When it comes to safe guarding you're health, for women over 40, annual screening mammography is perhaps the most cost effective intervention you could find. Here's why: SCREENING MAMMOGRAPHY SAVES LIVES. at the same time, it reduces cost and suffering for those women diagnosed with breast cancer when detected before the cancer becomes large enough to be identified on physical exam.
Here's the proof:
The average size of breast cancer discovered by a woman or her doctor on physical exam is 22 mm., about the size of a nickel. A significant improvement in survival is found when women's breast cancers are found before they grow beyond 14 mm, about the size of a dime. This survival advantage holds true no matter what treatment or combination of treatments are used.
At MammoCare we have the best equipment: Mammograms are double read by Dr. Barker and a breast radiologist who specializes exclusively in breast imaging. Prior mammograms are routinely requested for comparison. We accept most insurance plans including Medicare, Medicaid, Breast and Cervical Cancer Screening Program of West Virginia and Every Woman's Life of Virginia. Affordable payment plans are available to women who otherwise may not be covered. We're confident, if you shop and compare, you'll choose MammoCare for your annual screening mammogram.
Comprehensive Breast Care:
Breast cancer management can be very complicated and invariably requires a team approach. Radiologist, pathologist, surgeon, medical oncologist, radiation oncologist, and occasionally a plastic surgeon, all have important roles to play. At MammoCare, Dr. Barker serves as the team's captain, making sure that each woman's care and follow-up is properly coordinated. When a woman is seen at MammoCare to resolve a question of whether she might have breast cancer, the diagnosis can frequently be made the same day. 3D mammography, breast ultrasound and minimally invasive breast biopsy are all available. Mammograms are double read by Dr. Barker and a breast radiologist who specializes exclusively in breast imaging. When breast MRI is thought to be helpful, facilities with the best equipment and most experienced radiologist are readily available at Princeton Community Hospital, Bluefield Regional Medical Center, and Clinch Valley Medical Center.
Dr. Barker personally reviews his patient's pathology slides of biopsies and surgical specimens with the pathologist. He then coordinates a treatment plan with medical and radiation oncologists. As Dr. Barker has incorporated oncoplastic techniques into his surgical practice, he makes sure that his patients are given the best chance of clear margins and optimal cosmetic results. Dr. Barker is a thought leader in the delivery of breast care in rural Appalachia. He was the first in the region to offer minimally invasive stereotactic and ultrasound guided core biopsies to his patients from the early 1990s. He was the first in the region to adopt sentinel lymph node biopsy for accurately sampling axillary lymph nodes in women with breast cancer. Sentinel lymph node biopsy reduces a woman's chance of developing arm lymphedema after surgery. Dr. Barker was the first surgeon in the region to offer Accelerated Partial Breast Irradiation (APBI). In appropriately selected patients APBI dramatically reduces the number of visits for radiotherapy required for women choosing lumpectomy and radiation. By more than a year, MammoCare was the first facility in the region to offer women 3D mammography and it is the only area facility to have a breast radiologist who specializes exclusively in breast imaging. Recently Dr. Barker has been the region's first surgeon to offer patient's intraoperative radiation therapy (IORT ) which offers many women a "1 and done" breast conserving surgical option.
Dr. Barker has nearly 40 years of experience performing upper and lower endoscopy. This includes removing polyps, biopsy and diagnosis of benign and cancerous growths in the esophagus, stomach, duodenum, and colon. Dr. Barker has extensive experience not only performing screening procedures, but also with controlling bleeding in the upper and lower GI tract, performing balloon dilatation of strictures (scar tissue narrowing ), and removal of food stuck in the esophagus. Dr. Barker places feeding tubes endoscopically when needed for long-term nutritional support. Detailed explanations about these procedures is available on this site.
With almost 40 years of experience in General Surgery, Dr. Barker is uniquely qualified to evaluate and treat a wide variety of surgical conditions. Because Dr. Barker has such a busy practice, he usually elects to treat patients who have conditions he manages most frequently, referring patient to have conditions he treats less often to other surgical specialists who treat these specific conditions more frequently. Understanding that travel to these surgical specialists may be challenging for his patients and their families, Dr. Barker is happy to save them travel time and expense by managing their postoperative care locally. Learn more about a few of the many surgical procedures Dr. Barker performs by clicking on the procedures below.
Minimally Invasive Surgery:
Dr. Barker was the 1st surgeon in the region to perform laparoscopic gallbladder surgery, almost 30 years ago. The field of minimally invasive surgery has dramatically expanded since that time. Although Dr. Barker typically performs several laparoscopic procedures every week, he remains selective in the types of laparoscopic procedures he performs. Laparoscopic cholecystectomy, laparoscopic appendectomy, laparoscopic assisted colostomy and diagnostic laparoscopy are among the procedures he performs most frequently.
Dr. Barker a cysts area cardiologists with placement of pacemakers as well as placing vascular access Port-A-Cath and dialysis catheters. Typically initial implantation of pacemakers entails an overnight stay for monitoring. On the other hand pulse generator changes placement of Port-A-Cath and dialysis catheter implantation are typically performed on an outpatient basis. none of these procedures require general anesthesia but rather are done with the help of anesthesia to make the patient relaxed and comfortable.
Dr. Barker performs a variety of minor office procedures for suspected skin cancer, sebaceous cysts and superficial small fatty tumors. while all of these procedures must be safe to perform without sedation, many times these kinds of procedures can be performed with much less time and expense as office procedures when compared with outpatient surgical procedures performed in the hospital. Ultrasound-guided needle biopsies of breast abnormalities are examples of procedures which can be performed in just a few minutes yielding important information on the same or next day.
Dr. Barker has years of experience caring for wounds that result from arterial or venous insufficiency, diabetes, and surgery. He performs much of the wound care in his office but also in outpatient surgery and area nursing homes. When wounds need more extensive cleaning and debridement, anesthesia , or skin grafts, patient's are brought to the operating room. Dr. Barker uses a wide variety of techniques and specialized dressings to heal wounds which includes wound vacs. He has a very high success rate in eventually getting wounds to heal, Although it is not unusual that the course of treatments spans several months. More specific information about these techniques can be found by clicking below.