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Dr. Carolina Rumbo, MD is a pediatric transplant hepatologist in Washington, DC specializing in pediatric transplant hepatology (liver transplant medicine) and transplant surgery. She graduated from National University of La Plata in 1997 and has 28 years of experience. Dr. Carolina Rumbo, MD is affiliated with MedStar Georgetown University Hospital and MedStar Health.
Enteroscopy
Enteroscopy visually examines the small bowel and identifies such issues as bleeding, tumors, polyps, ulcers, and swollen lymph nodes. Common reasons this exam may be ordered are abnormal X-ray results and unexplained diarrhea.
Enteroscopies may be used alone or in combination with other procedures. For example, if a doctor suspects malignancy (cancer) in the small bowel, she may use an enteroscope to take a sample of tissue from the small bowel and have it examined in a laboratory. If there is a blockage in the small intestine that cannot be surgically removed, an enteroscopy-guided stent placement may help relieve some of the symptoms associated with the obstruction. Enteroscopes may also be used to treat intestinal bleeding and remove abnormal growths like tumors and polyps, as well as foreign objects that might have found their way into the small bowel.
There are several ways to perform an enteroscopy:
Enteroscopy is typically performed at the doctor's office and takes about 20 to 30 minutes, but may take longer if combined with another procedure. Patients may have a sore throat for a few hours if the scope was inserted through the mouth. Normal activities may be resumed about 24 hours following enteroscopy.
Hepatectomy (Liver Resection)
Hepatectomy, or liver resection, is a surgical procedure that removes all or part of the liver to treat cancer or other diseases. The liver is divided into one left and one right lobe, and each lobe is divided into segments. The amount of liver removed is dependent on factors such as the size, location, and number of tumors or other lesions. The following are types of liver resection:
Liver resection can be performed laparoscopically or through open surgery. Laparoscopic liver resection is a minimally invasive surgery that requires a few tiny incisions on the abdomen, through which the surgeon inserts a thin tube with a camera (laparoscope). Open hepatectomy is performed through a laparotomy, which makes one large incision on the abdomen. Although a laparoscopic liver resection is associated with less pain and quicker recovery, patients may have to undergo an open liver resection depending on factors such as the location of the tumor and previous abdominal operations they have had.
After the liver resection, patients will stay in the hospital for up to six days. The recovery period will vary based on how much of the liver was removed. Limiting consumption of alcohol and light physical activity, such as walking, can help patients to have a speedy recovery.
Mononucleosis (Mono)
Mononucleosis, frequently called ''mono,'' is a viral infection that causes fatigue, fever, swollen lymph glands, and sore throat. The Epstein-Barr virus (EBV), spread through saliva, is the primary virus that leads to mono. Mono is most common in teenagers and young adults, where EBV is often transmitted through kissing or sharing drinks. For this reason, mono is colloquially referred to as ''the kissing disease.'' Mononucleosis usually resolves on its own; however, recovery from mono can take from several days to several weeks. Some young adults may continue to experience extreme fatigue from mono for months, often requiring a semester home from school.
Mononucleosis happens in three stages:
During the initial stage, those with mono may experience few symptoms as EBV replicates in the body. Symptoms such as headaches and body aches are often misattributed to allergies or stress. People with mono may continue performing their daily activities and attending school, leading to increased transmission of the virus to others. The initial stage lasts for about five to fourteen days.
During the acute stage, mono symptoms intensify and may include the enlargement of the spleen, a sore throat, fatigue, liver issues, and skin rashes. The mono infection is at its worst in this stage.
Lastly, the convalescent stage is when recovery begins. This period of healing can last from two to six months.
Mono can be detected by a physical exam; physicians can diagnose mono by checking for inflamed lymph nodes, tonsils, or spleens. Blood antibody tests may also help diagnose mono by revealing antibodies in the blood that were formed as a response to the Epstein-Barr virus. Elevated levels of white blood cells can also suggest that a patient has mono.
There are no medications specifically for mono or the Epstein-Barr virus, and patients are advised to rest and avoid strenuous exercise. Drinking plenty of fluids, eating a healthy diet, and taking anti-inflammatory ibuprofen (motrin) may also help people who are afflicted with mono feel better.
People with mono should take precautions to avoid spreading the condition to others. They can prevent infection by not sharing glasses, food, and utensils with others until they fully recover.
Dr. Carolina Rumbo, MD graduated from National University of La Plata in 1997. She completed residency at La Plata Integrated Healthcare-Axis Healthcare System. She has a state license in District of Columbia.
Medical School: National University of La Plata (1997)
Residency: La Plata Integrated Healthcare-Axis Healthcare System (2000)
Licensed In: District of Columbia
Dr. Carolina Rumbo, MD is associated with these hospitals and organizations:
Dr. Carolina Rumbo, MD appears to accept the following insurance providers: MultiPlan, Optimum Choice, Optima Health, MAMSI, Magellan Health Services, United Healthcare Choice Plus, United Healthcare Choice, First Health PPO, Blue Choice, Great-West Healthcare, TRICARE, Coventry, TRICARE Reserve Select, Anthem, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Permanente, CIGNA PPO, CIGNA EPO, Aetna Medicare PPO, Aetna Medicare PFFS, CIGNA Indemnity, AmeriHealth, AARP, Medicare Advantage, TriWest, Coventry National Network PPO, Highmark, Amerigroup, United Healthcare, Medicaid, Humana, Cigna, Sentara Health Plans, WellPoint, United Healthcare Community Plan (AmeriChoice), Humana Medicare Advantage PPO, Blue Cross and Blue Shield of Michigan, CIGNA PPO Plus, HealthyBlue PPO, Aetna Premier 200PD, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, Private Fee-for-Service Plans (PFFS), M.D. IPA Preferred (POS), CareFirst Maryland Indemnity or PPO, IH-PPO, DC/MD SHOP QHP Small Business Plans, Aetna Advantage 6350PD, MedStar Family Choice DC Healthy Families, CareFirst EPO, Optimum Choice Preferred (POS), OCI Direct (HMO), Medicare Direct, Alterwood Advanatge HMO & DSNP Plans, Aetna Open Choice (PPO), OA Plus, CareFirst Administrators, United Student Resources, IH-Network Only Plus, IH-POS, Aetna Classic 5000, Aetna Signature Administrator PPO/TPA, Healthy Blue (HMO, POS), CareFirst Community Health Plan of Maryland, IH-POS Plus, Jai Medical Systems - Maryland Health Choice, Aetna HMO-Open Access/Select OA/HealthFund/Health Network Option OA, CareFirst Maryland Point of Service Plan, Health Services for Children with Special Needs, Choice POS II, CareFirst Blue Card Program, Choice Fund PPO, IH-EPO Plus, Aetna VA Exchange, Aetna Managed Choice Open Access (POS), CareFirst BlueCross BlueShield Advantage Core/Enhanced, Aetna Better Health of Virginia, Aetna Worker's Compensation Network, Options PPO Cardiac Global, Uniformed Services Family Health Plan, Aetna Advantage 5750, IH-Open HMO Option, HumanaChoice Honor's plan PPO, Aetna Basic, CareFirst FEP Blue Focus, Optimum Choice & Optimum Choice Preferred (POS) Cardiac Global, MedStar Family Choice DC Healthcare Alliance, IH-Open EPO Plus, Core Essential (HMO), IH-Open POS Plus, Johns Hopkins Advantage MD PLUS PPO, Select HMO/HealthFund/Health Network, MD IPA (HMO) & MD IPA Preferred Cardiac Global, CareFirst Blue Preferred PPO, Aetna Elect Choice/ Open Access (POS), IH-Open HMO, Aetna Advantage 6350, M.D. IPA (HMO), Erickson Advantage Plans, POS OA, Aetna Elect Choice/ EPO (Aetna Health Fund), Aetna Quality Point of Service (POS), IH-Open POS II, Johns Hopkins Advantage MD HMO, Aetna Classic 5000PD, CareFirst Dual Prime HMO-SNP, Priority Partners - Maryland Health Choice, Aetna Student Health Insurance, Private Health Care Systems (PPO), Choice POS, Lasso Healthcare - Medicare Medical Savings Account, IH-Indemnity, CareFirst MedStar PPO, CareFirst (NCA) Indemnity, Aetna Traditional Choice (PPO), United Medicare Private Fee-for-Service (PFFS) plans, IH-HMO, IH-Open Network Only Plus, HumanaChoice PPO, CareFirst Federal Employee Program (Std. & Basic PPO), Johns Hopkins Advantage MD PPO, Medicare FFS, Maryland Physicians Care MCO, Veterans Affairs Community Care Network, Advantra Platinum (PPO), Aetna Better Health of Maryland, BCBS Out-of-State Medicare Plans (Blue Advantage), Choice POS II Open Access, Employee Health Plan, Navigate, Police and Fire Clinic, Network OA, Aetna Classic 3500 and CareFirst MedStar Select PPO.
According to our sources, Dr. Carolina Rumbo, MD accepts the following insurance providers:
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Dr. Carolina Rumbo is a Washington, DC physician who specializes in pediatric transplant hepatology (liver transplant medicine). Her clinical interests include portal hypertension, primary biliary cholangitis, and liver failure. Anthem, Blue California, and Coventry appears to be the insurance carriers that Dr. Rumbo takes. She attended medical school at National University of La Plata. Dr. Rumbo (or staff) is conversant in Spanish and French. She is professionally affiliated with MedStar Georgetown University Hospital. According to Doctor.com, new patients are welcome to contact her office in Washington, DC.