A broad range of services has been offered, but we no longer see patients in the office.
We offered a broad range of care to keep you healthy, to treat acute illness and to manage chronic illness. We strove to provide excellent continuity of care. We worked to be even more convenient than convenient care centers. We maintained computer links to Cortland Regional Medical Center and to Cayuga Medical Center. See our website links to Health Organizations.
Cardiac Evaluation
Electrocardiograms were performed in the office. Cardiac Risk Assessments are completed using the Framingham Cardiac Risk Assessment Tool. Through diet, exercise, smoking cessation and medication your risk of a heart attack can be reduced. We also performed 24 hour ambulatory blood pressure monitoring.
Pulmonary Function Testing
This in office testing helps in deciding on the treatment needed for asthma or COPD - chronic obstructive pulmonary disease. These chronic illnesses can respond well to treatment. Lung testing helps in selecting the best medications for you and in monitoring your response to those medications.
Skin Lesion Treatment
Some skin lesion such as melanoma must be excised (cut out). Others are treated by cryotherapy (freezing them), electodessication (burning them with an electric needle), or treatment with prescription medication applied to the skin at home. Sometimes biopsy (sampling of the skin) is needed. When necessary Dr. Clark made referrals to dermatologists for more complicated cases.
Smoking Cessation
Almost all smokers want to quit. It is very hard for many. Counseling helps. Using a support line helps. What about nicotine replacement with patches, gum or inhalers? Do Zyban and Chantix help? Are electronic cigarettes safe? Check out the New York Smokers Quitline; click on the picture.
Gynecology and Women's Health
Routine gynecologic care was provided including Pap tests, endometrial biopsies, pregnancy testing, counseling about contraception, and testing for sexually transmitted infections including HIV. Dr. Clark is no longer delivering babies.
Osteoporosis and Broken Bones
Risk factors for osteoporosis include gender, ethnic origin, low BMI (body mass index), menopause, physical inactivity, smoking, nutrition, low vitamin D levels, and long term use of corticosteroids. Avoiding falls also helps prevent fractures. For many a bone density test (DXA) is helpful in deciding about treatment. In the office we used a risk assessment call FRAX, the Fracture Risk Assessment Tool, to help you decide about treatment.
Laboratory Testing
We were a CLIA certified laboratory. We performed limited testing at the office. We collected blood, urine and other specimens which we sent to local hospital laboratories for testing. When we removed skin lesions we send them to a pathologist for microscopic examination.