General Medical FAQs
If you have an emergency that requires immediate help it is best to call 911 and go to the nearest emergency room.
If you are pregnant and need medical care, or think you are in labor, and have time to go to Mercy Hospital or Missouri Baptist, then proceed there where our doctors are on staff, and the nursing staff will call the doctor on call when you get there.
A Doctor of Osteopathy, or D.O., has a four year undergraduate degree prior to medical school as does an M.D. Both D.O.s and M.D.s spend four years in medical education and both are subject to a rigorous application process. Upon completion of medical school, D.O.s, like M.D.s, select a specialty area of medicine for training. For Obstetrics and Gynecology, both D.O.s and M.D.s complete a four year residency training and both must be licensed by the state to practice medicine. After completion of residency training, D.O.s have the same experience performing surgeries, delivering babies, prescribing medications, and treating patients as an M.D. D.O.s have the benefit of additional training in the musculoskeletal system.
Balanced Care Team FAQs
Our Nurse Practitioners work under a collaborative practice agreement with our doctors: They diagnose and treat you based on agreed treatment plans that are decided upon and written by our doctors. In all cases our Nurse Practitioners are working under the guidance of the doctors and are an extension of their usual practice to make the care you receive from them consistent with what our doctors offer.
Nurse Practitioners do not perform OB deliveries or surgery. They are office based which makes them more accessible.
Our Nurse Practitioners help our doctors concentrate on your most severe problems and offer you more time and attention when you need it. Our NPs are able to see you if the doctor is called to a delivery or emergency so you don’t have to reschedule.
The NPs have less waiting time in general than our doctors. They are less imposing to adolescents and young women who are afraid of doctors. They are taught to have a relaxed and educational approach that is an attractive advantage for many of our patients.
At least 1–1.5 hours. In general, paperwork, urinalysis, weigh-in and new history takes 15-30 minutes. If the office is running on time and the patients before you have not been late, then you should be seen by the NP or MD in the next 15-30 minutes. Check-out should take a little more time.
Appointments early in the day are generally more on time than the end of the day.
The doctor you have chosen is your primary doctor. She will deliver your baby during regular hours if at all possible. During the weeknights call is covered by Drs. Baalmann, Kodner, and Senciboy in a rotation. During the weekends and holidays we have a call sharing arrangement with Drs. Teresa Knight, Laura Eastep, and Lindsay Sillas. When you are admitted to the hospital for delivery the nurse will contact our office exchange to determine which doctor is covering your labor and delivery. All of the doctors share the same philosophies of labor and delivery management and strive to make your delivery experience pleasant and safe.
If you are scheduled for an induction or a c-section you are scheduled on a day your doctor is on call so that she can deliver you. If you are scheduled for a c-section and you go into labor before your scheduled date then you will be delivered by the doctor on call.
Bring a list of your questions to your OB visits. Your OB visits are for education and following the health of your pregnancy. Please save your questions for your visits, unless they are emergencies.
One ultrasound is generally necessary to document your due date and make sure your baby has no physical abnormalities. Other ultrasounds may be scheduled to diagnose and follow problems during a pregnancy.
We advise all of our patients and their partners to read our book and use it as the final word over other advice, unless your doctor gives you other specific instructions. Our Prenatal Book is required reading. Please refer to it before calling the office.
It is a yearly preventive visit that is meant to address your current health, pelvic and breast exam, refill prescriptions and order tests that need to be fulfilled before the next year. It is scheduled for 15 minutes.
These issues will be considered and a plan will be decided on. In general, problems will require another visit to go over testing and a treatment plan.
If you have complicated problems with hormones, pelvic pain, infertility, menopause, or need to discuss surgery, we will schedule a specific visit to address the particular issue. These visits are scheduled for 15 minutes.
Procedures are scheduled for 15–30 minutes in our office. This includes explanation of the procedure, the risks, answering your questions about the procedure, and the procedure itself. Please make sure you get all the instructions before the procedure so you are properly prepared.
Test Result FAQs
Blood lab results are delivered during a visit in our office unless we specify that you will receive a letter with the results. We will not give blood lab panel results over the phone.
All normal pap results are noted in your chart and you will not be notified. If your results are abnormal, you will receive a letter explaining the pap result and a description of any additional testing that may be required.
By Missouri state law, the facility that does your mammogram must notify you of the results. If we get them before you do and they are abnormal we will call you and tell you what the treatment plan is.
If you need surgery we will schedule an appointment with your doctor first. This will be a consultation so you can go over options, the procedure, risks and benefits of the procedure. Please bring all your questions about the surgery with you.
Wendy is our Surgery Coordinator. After you and your doctor determine the correct surgery for your specific condition, Wendy will review with you the timing of the procedure, the pre-surgical instructions (which are also provided to you in written format), and provide you with prescriptions for before and after surgery. Each doctor has an assigned surgery day and your case will be scheduled on a date that coordinates with the hospital or surgery center. Wendy will precertify your surgery with your insurance company and will take care of the details of your pre-operative testing if any is required. If you have any concerns during the scheduling process or if you need to cancel your surgery, please contact Wendy as soon as possible.
Call Wendy or the exchange if it is the weekend and talk to one of our nurses.