keyboard_arrow_rightWhat bills should I expect to receive if I have a procedure at the CDH Endoscopy Center?
Please be aware that you may receive at least three (3) billings for your procedure today. One will be from the Center for Digestive Health and is your doctor’s charge for performing your procedure.
The other bill will be from CDH Endoscopy Center and is the bill for the use of the facility. The bills look the same. The only difference will be the name of each entity, and the amount charged for the procedure. The account numbers are the same on both bills.
You will not get a bill until after your insurance company has been billed.
If you get the two bills, please do not combine the amounts in one check. Each entity is a separate business with its own bank account. If you pay with one check, it delays the posting of your payment on one of the bills, because we can deposit the check to only one account. Then we must issue a check to the other business in order to post your payment. This delays your payment posting by about two weeks and may result in your receiving a bill for what you have already paid.
Your procedure will be done under MAC anesthesia, and you may receive a bill for that as well. The company name is Willoughby Anesthesia, LLC. Please contact them at 866-809-1220 for questions regarding whether they are in-network for your insurance plan. This is a separate company for anesthesia services.
If you have a biopsy done today, you will also receive a bill for pathology services. Please call the number on that bill should you have any questions regarding the pathology charges.
keyboard_arrow_rightI am out of my medications, how do I get a refill?
In order to refill your prescriptions, please contact your pharmacy and have them send a refill request through E-prescribe (requests by computer) and we will refill it within 72 hours. Please allow adequate time for this process.
keyboard_arrow_rightMy doctor referred me to your office. What do I do now?
If you are having digestive problems, you can either request an appointment through this website or call the main office at 440.953.1899.
If your primary care physician referred you for a screening colonoscopy, then you can call 440.953.8568 and someone can help you through the process of scheduling a procedure without an office visit.
keyboard_arrow_rightHow do I get my records?
In accordance with state and federal regulations, we must have record requests in writing. The request needs to include the date of the request, your name, date of birth, name of physician you see here, name/address/fax number of the physician to whom you need your records sent, and your signature. You can fax the request to 440-953-9281 or mail it to 34940 Ridge Rd Suite B, Willoughby, OH 44094. Please allow 7-10 business days for the request to be completed.
keyboard_arrow_rightWhat should I bring to my appointment?
For all patients new and returning, - in accordance with state, federal, and insurance regulations - you must bring your photo ID, insurance cards, and copay to every visit. In addition, please bring a complete list of your medications, even if you are a returning patient, as we need to go over those at each visit.
If you are new to our practice, you can access the required paperwork through the "forms" section on this website. Please print them out and complete them prior to your appointment. If you cannot print them out, please contact our office and we will gladly mail them to you.
keyboard_arrow_rightDo I have to pay my copay, even after I just had a procedure?
Yes. The procedure that you have with us is not viewed as a surgical procedure and therefore is not included under a "global" option with your insurance. This is the policy of your insurance company and as such, we cannot change it. Copays are due at the time of your visit. For your convenience, we accept cash, checks, Master Card, Visa, and Discover. If you are unable to make your copay, we will gladly reschedule your appointment to accommodate you.
keyboard_arrow_rightHow do I get to the office?
Click on the “directions” tab on the home page and the directions are there from all points on the map and to each of our satellite offices.
keyboard_arrow_rightWhat if I need to cancel my appointment?
Kindly contact us at least 24 hours prior to your scheduled appointment time and 48-72 hours prior to your scheduled procedure time so that we can accommodate another patient. If you fail to keep an appointment without first cancelling, you may have difficulty re-scheduling the appointment. If you must cancel an appointment or procedure, please call 440.953.1899 during regular business hours or leave a message with our answering service.
keyboard_arrow_rightAre probiotics good for my digestion?
Who could have imagined that germs could heal? Probiotics are live germs that when ingested improve your health. Probiotics are regarded as 'good bacteria' that are believed to improve digestion and to produce other medical benefits. Many of our patients feel better when taking them, either in a pill form or in certain foods such as yogurt. Firm scientific proof of their benefit is still lacking, although active medical research is ongoing. Additionally, there is no standard dosing schedule or specific recommendations for which bacteria species the probiotic should contain. We recommend that probiotics be purchased from a reputable establishment as you would do with any health product.
keyboard_arrow_rightI have had diverticulitis. Can I eat nuts and seeds?
Diverticulosis is the presence of outpouchings in the colon. It is not a disease. If one of these pouches becomes infected and inflamed, then this is a disease called diverticulitis. Many physicians have advised these patients to avoid nuts, seeds and popcorn. The unproven theory is that these food items could become lodged within a pouch causing diverticulitis to develop. While many physicians and gastroenterologists continue to recommend these food restrictions, there is no persuasive medical evidence that any food items foods can cause diverticulitis. If you would like to discuss this in more detail, make an appointment with us and we will be happy to offer you our suggestions.
keyboard_arrow_rightI've read that my heartburn medicine can weaken my bones and cause other side effects. Are these drugs safe?
Proton pump inhibitors (PPIs), including Nexium, Prilosec, Prevacid, Dexilant, Aciphex, Zegerid and Protonix – and all of their generics – are safe for long term use. Recent reports of serious side effects including osteoporosis, dementia, kidney disease, infections and nutrient absorption have been presented in the lay press in an exaggerated fashion. The risk of these side effects in an individual patient taking a PPI is extraordinarily low, if there is any true increased risk at all. Even the scientific authors of the various studies admit that there is no proof that PPIs cause any of these serious health consequences. Of course, no individual should be on a PPI – or any drug – unless it is truly needed. Also, you should be taking the lowest dose necessary. We find that many patients are on higher doses than they need. While PPIs are safe for long term use, there are patients who may only need a single course of therapy or receive PPIs periodically rather than continuously. Remember, in medicine less is more.
keyboard_arrow_rightMy gastroenterologist diagnosed me with Barrett's esophagus. Is this dangerous?
Barrett’s esophagus (BE) is a condition associated with gastroesophageal reflux disease (GERD) where the internal lining of the esophagus changes to a different lining. Experts suspect that GERD is responsible for the development of BE. This condition is associated with a slight increase in the development of esophageal cancer. For this reason, these patients are followed carefully in an effort to prevent this devastating complication. The only test that can diagnose BE is a scope examination of the esophagus. BE cannot be seen on any other diagnostic test. If you have had GERD or heartburn for years, you should discuss with us about testing you for BE with a 5 minute and painless scope examination.
keyboard_arrow_rightI've been under a lot of stress lately. Could this reactivate my ulcer?
You can blame stress for many things, but not for your ulcer. We no longer believe that stress and anxiety can cause ulcer disease. Most ulcers are caused by stomach acid, certain medications including aspirin and non-steroidal anti-inflammatory drugs and a bacterium called Helicobacter pylori. Curiously, many ulcers that we diagnose do not cause any pain.
keyboard_arrow_rightMy gallbladder was taken out a few months ago. Will I function ok without it?
You will be fine. Most patients live entirely well without their gallbladders. The gallbladder is a sac next to the liver that stores bile, a chemical produced by the liver which is necessary for digestion. Patients who have had their gallbladders removed still produce all of bile they need. Sometimes, patients notice a loosening of their stools which either eases with time or can be easily controlled with certain medications.