33140
One out of every seven Americans will face a substance addiction. Here are some resources to help you help a loved one, and notice…
The holiday festivities are over, but January doesn't have to be a drag. It's actually the best time to finish projects and organize your life – all while having a little fun.
We needed an ear, nose and throat specialist, but the wait at our HMO was two weeks. What now? An emergency room seemed like overk…
I had one hip replaced by Dr. Umlas February 2011. I was back to work in three months. The drive a truck for a living moving heavy dollies and dropping trailers frequently. My left hip was so bad it would get stuck and I could not straighten my leg out at times or get up. I live with this severe pain for over 10 years. I have seen chiropractors and a few other orthopedic surgeons but did not recommend hip placement. I was 56 over the years I spent thousands of dollars on over-the-counter and very expensive juices claiming to repair cartilage without legally saying so. I have gone to chiropractors claiming to come in three times a week and it would relieve the pain. None of which worked. Skip detail, I had one visit to Dr. Umlas and he looked at my x-ray and told me I needed a new hip. There was no if I do this or I do that. Just a plain you need a new hip. I was extremely frightened to say the least of finally getting something done to relieve my pain. For the first time in my life I am going to have surgery. A total hip replacement. I felt very confident with Dr. Umlas to do a good job and to get me talking again without pain. Skipping other details, I got the surgery done and was in the hospital at 6 AM on Friday morning and I was out of the hospital at 6 PM the following Monday. I have some complaints about Mount Sinai Hospital in Miami but they are not Dr. Umlas's concerns. Nor do they reflect the fact that I have been working for the last three years with no pain and a functioning hip to allow me to do my job. How could anybody complain about a person that brings a better lifestyle to them with their skills. Just this past week I had my right hip replaced by Dr. Umlas in my recovery time seems to be a month ahead of schedule. There were a few things different about the surgery than the last one but the results are better and quicker recovery. Week one and I'm walking around became at home. There's a lot of therapy ahead. But I really feel like if I work hard and be ready to rock 'n roll in two months versus three months on last operation. I will post my experience with this right hip on another post. But if I ever had to recommend hip replacement to anyone suffering like I did I would highly recommend Dr. Umlas.
I was looking for a primary care physician in my area that accepts my insurance plan and I chose Dr. Gadea because of the good reviews I found about her in several websites. I have to say that those good reviews are true! The moment I called her office to set up an appointment, I already felt welcome. The person who took my call was friendly and even joked with me as she set up my appointment. During my visit, I only had to wait 10 minutes. During my time with Dr. Gadea, she took the time necessary to understand my problem. I didn't feet rushed. She was friendly and seemed truly interested in trying to understand my problem and how to help me with it. I felt so at ease with her that I was able to talk about my concerns completely and honestly. The next business day, her staff called to ask how I was; and when the results of my tests came in, her staff called me again to inform me of the results. When I visited her office again for a minor administrative matter, Dr. Gadea took the time to ask me (through her staff because she was attending to a patient) how I was doing with regards to my health concern, even though she was clearly busy. I felt truly welcome! I am so glad I found Dr. Gadea and I look forward to continue seeing her for any other medical problems I may have.
After being cared for my Charcot Foot by two previous doctors, I finally found Dr. Kevin Berkowitz. Since March, 2009 he has been tending my foot wound. He has maintained a watchful eye on the resulting ulcer. Once the bones in my foot reformed, he suggested surgery to reconfigure the protruding bone so that I can walk again. As a result, last week, he performed the surgery. I have been very happy with his services. In addition to his skill, I am most impressed by the fact that during the very first week of our alliance, he gave me his cell phone number so that I might contact him IF i had problems or complications. The other doctors simply had me go through their staff for contact. You don't realize what it means to be able to get in touch with your doctor at any time of day or night when you feel an emergency is ensuing (I once contacted him at 1130 pm via text message AND HE IMMEDIATELY RESPONDED!!!!!) In addition, Dr. "B" is down to earth, and does NOT talk down to his patients (he even has a Harley motorcycle!!!) I could go on and on, but let me simply end by saying that as long as I am in South Florida, there is no other podiatrist that I will trust! Regards, Bill Burnett
I'd been to two other podiatrists in the past for plantar fasciitis and found no relief. I'd almost given up, but am glad I didn't. Dr. Berkowitz is a different breed of doctor. It's obvious this guy loves his job and not just going through the motions. He takes the time to explain things in detail rather than rush you out of his office. The orthotics he prescribed are much better than the ones I got from a previous doctor. He patiently went over various stretches to do - these have been great. When I forgot one of the stretches, I called his office and he promptly called me back. He also shed light on the idea that stress can cause pain flare ups -- and if you're conscious of that, it can reduce the pain. Kind of a simple concept, but it helps to be reminded by a doctor who's easy to talk to, really listens, and genuinely cares. With Dr. Berkowitz's guidance, my chronic foot pain is all but gone. I no longer need a daily dose of Extra Strength Tylenol. Instead, I'm playing soccer - running, and slide tackling - which I hadn't done in ten years!
I went to see Dr Berkowitz for pain in my ankle and he spent a lot of time with me, ran a bunch of exams on my ankle including x-rays and ultrasound exams. He found the problem that I had suffered from for a year that no other foot doctor was able to find. I had seen 3 other foot specialists at Mt. Sinai in the past until my Doctor recommended Dr Berkowitz. He recommended a small procedure which I had performed in the office and it has beenn 2 months and I am totally pain free. I recommend anyone who has foot or ankle pain to see Dr. Berkowitz. Also his office staff was polite, helpful and professional. Y se hable espanol!
I had a fabulous experience with Dr. Kevin Berkowitz. He was the most professional caring doctor I have ever been to. My feet were killing me both big toes infected and my bunyon acting up. Dr. Berkowitz not only scheduled me to come in right away but really took the time to explain and tell me every issue is important with the feet and he takes every issue one at a time. He is so thorough and followed up with me 2 days later to make sure I was feeling okay. I would never consider another specialist in the state and would only go to him. ABSOLUTELY Fabulous!!!!
I am privileged to know Dr. Berkowitz and would highly recommend him as a podiatrist and physician. He operated on my foot a few years ago and was unfailingly charismatic, warm and charming. He infuses his practice with genuine kindness and generously donates his talents to the community. Not only does he have an excellent bedside manner, he is also an expert in his field. The operation on my foot went smoothly and efficiently and I recovered quickly. He made the experience as pleasant as possible and I wouldn't hesitate to see him again for any reason.
For years I've suffered from excrutiating shooting pains on the bottom of my feet. The pain was worst when I woke up in the morning. Thanks to Dr. Berkowitz, my pain is now gone. He immediately diagnosed my problem as plantar fasciatits, prescribed some simple stretching exercises and had custom orthotics designed for my feet. Within a couple of days I was pain free for the first time in years. My appointments were always on time, the staff is incredibly warm and my pain is gone. What more could you ask?!?
I have had foot pain for over twenty years and was lucky enough to find Dr. Berkowitz. I had several problems including flat feet, a neuroma and a broken metatarsal from snow boarding. Dr. Berkowitz has made me free of all foot pain. His expertise, professionalism and intelligence is far greater than all other Podiatrists I have treated with. I am now able to walk from the train to the office without pain. I am lucky to have Dr. Kevin Berkowitz. in my corner. Dennis Sheehan Attorney, NYC
I was referred to Dr Berkowitz through my niece, and decided to try the laser for my toenail fungus. Dr B has a great personality, and his staff is young and efficient. I had about 4-5 laser treatments and my fungus is clearing out, it takes about a year for the new nails to grow over the old ones, but I am already seeing some progress. I would use Dr B for other foot problems if needed for sure. Office is clean and easy to get to.
Physicians and surgeons help to keep people - from infants to the elderly - as healthy as possible. These individuals provide diagnoses and treatments for a wide variety of ailments, and preventative care and early detection for more serious illnesses. Whether you love or hate going to the doctor, the fact is your physician is there to listen to your health concerns, take preventative measures against diseases and advise you on your options for staying in tip-top shape.
In 2013, there were more than 1 million doctors of medicine in the U.S., over 854,000 of which were active. Additionally, in 2012, there were about 18,000 active general surgeons in the country. It's important to know which type of physician or surgeon you need, how to choose the best one, and account for other considerations in order to stay healthy.
Patients can choose from a wide variety of physicians depending on doctor specialty and what problems they are experiencing. Here are a few of the most common types of physicians that you may see in your lifetime:
Your GP is the doctor that you go to for regular checkups, vaccines and to identify health issues. GPs can treat many different illnesses and injuries, from the common cold to a broken arm. If your health requires a second opinion or expert care, the GP will refer you to a specialist who has the skills to focus in on the issue.
Heart attacks and heart disease are some of the most common afflictions seen across the country, making cardiologists important to your long-term health. These physicians specialize in studying and treating the heart and related diseases.
Other than a GP, the dentist is likely the most common physician you'll ever see. These professionals work with the human mouth, ensuring that your teeth and gum health are up to par. Patients typically go to the dentist twice a year.
Dermatologists are focused on skin-related issues and diseases, from skin cancers, to acute acne, eczema, psoriasis, and general cosmetic concerns like aging and scars. Most will also perform annual or semi-annual mole checks to screen for any signs of melanoma, the most serious form of skin cancer.
If you have a number of sinus infections or have had your tonsils taken out, you've likely seen an ENT specialist. ENTs handle ailments related to the ear, nose and throat, often related to taking out tonsils and treating hearing issues.
For many women, their gynecologist and obstetrician are the same person. These professionals work with the female reproductive system to focus on reproductive health, fertility issues, prenatal care, options for new and expectant mothers, neonatal care and childbirth. OB/GYNs can also help in the early detection of breast or cervical cancer.
There are obviously a number of physicians that you can choose from, but how do you know if they're the best choice for you? Here are a few considerations to help you pick a physician:
Look at Your Insurance
Before you get down to the details, you need to verify which doctors are covered by your insurance and whether they are in or out of your carrier's network. Rates may be cheaper if the doc is in network – a doctor can be covered by your insurance but not necessarily in network. Out of network is typically more expensive. Doctors often add and drop plans, so it's important to ensure that your options are compatible with your insurance plan. Doing your homework will help you avoid unexpected expenses.
Check for Board Certification
Your physician should be certified through the American Board of Medical Specialties. Doctors must earn a medical degree from a qualified school, complete three to seven years of residency training, be licensed by a state medical board and pass one or more ABMS exams to be certified.
Examine the Reviews
Reviews of a doctor can reveal a lot about what your experience may be like. People may grade on staff friendliness, availability and effectiveness of treatment. Looking at these evaluations and getting recommendations from family and friends can direct you toward a physician for your needs.
Surgeons can literally hold your life in their hands, and it's important to find the best one that can put you at ease and treat you effectively
You need to feel comfortable with your surgeon. It's important to communicate your concerns and that your surgeon can respond adequately. Surgeons should be willing to go over the details of your procedure and answer any questions that you may have. They must take the time to discuss and address your worries.
If you're going in for surgery, you want someone that knows what they're doing and has a high success rate. Ask how often the surgeon performs this surgery and try to find one that regularly does it. This will give you peace of mind that you're in capable hands.
Your decision on a physician or surgeon can be majorly affected by the insurance plan you have. You may have insurance through employment, your spouse, your parents if you're under 26, or the marketplace if the previous options don't apply to you. It's important to understand how your insurance works to have the full picture of what you'll need to pay for.
Your insurance will have a deductible, which is the amount that you're responsible to pay for covered medical expenses. Some plans have coinsurances, where you must pay a certain percentage of the bill, and insurance will cover the rest. Co-pays state a flat rate for certain services, like paying $20 when you visit your GP or a $100 co-pay for an emergency room visit. Once you reach your out-of-pocket maximum, which will differ if you're an individual or within a family plan, your insurance may pay for 100 percent of covered medical expenses for the rest of the plan year.
If you plan to go to the doctor, need medication or have been recommended for surgery, call your insurance provider or go online to see what your plan covers. You can choose the best doctor for your needs, understand your options and prevent yourself from being blindsided by medical expenses.
Most doctors require a phone call for an appointment, although some may provide online scheduling as well. Be sure to have your insurance card with you when you set an appointment, and to bring it with you to the actual appointment. They need the ID numbers to verify your coverage, and will usually make a copy of the card for their files so you don't have to show it again unless your insurance changes.
When you call, let them know if you're a new patient, as this will require you to complete some paperwork for your first visit. Tell them the reason for your visit, such as your symptoms if you're feeling sick. It's also important to inform them if you have Medicaid and to find out if you need to bring anything to the visit, like current medications or medical records.
From here, the receptionist will likely ask what dates and times work best for you. During your call, it's important to be honest about your symptoms and the reason for your visit. This information will help the doctor treat you and give him or her an idea of what to expect. Your appointment may progress faster as a result, and the doctor can come prepared with a list of options to better care for you.
Doctors see a number of patients in a day, sometimes in 15-minute increments in areas where the physicians are in high demand. This can leave little time for doctors to perform thorough examinations, and they can end up missing certain problem indicators. While some problems, like a cold or flu, can be diagnosed in this time, more complex ailments require attention, which takes up time. Reviews can illuminate which doctors actively spend the necessary time with their patients and which ones are pressed against the clock to meet demand.
Surgery has some more dire risks attached to it, so be sure to talk to your surgeon about the potential issues that can come up as a result of your procedure. If a patient has a reaction to anesthesia, it can cause very serious complications, but this is an uncommon occurrence. Blood clots can be a significant problem after surgery, often caused by inactivity during recovery. Infections, numbness, scarring, swelling and death are all possible, but the likelihood of these issues will vary depending on the type of surgery you're undergoing. Talk to your doctor about your concerns and your risk potential.
Surgery affects people in different ways, but as you begin to emerge from anesthesia, you'll want to alert your nurse to any issues you may have. The nurse will tell you how the procedure went, what effect it will have on your condition, what to expect when you get home and how long it will take to get back to normal. If you start feeling pain, the nurse may give you medication to stop it from getting worse. When possible, it's also advised to move around to avoid blood clots from developing in your legs. This can be as simple as occasionally flexing your knee or rotating your foot.
Some surgeries are outpatient procedures, where people are released the same day. For major surgeries, patients may stay at the hospital for a few days to be monitored and address any concerns before being sent home. Discuss with your surgeon the projected length of the hospital stay and what you need to bring.
Your recovery time and follow-up expectations will vary depending on your procedure. For example, you can be expected to be on your feet within a few days of having your wisdom teeth taken out, but it may be weeks before you have fully recovered from a broken foot or heart-valve surgery. Your surgeon will give you a list of things that you'll need to do during this time, including what medications to take and when you'll be able to get back to work and other activities.
Every surgery will have a follow-up call or appointment to discuss your recovery and allow you to ask any questions about unusual symptoms or changes in your overall health. If you have a major operation, like heart surgery, it's important to make regular checkups with your doctor or a specialist to ensure that everything is normal. Visiting a doctor will help deter infection and verify that everything is healing as expected. These appointments will give you peace of mind about your state of health and ensure that any issues are caught early on.