FAQ

Frequently Asked Questions

Emergency information

If you are an emergency case requiring immediate attention, please call 911.

Insurance and Billing

Do you accept my insurance?

Our Medical Centre accepts most of the internationally recognized Insurance companies with affiliate.

If this is not your case, or if you have no insurance coverage then you will be expected to pay the bill in cash or credit card at the end of consultation. The original receipt, the signed copy of the credit card bill, the medical report in English and the results of tests performed are given to you in order to be delivered to your private or state insurance for reimbursement.

An estimate of consultation fees and costs, investigations or surgery are available on request.

Do I need referral?

If you have private insurance with an affiliate, the referral can be sent from your insurance company to us by fax or e-mail. We suggest that you contact your insurance in order to obtain this referral before your visit to our offices.

If you don’t have an insurance coverage, feel free to come to our Medical Centre. The billing procedure is as explained above.

Do you have parking facilities?

Yes.

Free Parking is available in front and around the Burdin Riehl parking tower.

What do you do?

We provide a full range of general obstetric and gynecologic care for women. Additionally, our scope of practice includes treatment for infertility, hormonal abnormalities, and minimally invasive surgery. Since the traditional meaning of the title “doctor” means “teacher” (from the latin “docere” or “to teach”), as our schedules permit, we also give presentations on various topics within our areas of expertise.

What is your approach in treating infertility?

In treating infertility, we acknowledge that this condition is one of the married couple not of one individual. Accordingly, we believe the best approach is one of evaluating the couple in an attempt to determine what medical problems may be causing the infertility. Once the problem or problems have been identified, we seek to correct it either by medication, surgical treatment, or both. This approach is frequently described by like-minded physicians as a “Restorative Reproductive Medicine” approach and is an essential principle of “Naprotechnology.”

What is your approach to treating endometriosis? Polycystic Ovarian Syndrome (PCOS)?

Our approach to endometriosis is first of all that of surgical excision (or removal) of all diseased tissue. With the modern surgical instruments available (daVinci robot), we rarely (if ever) have a need for the larger “cesarean-like” surgical incisions as had been more common in recent years for significant or severe endometriosis.

We often find that PCOS can be treated with non-invasive (medical) treatments alone. However, when medications are not sufficient, we are able to perform ovarian wedge resection procedures laparoscopically for women who require this procedure.

What is NaPro Technology?

NaProTECHNOLOGY™ or Natural Procreative Technology (NPT), is the result of 30 years of research by Thomas Hilgers, M.D., an obstetrician/gynecologist at the National Center for Women’s Health in Omaha, Nebraska. This state-of-the-art science has already helped thousands of women throughout the U.S. and in several other countries better understand their bodies and treat the underlying causes of their gynecological problems. NPT provides the best in current medical care, applying diagnostic and therapeutic techniques in a way that is cooperative with the natural functions of the body. It can be used to treat a wide range of gynecologic problems including premenstrual tension syndrome, ovarian cysts, abnormal bleeding, irregular cycles and recurrent miscarriages.

How successful is NaPro Technology in treating infertility?

Pope Paul VI Institute research published in 2004 demonstrated a 74.6% “per woman” pregnancy rate among women with such diverse causes of infertility as anovulatory infertility, polycystic ovarian disease, endometriosis, and tubal occlusion.

How does NaPro help prevent miscarriage?

Since all natural miscarriages result from a pathologic event, if a particular condition is identified and corrected before conception, then the miscarriage can be prevented. Women who are tracking their cycles via fertility awareness method (like the Crieghton Model) are documenting information that can help the physician further evaluate any potential problems. After 1 or 2 miscarriages have occurred, more detailed investigation is often initiated. This may include minor diagnostic procedures as well as a series of blood tests.

Where did you get your medical training?

Please see our respective biographies in the “About Us” section of our website here.

What do you do to continue your professional development?

In accord with yearly board certification requirements and state licensure requirements, we read numerous scientific papers in the field of obstetrics and gynecology. Additionally, we attend annual conferences (at least one per year) sponsored by one or more of the professional medical societies we belong to. Finally, we also periodically attend specific surgical training courses to further develop our surgical skills, especially as new techniques and surgical tools become available.

How much time do you give your patients in a typical visit?

This varies depending on the needs of the patient. Short nurse visits for a urine test may only last 5-10 minutes, whereas new consultations or referrals for complex cases often last 60 minutes or more. We attempt to build the schedule in a way that allows us to give each patient the time she needs, however, since some patients require more time than anticipated, we may sometimes run behind schedule.

Will you take a cash payment for a better price than if I went through insurance?

We never want lack of insurance or financial hardships to be an impediment to obtaining care from us. For patients in such circumstances, we are flexible and typically able to accommodate the needs of each patient on a case by case basis.

What are your thoughts on home birth?

Due to the current medical-legal climate and our call coverage arrangements with other physicians, at this time we are not able to supervise or provide coverage for home births. We note that Dr. Robert Bradley, himself a major advocate of natural births, did not promote home deliveries. We see our role as that of a sort of “lifeguard,” watching over people swimming. In this analogy, most people do fine most of the time with no intervention. However, the security of having a doctor available to intervene when necessary would seem to be the safest approach to protecting the mother and child.

Will you put my daughter on the pill?

Generally speaking, the best answer would be no. If we encounter a situation where we find that “the pill” is the best medical treatment for her, we would likely offer that as a possible treatment option. However, the circumstances during which the typical “birth control pill” would be the best medication for a given medical problem are virtually non-existent. During that extremely rare situation when the “birth control pill” might be used it would be for a very limited time (2-4 weeks), in an “off-label” manner such as has sometimes been used as a temporary treatment to control severe bleeding.

Do you prescribe contraceptives?

In accord with our code of ethics, we do not prescribe contraceptives as such. See the prior explanation for the theoretical scenario where hormonal contraceptives” might rarely be prescribed for a different purpose.

What type(s) of NFP do you recommend?

We have found that the best methods of Fertility Awareness (our preferred term for what has been described as NFP or Natural Family Planning in the past) include both the “mucus only” methods (Billings, Crieghton, etc.) and the symptothermal (STM) methods as they are inexpensive, easy to learn, and highly effective both for postponing and achieving pregnancy. These approaches are also very useful in evaluating infertility and gynecologic problems. We do not recommend the repackaged versions of the more antiquated calendar methods now being promoted (Standard Days Method, Cycle Beads, etc.) since they are less effective and rely on a woman to have more predictable and regular cycles.

Do you recommend the triple or quad screen test during pregnancy? Why or why not?

Generally speaking, for most women, we find neither the “triple” nor the “quad screen” prenatal tests to be very useful during pregnancy and therefore do not routinely recommend them. They have what we consider to be an unacceptably high false positive rate and therefore cause unnecessary anxiety in many women. Furthermore, the 19-20 week ultrasound is usually sufficient for diagnosing those prenatal conditions that would modify our treatment in terms of obstetric care. As some potential prenatal treatments (currently being researched by colleagues in the IIRRM) hopefully become available to prevent the harmful effects of the extra chromosome in Trisomy 21 (Down’s Syndrome), and as more accurate prenatal testing also becomes available (like cell-free free DNA analysis) there may be a more medically justifiable role for seeking diagnosing this condition as early as possible in the pregnancy: so that treatment can be initiated immediately.

Do you perform abortions?

In accord with our code of ethics, we do not perform or cooperate with induced abortions in any form or by any means(chemical or surgical).