Category Archives: Patient Information

BREAST CANCER 2014 – CHOICES FOR PATIENTS

7/27/14 ROBERT WAYNE, M.D., F.A.C.S. 2055 EXCHANGE STREET, STE. 190 ASTORIA, OR 97103 (503)325-9597 BREAST CANCER 2014 – CHOICES FOR PATIENTS BY: ROBERT WAYNE, M.D., F.A.C.S. In the past ten years there has been a major change in the way … Continue reading

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HEMORRHOID BANDING PROCEDURE FOLLOW-UP CARE

ROBERT WAYNE MD –  HEMORRHOID BANDING PROCEDURE FOLLOW-UP CARE   The procedure places a small rubber band around the base of one hemorrhoid in each session. There are usually 3 banding sessions required at 2 week intervals. A final check-up … Continue reading

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UPPER END CHOOSE WISE

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SCREENING COLONOSCOPY INDICATIONS

THE PUBLIC IS HAVING A PROBLEM WITH THE TERMINOLOGY OF SCREENING COLONOSCOPY. THE DEFINITION OF SCREENING IS BASED ON THE INDICATION THAT A PATIENT HAS REACHED THE AGE OF 50 YEARS OLD AND NOW HAS THIS RISK FACTOR FOR COLON … Continue reading

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Patient Drug Education for Nitroglycerin Ointment

Patient Drug Education for Nitroglycerin Ointment Robert Wayne, MD FACS Nitroglycerin ointment (NTG) is used to help heal anal fissures. The ointment relaxes the smooth muscle around the anus and promotes blood flow which helps heal the fissure (tear). The … Continue reading

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BILIARY DYSKINESIA

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Side Effects Of Omperazole And Other (PPIs) Proton Pump Inhibitor

Side Effects Of Omperazole And Other (PPIs) Proton Pump Inhibitor   Proton pump inhibitors (PPIs) are medications that are ubiquitous in a gastroenterologist’s practice. This class of medication has been available for commercial use for nearly 25 years and this … Continue reading

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TREATING HEARTBURN AND GERD

Treating heartburn and GERD Use Nexium, Prilosec, and related drugs carefully If you have heartburn, or a feeling of burning pain in your upper abdomen or lower chest, you might be tempted to try a powerful drug such as Nexium, … Continue reading

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COLONOSCOPY SCREENING AND SURVEILLANCE INTERVALS

Table. Colonoscopy Screening and Surveillance Intervals Indication Interval (y) Screening Average risk with no polyps or with distal <10-mm hyperplastic polyps 10 (begin at age 50 y) Single FDR with CRC (or adenomas) ≥60 y or ≥2 SDRs with CRC … Continue reading

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SCREENING GASTROSCOPY

SCREENING GASTROSCOPY 2013 IN PATIENTS WITH REFLUX SYMPTOMS ALARM SYMPTOMS   BARRETTES  MALES OVER 50 YEARS OLD,  OBESE OR SMOKER   ALARM INDICATIONS DYSPHAGIA BLEEDING NAUSEA AND VOMITING WEIGHT LOSS EROSIVE ESOPHAGITIS REFRACTORY TO BID  TREATMENT FOR 8 WEEKS

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