Central Maine Neurosurgery offers the services of two neurological surgeons and a nurse practitioner. Supported by clinical, clerical and management staffs, these health care professionals provide care for trauma patients at Central Maine Medical Center, and for elective and emergent surgical patients.
The age range for neurological surgery patients is typically 17 and older, but in injuries resulting from trauma the age range is based on the individual needs of the patient and the ability of the facility to best accommodate those needs.
What is neurosurgery?
Neurological surgery is concerned with the diagnosis and treatment of patients with injury to, or diseases of, the brain, spine or peripheral nerves.
A neurological surgeon may provide surgical or non-surgical care, depending on the nature of the injury or illness.
What kinds of illnesses do neurosurgeons treat?
Neurosurgeons treat patients with:
head and spine trauma cerebrovascular disorders, including:
brain aneurysms and vascular malformations
brain and spinal tumors
tremor, Parkinson's and other movement disorders
brain and spine disorders, including:
cervical spine disorders
chronic low back pain
lumbar spinal stenosis
stroke (brain attack)
brain and spinal tumors
How Are Neurosurgeons Trained?
After four years of medical school and an internship program, the doctor enters a neurosurgical residency program of five to seven years.
Neurosurgical residents are trained in all aspects of neurosurgery, including cerebrovascular, pediatrics, spine, trauma and tumor. The residency program is long and difficult, due to the extreme complexity of the nervous system and the advanced techniques used in neurosurgical operations. Some neurosurgeons opt to do an additional fellowship in a particular area of study after their residency.
Following residency training and several years in practice, the neurological surgeon may take the American Board of Neurological Surgery examination - a thorough assessment of the neurosurgeon's skill, judgment and depth of knowledge. The successful completion of this examination results in board certification.
Because there are continual changes in this specialty that require ongoing study throughout the neurosurgeon's professional career, these doctors review scientific journals and participate in annual meetings, specialized symposia and
other educational opportunities in order to keep pace with developments in the field.
What is the role of theneurosurgeon?
Neurosurgeons provide the operative and non-operative management (i.e., prevention,
diagnosis, evaluation, treatment, critical care and rehabilitation) of neurological disorders. Because neurosurgeons have extensive training in the diagnosis of all neurological diseases, they are often called upon by emergency room doctors, neurologists, internists, family practitioners, orthopedic surgeons, and osteopaths for consultations.
What's new in neurosurgery?
The development of less-invasive surgical equipment and techniques -- often involving microscopes,lasers and focused radiation, as well as leading-edge medical tools such as stents, shunts and radiosurgery -- are changing the way someneurological disorders are treated. These medical advancements position neurosurgeons at the forefront of medical-surgical technology, enhancing their ability tocare for patients. Neurosurgeons are leaders in the incorporation of new technologies into the diagnosis, evaluation and surgical and nonsurgical treatment of patients.
Central Maine Neurosurgery sees all patients on an appointment basis. We try to see all patients on time, so we ask that you arrive promptly for your appointment. If you cannot keep an appointment, please notify us 24 hours in advance so that this time may be given to another patient. The office phone number is 207-795-2494.
The office is open Monday through Friday from 8 a.m. to 4:30 p.m. When the office is not open, an answering service takes phone calls and follows up with care providers as necessary.
In the event of an emergency, go immediately to the Central Maine Medical Center Emergency Department or call 911.
If the situation is not an emergency and arises while the office is closed, call 207-795-2494 and the answering service will promptly forward your message to our physicians.
If you are admitted to the hospital every effort will be made for you to be seen by your treating neurosurgeon. However, this is not always possible due to illness, meetings, vacations, etc. There will be occasions when your care, while in the hospital or in case of emergencies, may be provided by another physician covering for Central Maine Neurosurgery.
We encourage you to call with questions you have concerning your healthcare problems, but it's important to understand that your doctor cannot personally take every call that may come in.
Central Maine Neurosurgery office staff members are trained to answer most questions. If your call requires that the doctor speak with you, please leave a message and the doctor will return your call at the earliest opportunity.
For non-emergency situationssuch as questions regarding prescriptions, please call during office hours.
Prescriptions and Refills
Prescriptions should be requested during regular office hours when we have access
to your medical records. If you need a refill, contact your pharmacy. If the pharmacy requires authorization from the doctor, the pharmacy will contact our office. If you need a refill of a prescription outside of normal office hours, we will only authorize enough medication to get you through to the next regular business day. Please try to anticipate your needs and seek your prescription refills early in the day and preferably early in the week. Except for emergencies, the doctor will not refill your prescription after 5 p.m. or on weekends.
Healthcare insurance is intended to cover some, but not all of the cost of your treatment.
Most plans include co-payments, deductibles, and other expenses that must be paid by the patient. We wish to stress that you are financially responsible for all services rendered regardless of insurance coverage. Your insurance policy is a
contract between you and your insurance company. We cannot guarantee payment of
your claim. If a claim is not paid, the insurance company should explain to you why it was rejected. If your insurance company delays payment on your claim beyond a reasonable length of time, we will ask you for payment of your outstanding bill.
If you have insurance, please bring your insurance card with you on each visit. If you have disability forms that must be completed to help with your loan payments or compensation while off work, we will be glad to take care of filling these forms out for you. Since filling out these forms has nothing to do with the fees for consultation or medical treatment provided to you by the physician, there is a $15 charge per form that we complete for you. This payment is expected prior to the completion of the forms.
We make every effort to keep down the cost of your medical care. You can help by paying for services at the time of your visit. If for some reason you cannot make prompt payment, please call our office so that a mutually satisfactory arrangement can be worked out.
Our policy is to allow your insurance company or you 90 days to pay your outstanding balance. If no payment or reasonable explanation for delay is received by our office within this time frame, we will start collection proceedings. This policy includes patients with health insurance as well as Workers' Compensation claims, auto, and liability insurance.
It is your responsibility to provide us with your insurance cards at the time of the visit. Without proof of insurance you are responsible for payment. With proof of insurance you will only be asked to pay your co-payment, if applicable.
In the event of liability or auto accident we cannot wait for settlement beyond 90 days. If you are being seen for a work related injury we must have a letter from your Workers' Compensation insurance carrier authorizing treatment and providing billing information. We must have this letter prior to your office visit; otherwise you will be responsible for payment at the time services are rendered.
Medical records are held in strict confidence. Information will not be provided to a third party (with the exception of Workers' Compensation, which is required by law) unless we have written authorization from you in our office. All requests for medical records should be sent to our office in writing accompanied by your authorization to release the information. We require at least 24 hours notice to get this information ready for
you. There is a search charge for office records.
When you visit us, please advise the receptionist of any changes in your address, phone number, place of employment, marital status, or insurance coverage that may have occurred since your last visit. Let us know if you experience any difficulties during your visit to our office. We cannot correct a problem unless we hear from you. Our office manager will deal with your concerns in a confidential manner.