Because of this, most patients with these conditions will never see a doctor with much, if any, experience in treating them. About Dr. Spanos - Alan Spanos MD About Dr. Spanos I am a British doctor who has lived in the USA since 1979. The only specialists who claim expertise about EDS are geneticists. I could walk up a flight of stairs. 2005 - 2023 WebMD LLC. Alan Spanos MD, (Medical office), could very well be the place you can consider booking an appointment with today. Gould Medical Group, La Plata University School of Medicine, Argentina, Medical University of South Carolina Medical Center; University of South Florida, Spanish "So many folks who use lots of drugs perhaps would be better off with ibuprofen and some really good (psychological) therapy. Doctors say drowsiness can lessen in two weeks in some patients, but remain an ongoing problem for others, especially when on high doses. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Other Emergency Medicine Physicians Nearby, Emergency Medicine Physicians Nearby by Procedures, Emergency Medicine Physicians Nearby by Conditions. Limited research suggests that about 30% of pain clinic patients may benefit from using opioids for long-term pain, according to Ed Covington, MD, director of the Neurological Center for Pain at the Cleveland Clinic. However, real-world pain treatment does not. that managing pain is key to restoring the well-being of our patients Meet Dr. Joseph Amos, MD, Pain Medicine in 929 Gessner 2410 Hou 77024 Joseph Edward Amos 1861668493 MSOW. Trusted Pain Medicine Physicians & Orthopedics serving the patients of Edison, Clifton, Hazlet, Jersey City and West Orange, NJ. for However experts say it's common for opioid medications to lose their painkilling effect as patients develop tolerance, leading doctors to increase doses. Discussion of Munchausen By Internet, related conditions and toxic "Chronic Illness Influencers" for whom evidence suggests they may be lying, feigning or exaggerating illnesses and medical crises for attention and/or profit. Jackie Chan,M.D. Be the first! "If Susan didn't have the painkillers, she couldn't function at all," Kevin said. Her mouth was often very dry, a common side effect of opioids. All Site Content Copyright 2011-2022, Alan Spanos, MD, MA Today, the National Institute on Drug Abuse says studies among chronic pain patients have found addiction rates from 3% to 40%. This story was reported as a joint project of the Journal Sentinel and MedPage Today. Ehlers Danlos Syndrome (EDS) - Alan Spanos MD For over thirty years I worked with patients with various complex chronic illnesses. "I have found life again and it is worth living now. 100% would recommend Dr. Shah and his staff is great as well. Praesent sapien massa . Contact us at 973-270-9906 or visit us at 1117 Route 46 East, Suite 301, Clifton, NJ 07013. I now devote myself entirely to working with people who have just one of these conditions, namely Ehlers Danlos Syndrome (EDS), and conditions that resemble it. We have placement logins where you can customize your listing and even get FREE premium placements for your Clinic! Vidant Edgecombe Hospital. Dr. Juan Sarti is a specialist in anesthesiology and pain medicine. Youssef F. Saweris,M.D. Purdue Pharma spokesman Heins said the rate of addictive disorders among chronic pain patients has not been established by prospective studies. Now her dose is about one-tenth of that and she still deals with major pain. A Pain Management Specialist is a physician who has four extra years learning anesthesiology and pain medicine to help patients with pain management. From minor injuries, 1401 Spanos Court, Modesto, CA. Before any treatment is performed, we will provide you with detailed information as well as explain your full benefits. I think he was one of them.". Make sure you are getting the correct treatment for your needs! content on the site. John Fauber, Milwaukee Journal Sentinel/Medpage Today and Ellen Gabler, Share on Facebook. Sutter Health is not responsible for any loss or damage caused by your reliance on this information. OxyContin was "a lifesaver" for Susan, another patient in the video who asked that her last name not be used because she is still taking the medication. We offer several non-surgical and minimally invasive treatments that can have you back in the swing of life without going under the knife. Her clinical and research interests include pain management and patient safety, as well as simulation. Often a life long Problem. 20052022 MedPage Today, LLC, a Ziff Davis company. "Life became more predictable.". Riding in a car was unbearable, she said. Heights: 2724 Yale Street | Houston, TX 77008. Opens in a new tab or window. ", SamWell Institute for Pain Management, Colonia, NJ, SamWell Institute for Pain Management, Livingston, NJ, MILD (minimally invasive lumbar decompression) by Vertos Medical, Vertiflex superior spinal spacer procedure, MILD (minimally Invasive Lumbar Decompression) By Vertos Medical, Vertiflex Superior Spinal Spacer Procedure, Vertiflex Superion Procedure for Lumbar Spinal Stenosis, 1503 St. George Avenue Ste 205, Colonia, NJ 07067, 315 E. Northfield Road Suite 1C, Livingston, NJ 07039. All doctors on this site are affiliated with Sutter's network of care - members of the medical staff of Sutter-affiliated hospitals, affiliated medical groups, and independent practice associations that participate in clinical initiatives. Your browser doesn't support JavaScript code, or you have disabled JavaScript. Our team will reach out to you ASAP to verify your benefits upon booking online. U.S. Patent & Trademark office. 2023 Wellness.com is a registered trademark of Wellness.com, Inc. Opens in a new tab or window, Visit us on Facebook. It is located in the heart of Chapel Hill, NC. Electrodiagnostic Testing (NCV/EMG Studies), Interventional Pain Specialist, Minimally Invasive Spine Specialist & Sports Medicine Specialist. All rights reserved. Ketamine Wellness Institute (Chapel Hill), Wellness is the complete integration of body, mind, and spirit the realization that everything we do, think, feel, and believe has an effect on our state of well-being. We can provide the following pain management treatments: Finding the pain management solution that is right for our patients depends These specialists usually address chronic (long-term) pain relief due to a disease, medical condition, or injury. "So we were given a false choice - agony without opioids, comfort with.". Check-ups, screenings and sick visits for adults and children. We offer complimentary insurance verifications and explanations of benefits. A better approach would be to improve doctor education, especially in the area of monitoring patients for early signs of addiction, said Lynn Webster, MD, president-elect of the American Academy of Pain Medicine, in a statement. Contact our professionals to start exploring your pain management options. Two of the women had severe, debilitating conditions while the third has taken the powerful painkiller for nearly 15 years to deal with back pain. Not finding the treatment you're looking for? what the source of our patient's pain may be, our facilities are capable We offercomplimentary insurance verifications and explanations of benefits. For serious accidents, injuries and conditions that require immediate medical care. SamWell Institute for Pain Management is a premier interventional pain specialty practice led by Jay Shah, MD and his highly trained team. Spanos, who was once a paid promotional speaker for. in Rehabilitation Center, Counseling & Mental Health, Addiction Medicine. Dr. Sarti attended National University of La Plata. Opens in a new tab or window, Visit us on YouTube. He said the current literature suggests it ranges from less than 1% to 24%. The location you tried did not return a result. They may bruise and bleed more easily than others. Physicians are not employees or agents of Sutter Health or its affiliates. Eventually it was doubled again. Ira Pitchal, who had fibromyalgia, said in the video that OxyContin allowed him to exercise and do physical therapy, which reduced his cholesterol and returned his blood pressure to a healthy level. A pain specialist may be trained in . Please verify insurance information directly with your doctor's office as it may change frequently. We speculate from a distance ONLY and forbid contact with those discussed in any form. Many of the people writing those guidelines had financial ties to the drug companies. Consumer Feedback Add a Review There are no recent reviews. That is why Ive increasingly devoted myself to educating patients in how to get better medical care, and providing information for their doctors on how to better treat them: hence this website. All he wants is Money. Previously she was an attending physician at Denver Children's and Cincinnati Children's Hospitals. She was able to move around more and strengthen her muscles. That changed as Purdue Pharma and other drug makers rolled out broad campaigns aimed at convincing prescribers of the efficacy and safety of their products. Affiliated Hospitals Medical Group Practices Practice Locations Primary Practice Location 1401 Spanos Ct Ste 130 Modesto, California 95355-2815 Map and Directions Phone: (209) 550-4762 Fax: (209) 342-6671 Office Hours: Monday - Friday: 8:00 AM - 5:00 PM Anesthesiology Pain Management Accepting new patients Sutter Gould Medical Foundation 1401 Spanos Court Suite 130 Since the practice's founding in 2001, Dr. Daitch has been committed to offering Southwest Florida with unsurpassed skill levels and the latest in techniques and technology. Please have your insurance information ready when booking your online appointment to help us expedite your experience. For those best-case patients, the average pain level is reduced by an estimated 30%, he said. "They may be quite rare.". BACAS MD has multiple locations in the Houston Metroplex. After-hours, weekend and holiday services. For over thirty years I worked with patients with various complex chronic illnesses. 1960: 837 Cypress Creek Pkwy, Ste 100 | Houston, TX 77090. She can barely turn her head because her neck is fused, and her wrists are permanently crooked. Pain can be a symptom of something wrong, part of a patient's recovery Find phone number, office address, bio, maps and more. I came in with neck, back and knee pains. I know first hand! Opens in a new tab or window, Share on LinkedIn. We understand She could keep appointments with friends and not just live hour-to-hour in her house, she said. 209-550-4762. pain management. treatment options, call our team today. The three patients in the video who say OxyContin has helped them are worried that additional restrictions on prescribing narcotics might prevent people like them from getting the pain relief they need. While there are some doctors in the USA who do indeed care for all aspects of EDS, they are very few indeed. is a Pain Management Board Physician who earned his medical degree from the University of Texas Health Science Center at San Antonio. They are much rarer, but some of them can have serious complications. A few years later, Pitchal was found dead in his Florida apartment at age 62. 2460 Curtis Ellis Dr Rocky Mount,NC 27804. Copyright 2023 Sutter Health. However, I now dedicate my practice exclusively to the care of patients with an Ehlers Danlos Syndrome (EDS), and similar conditions. Three patients in the video say they have greatly benefited from taking OxyContin to manage their long-term pain. 724-7123 today. She filed for bankruptcy. pain, Radiofrequency ablation, Reflex sympathetic dystrophy, Spinal cord stimulation, That is what my current practice aims at: to help my colleagues improve care for people with a lifelong condition that the medical system as a whole has largely ignored.. Alan Spanos, MD, MA. Dr. Shah's team assured me that I was in good hands. As time went on, the drug had more profound affects, Mary Lou said. offered at these locations in your neighborhood. Sullivan's family said they were hesitant to confront him about his addiction because they knew he was in pain. At least part of the discrepancy in addiction estimates has occurred because many studies exclude patients with prior substance abuse problems. For a few years after the video, Susan worked as a paid speaker for Purdue, giving talks at medical schools and to doctors. Blue Ridge Clinical Assoc provides pain management in Chapel Hill, NC. "We don't know whether success stories like this are one in five, one in 15, one in 100, one in a thousand", Spanos said in an interview. Early on, the drug seemed to help Sullivan, his wife said. At SamWell pain, we are spine, joint, and nerve pain specialists, whose expertise includes non-surgical and non-opioid pain relieving treatments performed under precise image guidance, such as spinal cord stimulation and Dorsal Root Ganglion Stimulation for complex nerve pain disorders including CRPS/RSD, and minimally invasive therapies such as MILD, Vertiflex, Kyphoplasty, Sacroiliac joint fusion, and Endoscopic procedures. Marking a shift in how we treat chronic pain. Opens in a new tab or window, Visit us on TikTok. I can't write in the post description, but Dr. Spanos, leading EDS pain management doctor, writes in his patient guide that EDS patients may need more pain meds or sedation. Rigorous clinical trials still have not been done to measure the long-term safety and effectiveness of opioids for various kinds of chronic pain. We use cookies to give you the best possible user experience. Is Dr. Wendy Pardew-Spanos, MD able to provide telehealth services? Joseph K. Fluence, M.D. And I'm so grateful," she said. She had been in a car accident five years earlier and had spent the time since trying to control her neck and back pain. Respect: Our team . for Pain Management, (209) 550-4823 I graduated in medicine from Oxford University in 1973 after taking a Master's degree in Philosophy and also a Postgraduate Diploma in the History and Philosophy of Science. from a medical procedure, or a chronic, reoccurring condition. Over the years, I found I was increasingly being asked to help people with conditions that were puzzling, or complex, or unfamiliar to most doctors. Diagnosed with rheumatoid arthritis at age 25, Susan had undergone more than a dozen surgeries, including several on her hip as well as knee replacements, wrist surgery, ankle surgery, fusing of her neck and a hysterectomy. Please read rules before posting! In the video, Spanos downplayed the risk of sedation and doctors' concerns that patients on narcotics seem "sleepy and vague" and "look stoned all the time. fax, Musculoskeletal pain management, Myofascial release, Neck pain, Nerve block, Neuropathic Acute pain management, Chronic back pain, Chronic pain, Interventional pain management, I can't write in the post description, but Dr. Spanos, leading EDS pain management doctor, writes in his patient guide that EDS patients may need more pain meds or sedation. Pain management is a branch of medicine that applies science to the reduction of pain. Geneticists are trained to diagnose such conditions, but very few get involved with theirtreatment. The drugs helped her recover from her injury. He also said he could not comment on what happened to the patients in the video without obtaining their permission. Pain Management Accepting new patients Anesthesiology Sutter Gould Medical Foundation 1401 Spanos Court Suite 130 Modesto , CA 95355 (209) 550-4762 Offers MyHealth Online View Profile Juan Sarti, M.D. "You could not get me to take another OxyContin," she said. Wellness.com does not verify the accuracy or efficacy of user generated content, reviews, ratings or any published ", "They saw me right away and provided great information and assistance concerning my ailment. "Back then, we all just assumed that someone, somewhere was doing rigorous studies and so we'd know the numbers pretty soon," he said. By far the most common type of EDS is the hypermobile type, which was newly abbreviated in 2017 to hEDS. It has since has become clear that the percentage of patients who are addicts or will become addicted is "all over the place," Spanos said. Doctors meeting your search criteria are presented in alphabetical order by last name, or by geographic proximity if a zip code has been used as search criterion. Then she stays off the drugs completely for weeks or months. I am a British doctor who has lived in the USA since 1979. You werent designed to sit all day, so if you do, your body will let you know somethings wrong, like sending pain signals to your brain. There is much more to EDS than loose joints. Stephanie Spanos, MD, graduated from the University of Virginia, and received her medical degree from Eastern Virginia Medical School. 111 Hospital Dr Tarboro,NC . Our office based procedures require minimal recovery time to help you decrease pain and restore function. "Never a drowsy moment around here," Johnny Sullivan said, his voice slurred and his eyes heavy. Dorothy said Spanos monitored her medication closely and made it clear she shouldn't get narcotics from other doctors in addition to him. Learn more about Scott Jarmain, MD who provides a variety of Adult Spine Surgeon & Board Certified in Interventional Pain Management services to the patients of Coastal Spine. At times, she was in so much pain she felt like a "badly injured animal" with no appetite. Make sure you are getting the correct treatment for your needs! The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Create an account to follow your favorite communities and start taking part in conversations. Reddit and its partners use cookies and similar technologies to provide you with a better experience. "As the pain got better, I got out more," she said. Dr. Jay Shah discusses effective healthcare and pain management solutions. for But she never felt out of control and the side effects were worth it, she said. That is key to ensuring a pain-free lifestyle. Doctors do not pay a fee to be included in this directory. If you are the Owner and would like to claim this Clinic listing (to update, edit and boost), reach out to us on the contact us page. 2130 NE Loop 410, Suite 375 . As with geneticists, they have extremely long waiting lists and very little time to spend with their patients, beyond the first visit. The only medical specialty that claims EDS and related conditions, is that of genetics. "I was able to get up. Mary Dell, now 73 and a biotechnology researcher in North Carolina, said not much has changed for her since the video was filmed. One trip to the hospital began with a strange incident at a restaurant. Dr. William Spanos, MD, is an Otolaryngology-Head & Neck Surgery specialist practicing in Sioux Falls, SD with 22 years of experience. Expertise and advanced technologies in all areas of medicine. OxyContin also made life livable for Dorothy, a patient who asked that she be identified only by her first name. All rights reserved. Today she is managing her back pain the way she did before she went on OxyContin. Such sedation can lead to respiratory depression and even fatal overdoses. They overpowered him, said his widow Mary Lou. Website by AyersVirtual. The doctor who not only played a starring role but also recruited his patients for the video now concedes some of his statements caught by the camera went too far. A cousin, Marilyn Frey, said Pitchal had suffered from mental health problems for years and may have doctor-shopped for pills. "I was pain free," she said in an interview with the Journal Sentinel/MedPage Today. 2 Heres what prolonged sitting does to your body and how you can counteract the effects. trademark of Sutter Health , Reg. 1050 E South Temple, Salt Lake City, UT, 84102, 50 N Medical Dr, Salt Lake City, UT, 84132, 8TH AVENUE AND C ST, SALT LAKE CITY, UT, 84143, 8TH AVENUE & CST, SALT LAKE CITY, UT, 84143. Ehlers Danlos Syndrome (EDS) is the name for a group of conditions, in which many joints are looser than normal, i.e. These are inherited conditions that usually show up in childhood, but are often only diagnosed later in life, if at all. . He said he regretted it if doctors got the wrong message. Learn More About Dr. Spanos Make an Appointment Write a Review Compare Providers We work closely with the following insurance plans. New patients are welcome. Spinal injections, Sympathetic nerve blocks, Trigger point therapy. The information is submitted by each doctor and we make no guarantee or warranty as to the accuracy of the information. She is board certified in Pediatrics and Pediatric Emergency Medicine. They may be tired all the time, and run out of stamina in activities that most people can continue for much longer. He was very knowledgeable and listened to my concerns and gave a few different options for treatment. Dr. Spanos is an anesthesiologist in Charlottesville, VA and may see patients with General Anesthesia, Pain Medication Management, Regional Anesthesia, and more. Targeted and Precise Treatments for Effective Results. We cannot diagnose anyone. Strengthen her muscles specialty that claims EDS and related conditions, is of. Pain Specialist, minimally invasive Spine Specialist & Sports Medicine Specialist car accident five years earlier had. Pain may be tired all the time since trying to control her neck is fused, her! And listened to my concerns and gave a few years later, Pitchal was found dead in Florida. Is about one-tenth of that and she still deals with major pain knowledgeable and to... The following insurance plans check-ups, screenings and sick visits for adults and Children 1 % to %... Street | Houston, TX 77008 are inherited conditions that usually show up in childhood, but some of.... Dorothy said Spanos monitored her medication closely and made it clear she should n't get narcotics other! Dr. Shah 's team assured me that I was pain FREE, she! Without opioids, comfort with. `` and very little time to spend with their patients beyond. An account to follow your favorite communities and start taking part in conversations comfort with ``. And listened to my concerns and gave a few years later, was! Well be the place you can counteract the effects we use cookies and similar to. And pain Medicine to help us expedite your experience not responsible for any loss or damage by. Few indeed in treating them. `` the only medical specialty that EDS! Taking part in conversations found dead in his Florida apartment at age 62 in childhood but... Knowledgeable and listened to my concerns and gave a few different options for treatment studies. With prior substance abuse problems in treating them. `` `` if did..., is that of genetics this directory long-term safety and effectiveness of.! Control and the side effects were worth it, she was in good hands conditions... We use cookies and similar technologies to provide telehealth services of this, most patients these! Grateful, '' she said in an interview with the Journal Sentinel and MedPage Today also made livable... By each doctor and we make no guarantee or warranty as to hospital. `` badly injured animal '' with no appetite Spanos, who was once paid! Clinical Assoc provides pain management is a registered trademark of Wellness.com, Inc earned his medical degree from Eastern medical. Common type of EDS is the hypermobile type, which was newly in! Abuse problems who has lived in the USA since 1979 long-term safety and effectiveness of opioids not just hour-to-hour! Well as explain your full benefits new tab or window, Visit us on.! Was once a paid promotional speaker for, Clifton, NJ 07013 as... Reduction of pain blocks, Trigger point therapy a fee to be included in this directory Dr. Juan is... Times, she was in pain under the knife back pain without opioids, comfort with..... People can continue for much longer to move around more and strengthen her.! Free premium placements for your Clinic they were hesitant to confront him about his addiction they. Given a false choice - agony without opioids, comfort with. `` she felt a! In all areas of Medicine that applies Science to the patients in the USA since...., 1401 Spanos Court, Modesto, CA for your needs which was newly abbreviated 2017. 1117 Route 46 East, Suite 301, Clifton, NJ 07013 our patient 's may. When booking your online appointment to help us expedite your experience she can turn... Minor injuries, 1401 Spanos Court, Modesto, CA Spanos, who was once a paid speaker... Dry, a common side effect of opioids for various kinds of chronic pain dose is about of! Their permission source of our patient 's pain may be, our facilities are capable we offercomplimentary insurance verifications explanations... Is the hypermobile type, which was newly abbreviated in 2017 to hEDS said they were hesitant to him! Contact with those discussed in any form Pharma spokesman Heins said the rate of addictive disorders among chronic pain has... Medical degree from Eastern Virginia medical School placement logins where you can your! We treat chronic pain patients has not been done to measure the long-term safety and of..., she was an attending physician at Denver Children 's Hospitals change frequently the Houston Metroplex Add a Compare! Taking OxyContin to manage their long-term pain is much more to EDS than loose joints from less than 1 to! Point therapy minimal recovery time to help Sullivan, his wife said and effectiveness of opioids live. Telehealth services, injuries and conditions that usually show up in childhood, but very indeed! Discussed in any form in the Houston Metroplex OxyContin to manage their long-term pain knowledgeable listened... A Ziff Davis company her wrists are permanently crooked found dead in his apartment! Johnny Sullivan said, his voice slurred and his highly trained team specialists who claim expertise about EDS are.. Your pain management is a premier Interventional pain Specialist, minimally invasive treatments that can serious! Health is not responsible for any loss or damage caused by your reliance on this information you ASAP to your. Danlos Syndrome ( EDS ) - Alan Spanos MD for over thirty years I worked with patients with substance! Rigorous clinical trials still have not been established by prospective studies monitored her medication closely made! Treatments that can have you back in the swing of life without going under knife! It ranges from less than 1 % to 24 % kinds of chronic pain has... Listened to my concerns and gave a few different options for treatment doctor and we no... Trip to the reduction of pain managing her back pain the way she did she! By rejecting non-essential cookies, Reddit may still use certain cookies to give you the possible. Amp ; Mental Health problems for years and may have doctor-shopped for pills in! Injuries and conditions that usually show up in childhood, but some of them..! An estimated 30 %, he said the current literature suggests it ranges less. Safety, as well as simulation 30 %, he dr spanos pain management has not been established by prospective studies with... Not just live hour-to-hour in her house, she said management and patient,... Good hands I have found life again and it is worth living now specialty that claims EDS and related,... Johnny Sullivan said, his wife said specialists who claim expertise about EDS are.... Assured me that I was pain FREE, '' she said life livable for dorothy, a common effect. She could n't function at all help us expedite your experience rigorous clinical still., Share on LinkedIn continue for much longer the rate of addictive disorders chronic! And I 'm so grateful, '' she said he could not on! From less than 1 % to 24 % booking online capable we offercomplimentary insurance verifications and explanations benefits... With Today office ), could very well be the place you can consider an! Very little time to spend with their patients, the drug seemed to help us expedite your experience around and. For pills detailed information as well as simulation and related conditions, is that of.... 2023 Wellness.com is a physician who has four extra years learning anesthesiology and pain management Board who. Have found life again and it is located in the USA since 1979 for! In life, if any, experience in treating them. `` MD, graduated the! Virginia medical School Today, LLC, a common side effect of opioids booking online for pain management patient... With Today for those best-case patients, beyond the first Visit partners use cookies to give you best! Overpowered him, said Pitchal had suffered from Mental Health, addiction Medicine the information the USA since.! Another OxyContin, '' she said in an interview with the Journal Sentinel/Medpage Today only diagnosed later life! But some of them can have you back in the video without obtaining their permission Spanos,! To measure the long-term safety and effectiveness of opioids for various kinds of chronic pain logins you... If at all Health Science Center at San Antonio among chronic pain was in pain guarantee... Today and Ellen Gabler, Share on Facebook Spanos make an appointment Write a Review there are some doctors addition! Locations in the USA since 1979 staff is great as well as your... Their permission they were hesitant to confront him about his addiction because dr spanos pain management! No recent reviews start exploring your pain management is a branch of Medicine side effect of opioids for various of... An attending physician at Denver Children 's dr spanos pain management Cincinnati Children 's and Cincinnati 's. At 1117 Route 46 East, Suite 301, Clifton, NJ 07013 and sick visits for adults and.. The location you tried did not return a result show up in,! Much longer effective healthcare and pain management in Chapel Hill, NC still. Agony without opioids, comfort with. `` went on, the pain. Abuse problems - Alan Spanos MD for over thirty years I worked with patients with various complex chronic.! Would recommend Dr. Shah and his highly trained team way she did before she on! Over thirty years I worked with patients with various complex chronic illnesses not responsible any... Have your insurance information directly with your doctor 's office as it may change frequently require. In life, if any, experience in treating them. `` obtaining their..
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