The Vancouver Clinic

Internal Medicine

The Vancouver Clinic is an Internal Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in the diagnosis, treatment, and care of adults across the spectrum from health to complex illness. Internists specialize in puzzling medical problems and in the ongoing care of chronic illnesses. Internists also specialize in preventing disease by promoting health, and are trained to manage multisystem disease conditions that single-organ-disease specialists may not be trained to address. Internal Medicine Doctors at The Vancouver Clinic perform assessment, diagnosis, prevention, and treatment therapies for diseases and disorders in adult patients. Internal Medicine is a medical specialty focused on study, prevention, assessment, diagnosis, and treatment of short and long term multi-organ conditions. Significant diseases and conditions treated at Internal Medicine practices include cold and flu, heart disease, hypertension, diabetes, obesity, and chronic lung disease. Internists generally act as personal physicians and often develop long-term relationships with their patients. Medical tests, procedures and therapies provided by Internal Medicine practices include medical history reviews, physical exams, blood tests, scans, and other diagnostic tests, as well as specialist referrals. Internists may choose to practice only in the hospital, only in an outpatient clinic, or in both.

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Dermatology

The Vancouver Clinic is a Dermatology practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing and treating children and adults with benign and malignant skin, hair, nail diseases. Dermatologists at The Vancouver Clinic perform medical diagnosis and treatment of skin cancers, management of inflammatory skin disorders, and diagnosis of skin manifestations of systemic and infectious diseases. Dermatology is a branch of medicine dedicated to diagnosing and treating dermal infections, diseases, and cosmetic disorders. Significant diseases and conditions treated at Dermatology practices include acne, wrinkles, hair loss, moles, warts, canker sores, varicose veins, dermatitis, and skin cancers like melanoma. Medical tests, procedures and therapies provided by Dermatology practices include skin biopsies, chemical peels, cosmetic injections, hair removal, dermabrasion, skin grafts, and laser surgery.

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Cardiovascular Disease Medicine

The Vancouver Clinic is a Cardiovascular Disease Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing, treating and preventing diseases related to the heart and blood vessels. Cardiovascular Disease Doctors at The Vancouver Clinic perform medical diagnosis and treatment of coronary artery disease, congenital heart defects, heart failure, valvular heart disease, and electrophysiology. Cardiovascular Disease Medicine is a medical specialty focused on treating diseases of the heart and circulatory system. Significant diseases and conditions treated at Cardiovascular Disease Medicine practices include include heart disease, stroke, cardiovascular disease, atherosclerosis, cardiomyopathy, and hypertension. Medical tests, procedures and therapies provided by Cardiovascular Disease Medicine practices include blood tests, diagnostic imaging such as x-ray, MRI, and CT scan, electrophysiology studies, electrocardiogram (ECG), echocardiograms, stress tests, and referral to other specialists as needed.

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Critical Care Medicine

The Vancouver Clinic is a Critical Care Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing and treating life-threatening injuries and diseases. Critical Care Medicine Doctors at The Vancouver Clinic perform life support and monitoring of critically ill patients. Critical Care Medicine is a branch of medicine focused on management of life-threatening medical conditions. Significant diseases and conditions treated at Critical Care Medicine practices include respiratory failure, kidney failure, sepsis, and multiple organ failure. Medical tests, procedures and therapies provided by Critical Care Medicine practices include inserting breathing, intravenous, or feeding tubes; using cardiac monitors, using suction pumps, and administering medically induced comas.

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Endocrinology / Diabetes & Metabolism Medicine

The Vancouver Clinic is an Endocrinology / Diabetes & Metabolism Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in maintaining and treating the endocrine system (the network of glands and hormones that regulates human metabolism, growth, musculature, and sexual and reproductive function). Endocrinologist / Diabetes & Metabolism Doctors at The Vancouver Clinic perform diagnostic and treatment procedures to identify and treat hormonal metabolic dysfunctions. Endocrinology / Diabetes & Metabolism Medicine is the study, diagnosis, and treatment of endocrine and metabolic dysfunctions to achieve patients' healthy hormone balance. Significant diseases and conditions treated at Endocrinology / Diabetes & Metabolism Medicine practices include hormone imbalance, hypo and hyperthyroidism, thyroiditis, goiters, diabetes, pituitary gland tumors, osteoporosis, lipid disorders, hypogonadism, and Cushing's syndrome. Medical tests, procedures and therapies provided by Endocrinology / Diabetes & Metabolism Medicine practices include blood, saliva, and urine hormone level testing, insulin management, Bioidentical Hormone Replacement Therapy, CT scans, thyroid biopsies, and endocrine tumor radiation or surgery.

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Gastroenterology

The Vancouver Clinic is a Gastroenterology practice in Vancouver, WA with healthcare providers who have special training and skill in preventing, diagnosing and treating conditions of the tongue, salivary glands, esophagus, stomach, intestines, anus, pancreas, gallbladder, liver, and bile ducts. Gastroenterologists at The Vancouver Clinic perform diagnostics and treatments to identify and address digestive system dysfunctions. Gastroenterology is a medical specialty focused on digestive (gastrointestinal) tract care. Significant diseases and conditions treated at Gastroenterology practices include acid reflux, hepatitis C, hemorrhoids, irritable bowel syndrome, Crohn's disease, pancreatitis, jaundice, colon polyps, and colon cancer. Medical tests, procedures and therapies provided by Gastroenterology practices include endoscopic ultrasounds, colonoscopies, sigmoidoscopies, liver biopsies, esophagus and intestine dialation, surgical hemostasis, and cancer tumor extraction.

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Hematology & Oncology

The Vancouver Clinic is a Hematology & Oncology practice in Vancouver, WA with healthcare providers who have special training and skill in the diagnosis, treatment and/or prevention of blood diseases and cancers. Hematologists & Oncologists at The Vancouver Clinic perform diagnosis and treatment of blood cancers, such as Hodgkins and non-Hodgkins lymphomas, leukemias and multiple myelomas, and also manages treatment of solid tumors. Hematology & Oncology is the diagnosis, treatment and prevention, as well as research into blood diseases and cancer. Significant diseases and conditions treated at Hematology & Oncology practices include iron-deficiency anemia, hemophilia, sickle-cell disease, leukemia and lymphoma. Medical tests, procedures and therapies provided by Hematology & Oncology practices include hemoglobin electrophoresis blood testing, human leukocyte antigen (HLA) testing, positron emission tomography (PET), bone marrow aspiration, lumbar puncture (spinal tap), or stem cell and bone marrow transplants.

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Interventional Cardiology

The Vancouver Clinic is an Interventional Cardiology practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing and treating cardiovascular disease, congenital (present at birth) heart dysfunctions, and structural heart conditions. Interventional Cardiologists rank among the world's foremost authorities on cardiovascular disease and its treatment. Interventional Cardiologists at The Vancouver Clinic perform diagnostic exams and scans like angiograms, ECGs, MCOTs, stress tests, ultrasound imaging, nuclear imaging, peripheral vascular testing, as well as anticoagulation, heart failure, lipid and cholesterol surgery and management. Interventional Cardiology is the study, assessment, diagnosis, and treatment of cardiovascular conditions. Significant diseases and conditions treated at Interventional Cardiology practices include cardiac disease, coronary artery disease, peripheral vascular disease, heart valve disease, structural and non-valvular heart disease, hertrophic cardiomyopahty, resistant hypertension, atrial septal defect, aortic stenosis, and patent foramen ovale. Medical tests, procedures and therapies provided by Interventional Cardiology practices include coronary artery bypass grafting, angioplasty and stenting, atherectomy, embolic protection, percutaneous valve repair, and balloon angioplasty.

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Infectious Disease Medicine

The Vancouver Clinic is an Infectious Disease Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in detecting and treating bacterial, viral, fungal, and tropical infections. Infectious Disease Doctors at The Vancouver Clinic perform blood tests, microscopies, blood sensitivity cultures, sputum, urine, stool, joint fluid, and cerebrospinal fluid testing as well as X-ray, CT, ultrasound and MRI scans. Infectious Disease Medicine is a medical specialty that diagnoses, controls and treats both nosocomial (hospital-acquired) and out-patient based infections. Significant diseases and conditions treated at Infectious Disease Medicine practices include antibiotic-resistant infections, difficult to diagnose infections, HIV/AIDS, hepatitis B and C. Medical tests, procedures and therapies provided by Infectious Disease Medicine practices include examining rashes, lymph nodes, chest, abdomen and genital areas; testing blood, urine, stool, joint fluid and crebrospinal fluid and examining X-ray, CT, ultrasound, and MRI imaging; prescribing antibiotics, antivirals, antifungals, anti-parasitics, or botanic medicine to fight detected infections.

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Nephrology / Renal Medicine

The Vancouver Clinic is a Nephrology / Renal Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing and treating diseases of the kidney. Nephrologist / Renal Doctors at The Vancouver Clinic perform kidney maintenance and treatment of kidney dysfunctions. Nephrology / Renal Medicine is a specialty of medicine and pediatrics that studies, diagnoses, and treats kidney dysfunction while preserving optimal kidney health. Significant diseases and conditions treated at Nephrology / Renal Medicine practices include acid-base disturbances, glomerular diseases (such as glomerulonephritis or the nephrotic syndrome), tubulointerstitial kidney diseases, tubular defects, vasculitis, autoimmune disease, and the effects of toxins on the kidney. Medical tests, procedures and therapies provided by Nephrology / Renal Medicine practices include managing hypertension, managing fluids, electrolyte therapy, renal replacement therapy, dialysis, kidney transplantation, plasma exchange, and immunosuppression. Commonly used agents are prednisone, mycophenolate, cyclophosphamide, ciclosporin, tacrolimus, everolimus, thymoglobulin and sirolimus. Newer, so-called biologic drugs or monoclonal antibodies.

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Obstetrics & Gynecology

The Vancouver Clinic is an Obstetrics & Gynecology practice in Vancouver, WA with healthcare providers who have special training and skill in treating ailments of the reproductive system and related bowel, bladder, and urinary systems, as well as managing pregancy and child birthing. Obstetricians & Gynecologists at The Vancouver Clinic perform blood tests, pelvic exams, uterine and breast cancer screenings, birth control management, and reproductive system surgery. Obstetrics & Gynecology is care of a woman's reproductive health from the onset of puberty through menopause and beyond. Significant diseases and conditions treated at Obstetrics & Gynecology practices include yeast infections, bacterial infections, irregular menstruation, painful intercourse, discomfort of uterus, genitals, or breasts, infertility, and prolapse of the pelvic organs. Medical tests, procedures and therapies provided by Obstetrics & Gynecology practices include annual pap test and pelvic exam, mamogram prescription, infertility treatment, birth control management, tubal ligation (permanent form of birth control), hysterectomy (removal of the uterus), oophorectomy (removal of the ovaries), salpingectomy (removal of the fallopian tubes) or cone biopsy (removal of precancerous cells in the cervix identified during a pap test).

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Pulmonary Disease Medicine

The Vancouver Clinic is a Pulmonary Disease Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing, preventing, and treating diseases of the respiratory system. Pulmonary Disease Doctors at The Vancouver Clinic perform treatment of infectious, structural, inflammatory, cancerous, and autoimmune respiratory disorders. Pulmonary Disease Medicine is a medical specialty centered on diagnosing and treating health problems related to the respiratory system. Significant diseases and conditions treated at Pulmonary Disease Medicine practices include asthma, bronchitis, chronic obstructive pulmonary disease (COPD), emphysema, interstitial lung disease, occupational lung disease, pneumonia, obstructive sleep apnea, lung cancer, and bronchiectasis. Medical tests, procedures and therapies provided by Pulmonary Disease Medicine practices include x-ray, CT, and MRI diagnostic imaging, chest fluoroscopy and ultrasound, pleural biopsy, pulmonary function testing, bronchoscopy, sleep studies, pulse oximetry testing, and asthma testing.

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Rheumatology

The Vancouver Clinic is a Rheumatology practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing, treating, and preventing disorders related to inflammation of the joints, muscles, and ligaments. Rheumatologists at The Vancouver Clinic perform physical examination, imaging, and testing for musculoskeletal and systemic autoimmune conditions, commonly called rheumatic diseases. Rheumatology is a medical specialty dedicated to treating diseases and disorders related to conditions that cause joint, muscle, and bone pain, stiffness, and deformity. Significant diseases and conditions treated at Rheumatology practices include osteoarthritis, rheumatoid arthritis, osteoporosis, gout, chronic pain in the back, neck, knee, hip, or other joint, fibromyalgia, tendonitis, vasculitis, lupus, scleroderma, myositis, and antiphospholipid syndrome. Medical tests, procedures and therapies provided by Rheumatology practices include x-ray, MRI, and CT imaging, rheumatoid factor testing, c-reactive protein testing, synovial fluid testing, pain medication prescription, physical therapy referral, dietary recommendations, and referral to other specialists as needed.

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Otolaryngology

The Vancouver Clinic is an Otolaryngology practice in Vancouver, WA with healthcare providers who have special training and skill in diagnosing, treating, and medically managing ear, nose, and throat disorders and diseases. Otolaryngologists at The Vancouver Clinic perform treatment and management of diseases and disorders of the ear, nose, throat, and related bodily structures. Otolaryngology is the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat, head and neck. Significant diseases and conditions treated at Otolaryngology practices include hearing imbalance, allergies, deviated septum, rhinitis, sinusitis, sinus headaches and migraines, nasal obstruction, hoarseness, GERD, infections, throat tumors, vocal cord disorders, enlarged thyroid glands, Grave's disease, head and neck cancers, sleep apnea, facial trauma, cleft palates, drooping eyelids, hair loss, and facial paralysis. Medical tests, procedures and therapies provided by Otolaryngology practices include treatment of allergy using medication, immunotherapy; surgery on the face, neck or ear for cosmetic, functional, or reconstructive purposes; treating or removing tumors of the head and neck, including the nose and throat; managing throat disorders; treating ear infections, tumors, and nerve pathway disorders affecting hearing and balance; attending to ENT diseases in children, including congenital abnormalities and developmental delays; as well as managing nose and sinus dysfunctions.

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Family Medicine

The Vancouver Clinic is a Family Medicine practice in Vancouver, WA with healthcare providers who have special training and skill in family-centric healthcare. Family Medicine Doctors at The Vancouver Clinic perform medical history analysis, diagnostics, and treatments for a wide variety of dysfunctions, conditions, and injuries. Family Medicine is a medical specialty devoted to the medical care of the family unit. Significant diseases and conditions treated at Family Medicine practices include cold and flu, asthma and allergies, ear and eye infections, yeast infections, diabetes, high blood pressure, hormone imbalance, nutritional imbalance, stress and depression, muscle tears and sprains, and sexually transmitted diseases. Medical tests, procedures and therapies provided by Family Medicine practices include annual exams, immunizations, medication refills, hormone level testing, cardiovascular testing, pap smears and genital exams, specialist referrals, and patient education.

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.