PATIENT INFORMATION

www.thesar.com

Since 1909, Surgical Associates of Richmond has provided high-quality surgical care to residents of central Virginia.Our surgeons are dedicated to you and to focusing all of their training and skills on your medical problem. However, there is more to your visit with us and we are structured to assist you in every aspect of your visit. Please read this booklet and be certain to ask us if you have questions. If you have a non-medical situation that cannot be resolved, please contact our administrator at 804.320.2705

In addition to pre-operative assessment, surgery,and post-operative management, our surgeons alsoconduct weekly interdisciplinary surgical conferences toimprove patient care. This conference focuses on treatment options for unusual and difficult cases and represents a unique commitment to continuing education by community hospital surgeons.

Certifications and Leadership The physicians of Surgical Associates are all Board Certified/Eligible by the American Board of Surgery. All of our physicians are Fellows or eligible for Fellowship in The American College of Surgeons. Many have served as leaders of the Richmond Academy of Medicine, the Medical Society of Virginia, the Richmond Surgical Society, and the Virginia Surgical Society. Additionally, our physicians serve in leadership positions at Johnston Willis Hospital; Chippenham Medical Center; and Bon Secours, St. Francis Medical Center.

If you need to see your surgeonOur offices are open to serve you Monday through Friday, from 8:30 a.m. to 5:00 p.m. To schedule an appointment at any of our offices, call your surgeon at the number listed below. If you need to change your appointment, please provide 24 hours advance notice.

Emeritus - Campbell G. Stalker, MD - E. Armistead Talman, MD - Jaquelin M. Harrison, MD - Henry P. Royster, MD - B. Noland Carter II, MD - Thomas N.P. Johns, MD (1923-1986) - William A. Johns, MD (1911-1993)

Matthew E. Alter, MD 804.560.7758

David A. Bettinger, MD 804.560.5978

Richard L. Binns, MD 804.560.5972

Christine M. Bouchard, MD 804.560.7706

Diane R. Cox, MD 804.560.7710

John C. Deitrick, MD 804.560.5970

Martin T. Evans, MD 804.560.4629

Ruth B. Felsen, MD 804.560.5960

John W. Hyslop, MD 804.560.5974

Clyde L. Johnson, Jr., MD 804.560.5977

Raymond G. Makhoul, MD 804.560.7895

Amy T. Rose, MD 804.560.5964

D. Michael Rose, MD 804.560.5968

Venkat Santosh, MD 804.560.5976

Christian D. Schunn, MD 804.560.7760

Brian M. Smith, MD 804.474.3318

Steven E. Swartz, MD 804.560.5962

WElcOME TO THE SuRgIcAl ASSOcIATES

OF RIcHMONd

THANk yOu FOR SElEcTINg SuRgIcAl ASSOcIATES OF RIcHMONd.

WE WElcOME THIS OPPORTuNITy TO SERvE yOu ANd TO cONTINuE A

lONg TRAdITION OF cARINg.

General Surgery General Surgery is a specialized field of surgery which includes a wide range of procedures involving the neck, chest, abdomen and extremities.

Some of the most common procedures involve:

Advanced Laparoscopy Advanced Laparoscopy involves placing a small tube with a light source into the abdomen or chest cavity to examine the internal organs. These procedures are often used to determine the diagnosis or extent of a disease, and for the performance of the actual surgery.

Some common procedures include:

OuR SERvIcESSurgical Associates dates its heritage to 1909 when the two former Chairmen of Surgery at the Medical College of Virginia, Dr. George Ben Johnston and Dr. A. Murat Willis, founded the original Johnston-Willis Hospital at the corner of Sixth and Franklin Streets. Fifteen years later in 1924, that hospital moved to 2900 Kensington Avenue where it continued to serve Richmond for over 55 years.

Dr. Frank S. Johns, who succeeded Dr. Willis as Chief of Surgery, was later joined in surgical practice by Dr. Donald S. Daniel and Dr. William Allen Johns. The successor surgical partnership in the 1960’s included Dr. Frank Johns’ son, Dr. Thomas N.P. Johns, Dr. James A. Selph, Dr. B. Noland Carter, Dr. E. Armistead Talman, Dr. Jaquelin M. Harrison and Dr. Henry P. Royster. In 1970 this group of surgeons incorporated under the name of Surgical Associates of Richmond, Inc. Dr. Campbell G. Stalker joined Surgical Associates of Richmond in 1975. Since the mid 1980’s the practice has expanded to include 17 surgeons and two physician assistants who specialize in general, vascular, colon and rectal, breast, and surgical oncology. This continued growth contributes up-to-date training to compliment Surgical Associates’ well- established tradition of experience.

When Chippenham Medical Center opened in 1972, as the first general hospital south of the James River, Surgical Associates opened its first southside office. In 1980, when Johnston-Willis hospital relocated from Kensington Avenue to its present Chesterfield County facility, Surgical Associates opened a second office on the hospital campus. In 2003, Surgical Associates opened VeinSolutions, a premier vein care center located at 8700 Stony Point Parkway, Suite 140 near Stony Point Fashion Park.

In 2005, a 40,000 square foot medical office building was built on the campus of Johnston-Willis hospital. This building currently houses the offices of Surgical Associates as well as the John Tyler Community College Nursing Program. In 2010, Surgical Associates continued its commitment to the southside community of Richmond with the construction of a new 10,000 square foot office in the Waterford Medical Center, near the campus of St. Francis Medical Center. The Waterford Medical Center office is located at 13460 Tredegar Lake Parkway, Midlothian, VA 23112. And in 2012, Surgical Associates partnered with Radiology Associates of Richmond to open Richmond Vascular Center, southside Richmond’s only comprehensive center for dialysis maintenance and vein care.

SuRgIcAl HERITAgE

- Appendix Removal - Breast Cancer - Cancer Surgery - Colon and rectal surgery- Gallbladder and Biliary

Tract Surgery- Gastrointestinal Surgery,

including the stomach, small bowel and pancreas

- Hemorrhoid Surgery

- Hernia Surgery- Liver Surgery- Skin Surgery for removal of

cysts, moles and melanoma- Thyroid and parathyroid surgery- Trauma Surgery- Tumor Removal- Ulcer Treatment

- Gallbladder Surgery- Reflux Surgery- Colon Surgery- Cancer Staging

- Solid Organ Biopsy or Removal- Hernia Repair- Splenectomy

Minimally Invasive Surgical Procedures for Breast AbnormalitiesThe Breast Center at Surgical Associates offers comprehensive management of breast disease. After consultation with a surgeon, if a breast biopsy is indicated, the appropriate technique(s) will be discussed and scheduled for the patient. These biopsy techniques are well established and well tolerated; allow for accurate,minimally invasive, outpatient diagnosis of mammographic and/or sonographic abnormalities, and include:

- Stereotactic Breast Biopsy- Ultrasound Guided

Mammotome Biopsy

- Ultrasound Guided Core Biopsy

Vascular SurgeryVascular surgery involves surgery on blood vessels throughout the body, except those within the heart and brain. Vascular surgical procedures are often performed to correct the many complications of atherosclerosis – a disease in which fatty plaques develop on the inner walls of the arteries, causing hardening of the arteries and obstruction of blood flow.

Peripheral Vascular TestingFor patient convenience, Surgical Associates offers peripheral vascular testing at our offices at Johnston-Willis, Waterford, VeinSolutions of Richmond, and Richmond Vascular Center. Utilizing state-of-the art ultrasound equipment and painless, non-invasive procedures, these advanced diagnostic laboratories can identify blockages in veins or arteries in the neck, legs or other regions of the body. The physicians of Surgical Associates also direct the Peripheral Vascular Laboratories at Johnston-Willis Hospital, Chippenham Hospital and St. Francis Medical Center.

Surgical OncologySurgical oncology involves general surgical procedures of many treatable cancers, and the management of all aspects of cancer therapy. This includes surgical intervention, coordination with the medical and radiation oncologist and involvement in national protocols for new treatment of cancer. Although general surgery training includes intensive training in cancers that are surgically treated, there are unusual cancers that require further training. Surgical Associates of Richmond provides this type of care and is active in support groups for patients with some types of cancer.

Our surgeons are specially trained to manage cancers of the:

If You Require SurgerySurgical Associates physicians are privileged to practice at CJW Johnston-Willis Medical Center, CJW Chippenham Medical Center, and Bon Secours St. Francis Medical Center.

If You Need MedicationsPlease call your pharmacy to refill a prescription. If you do not have any refills remaining on you prescription, call us during office hours. As soon as your physician has an opportunity to review your medical record, our staff will call your pharmacy with your refill request. During evening hours or on weekends, it is difficult for our “on call” physician to determine if a prescription refill is indicated, as he/she is without access to your medical record.

Making a difference in Women’s lives. http://breastcenter.thesar.com

- Compassionate surgeons dedicated to maximum precision and minimal discomfort

- State-of-the-art technology for your peace of mind and quality of life

- Continuity of care from biopsy through treatment- Designated Breast Center for your comfort and privacy- Follow-up care available at 3 convenient offices- Surgical services available at both CJW campuses and

St. Francis Medical Center

Colon and Rectal Surgery Colon and rectal surgery is a field of medicine, dealing with disorders of the rectum, anus, and colon.

Some common procedures include:

Endovascular SurgeryEndovascular surgery is a less invasive, state-of-the-art procedure for treating problems that can develop in blood vessels, including aortic aneurysms and carotid stenosis. Endovascular surgery patients experience less discomfort and stress on the heart as well as a shorter recovery time than with traditional vascular surgery. However, not all patients are candidates for endovascular surgery.

- Anal Abscess/Fistula - Anal Fissure - Anal Cancer (ADD) - Anal Warts - Bowel Incontinence - Colorectal Cancer - Colonoscopy - Constipation - Crohn’s Disease

- Diverticular Disease - Hemorroids - Irritable Bowel Syndrome - Ostomy - Pilonidal Disease - Polyps of the Colon & Rectum - Pruritus Ani - Rectal Prolapse - Ulcerative Colitis

- Breast- Colon and Rectum- Soft tissues such as sarcomas

and melanomas

- Liver, gall bladder, biliary tree- Stomach and esophagus- Thyroid and parathyroid

Medical research indicates that approximately 80 million adults in the United States have varicose veins or spider veins in the legs - veins can cause pain and discomfort as well as unsightly and often embarrassing appearance. VeinSolutions of Richmond, a division of Surgical Associates, is an innovative approach to vein care that combines aesthetics and medicine in the comprehensive care of cosmetic and therapeutic venous problems. Our vascular surgeons have specialized education and training as well as extensive experience in the diagnosis and treatment of venous disease including varicose veins, spider veins, telangiectasia, and reticular veins. A wide range of state-of-the-art therapies are offered including sclerotherapy, surgical intervention, and minimally invasive procedures, as well as on-site vascular testing.

VeinSolutions also offers Enhanced Skin Rejuvenation which is a gentle laser treatment for wrinkles and sun damage. This non-invasive, no-downtime procedure is appropriate for the face, chest, neck and hands - anywhere that sun damage shows. The procedure uses lasers to correct pigmentation irregularities and encourage new collagen growth to smooth our existing wrinkles.

Also offered at VeinSolutions is Microdermabrasion, a treatment regimen that evenly and safely exfoliates the skin without chemicals or lasers and is one of the most requested non-invasive cosmetic procedures.

vEINSOluTIONS OF RIcHMONd

FOR MORE INFORMATION OR TO ScHEdulE A cONSulTATION, cAll

VeinSolutions of Richmond8700 Stony Point Parkway, Suite 140Richmond, VA 23235

(804) 330-8024 or Toll Free (800) 338-8799www.veinSolutions.com

We Pride Ourselves in:- State-of-the-art equipment and facility- Comprehensive vascular procedures- Pioneering spirit- Supportive team environment- Friendly, service-oriented staff

Our Procedures Include:- Angiography- Angioplasty- Stent Placement- Embolization - Inferior Vena Cava (IVC) Filters- Central Venous Access- Imaging-Guided Biopsies- Abscess Drainage- Catheter Insertion, Replacement & Removal

RIcHMONd vASculAR cENTER

FOR MORE INFORMATION OR TO ScHEdulE A cONSulTATION, cAll

Richmond Vascular Center173 Wadsworth DriveRichmond, VA 23236

(804) 864-8346www.richmondvascularcenter.com

Surgical Associates participates with all major insurance carriers, Medicare, and area HMOs and PPOs. If your insurance carrier requires a referral form, you must obtain it from your primary care physician or insurance carrier prior to your visit. Please provide complete insurance information on our “Patient Registration” form. At the time of your first office visit, we request that your insurance card be available so that we may photocopy it.

To help us maintain accurate records, please notify our staff of any changes in your name, address, telephone, or insurance carrier by calling our business office at 804.320.2705.

Each time you visit Surgical Associates you may be requested to read and sign an “Assignment of Insurance Benefits and an Authorization to Release Information”. These forms will facilitate the payment of our bills with your insurance company. As a service to our patients, our staff will complete the necessary insurance forms and submit them for you. Payment of required deductibles and co-payments is required when services are rendered. We accept most major credit cards, cash, and personal checks.

SIMPlIFy THE PAyMENT PROcESS

If Your Physician is Unavoidably DelayedSurgical Associates physicians have a major role in the emergency general surgical attending coverage for Johnston-Willis Hospital, Chippenham Medical Center, and St. Francis Medical Center emergency departments. Our physicians are committed to providing timely care for patients requiring surgical services and to seeing emergency and urgent cases as soon as possible. As a result, there may be occasions when our physicians fall behind in their office schedules either due to unexpected emergencies or extended surgical procedures. Should an unavoidable delay occur, our staff will make every effort to keep scheduled patients notified. If you are unable to wait for your physician, the office will reschedule your appointment for a time that is more convenient.

Notice of Privacy PracticesAt Surgical Associates, we understand that medical information about you and your health is personal and we are committed to protecting that information. We create a record of the care and services you receive at Surgical Associates in order to provide you with quality care and to comply with certain legal requirements. Our Notice of Privacy Practices describes how we may use and disclose medical information about you, including demographic information, that may identify you and your related health care services to carry out your treatment, obtain payment for our services, to perform the daily health care operations of this practice and for other purposes that are permitted or required by law. Our Notice of Privacy Practices also describes your rights to access and control your medical information.

IF yOu HAvE AN EMERgENcy

IN THE EvENT OF A lIFE THREATENINg EMERgENcy, cAll 911.In the event of an urgent situation during evening hours or on weekends, please call our answering service at 804.965.7930 or our office number at 804.320.2705. Your message will be forwarded to the “on call” surgeon who will make every effort to respond to your emergency needs promptly. Surgical Associates also maintains a second back-up surgeon who can be reached when needed by the “on call” surgeon for multiple emergencies.

If you are uninsured, or experiencing financial difficulties, please contact our Financial Consultants at 804.320.2705, who will gladly provide cost estimates for various services, determine insurance coverage and discuss financial arrangements that are suited to your budget.

Please remember that your insurance policy is a contract between you and your carrier. It is your responsibility to understand the provisions of your policy and to assure payment for services rendered to you.

Matthew E. Alter, MD

MEDICAL SCHOOL: State University of New York at BuffaloGENERAL SURGERY RESIDENCY: State University of New York at Buffalo

David A. Bettinger, MD

MEDICAL SCHOOL: Virginia Commonwealth University - Medical College of VirginiaGENERAL SURGERY RESIDENCY:Virginia Commonwealth University - Medical College of Virginia

Richard L. Binns, MD

MEDICAL SCHOOL:University of VirginiaGENERAL SURGERY RESIDENCY:University of VirginiaVASCULAR SURGERY FELLOWSHIP: Emory University

Christine M. Bouchard, MD

MEDICAL SCHOOL:

Indiana UniversityGENERAL SURGERY RESIDENCY:Eastern Virginia Medical SchoolCOLON AND RECTAL SURGERY FELLOWSHIP:University of Illinois at Chicago Medial Center

Diane R. Cox, MD

MEDICAL SCHOOL:University of Texas Health Science Center at San AntonioGENERAL SURGERY RESIDENCY: Virginia Commonwealth University - Medical College of Virginia

John C. Deitrick, MD

MEDICAL SCHOOL:University of MichiganGENERAL SURGERY RESIDENCY: Virginia Commonwealth University - Medical College of VirginiaVASCULAR SURGERY FELLOWSHIP: Virginia Commonwealth University - Medical College of Virginia

Martin T. Evans, MD

MEDICAL SCHOOL: Tulane School of MedicineGENERAL SURGERY RESIDENCY: Tulane School of MedicineVASCULAR SURGERY FELLOWSHIP: University of Florida

Ruth B. Felsen, MD

MEDICAL SCHOOL: Harvard Medical SchoolGENERAL SURGERY RESIDENCY: Harvard/Massachusetts General HospitalGENERAL SURGERY INTERNATIONAL FELLOWSHIP:Quito, Ecuador

OuR PHySIcIANS

John W. Hyslop, MD

MEDICAL SCHOOL: Tulane UniversityGENERAL SURGERY RESIDENCY: Virginia Commonwealth University - Medical College of VirginiaVASCULAR SURGERY FELLOWSHIP: Virginia Commonwealth University - Medical College of Virginia

Clyde L. Johnson, Jr, MD

MEDICAL SCHOOL: Georgetown University School of MedicineGENERAL SURGERY RESIDENCY: Walter Reed Army Medical Center

Raymond G. Makhoul, MD

MEDICAL SCHOOL: University of Chicago Pritzer School of MedicineGENERAL SURGERY RESIDENCY: Duke University Medical CenterVASCULAR BIOLOGY RESEARCH FELLOWSHIP: Duke University Medical CenterPERIPHERAL VASCULAR SURGERY FELLOWSHIP: UCLA School of Medicine

Amy T. Rose, MD

MEDICAL SCHOOL:

Vanderbilt University School of MedicineGENERAL SURGERY RESIDENCY:

Vanderbilt University Medical CenterGENERAL RESEARCH FELLOWSHIP:

University of California

D. Michael Rose, MD

MEDICAL SCHOOL: Vanderbilt University School of MedicineGENERAL SURGERY RESIDENCY:

Vanderbilt University Medical CenterSURGICAL ONCOLOGY RESEARCH FELLOWSHIP:Memorial Sloan-Kettering Cancer CenterSURGICAL ONCOLOGY CLINICAL FELLOWSHIP:John Wayne Cancer Institute

Venkat Santosh, MD

MEDICAL SCHOOL: Madras UniversityGENERAL SURGERY RESIDENCY:

Madras University, India; The Royal Post-Graduate Medical School at Hammersmith, London; Bronx Lebanon Hospital Medical Center, New York; Albert Einstein College of Medicine, New York

Christian D. Schunn, MD

MEDICAL SCHOOL:Ludwig Maximilian UniversityPEDIATRICS & INTERNAL MEDICINE POST GRADUATE TRAINING: State University of New YorkGENERAL SURGERY RESIDENCY: Harvard University, University of PennsylvaniaVASCULAR & ENDOVASCULAR FELLOWSHIP: Cleveland ClinicINTERNAL VASCULAR SURGERY FELLOWSHIP: University of Erlangen-Nurnberg, Germany

Brian M. Smith, MD

MEDICAL SCHOOL:

Medical College of OhioGENERAL SURGERY RESIDENCY:

University of Toledo

Steven E. Swartz, MD

MEDICAL SCHOOL: Baylor College of MedicineGENERAL SURGERY INTERNSHIP: US Naval Hospital, Oakland, CaliforniaGENERAL SURGERY RESIDENCY:National Naval Medical Center, Bethesda, Maryland

www.thesar.com

CJW Johnston-Willis Campus

1051 Johnston-Willis Drive, Suite 200Richmond, Virginia 23235

804.320.2705

Waterford Medical Center

13460 Tredegar Lake ParkwayMidlothian, Virginia 23112

804.379.0029

VeinSolutions of Virginia

8700 Stony Point Parkway, Suite 140Richmond, Virginia 23235

804.330.8024

Richmond Vascular Center

173 Wadsworth DriveRichmond, Virginia 23236

804.864.8346

© 2013 Surgical Accociates of Ricmond