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Meghan L. Starner, MSN, NP is a nurse in Baltimore, MD specializing in spine surgery, family medicine and neurosurgery. Meghan L. Starner, MSN, NP is affiliated with MedStar Harbor Hospital, MedStar Franklin Square Medical Center and MedStar Health.
MedStar Health
Angiogram (Angiography)
Angiography is the use of x-rays to examine blood vessels, especially in order to identify any blocked or misshapen vessels that may cause problems. The test itself is called an angiogram. Some of the disorders that angiograms can be used to diagnose include:
During an angiogram, the doctor inserts a very thin, flexible tube called a catheter into a blood vessel through an opening in the groin or arm. The catheter is threaded through the body to the site of the suspected problem, where a small amount of dye is injected into the bloodstream and x-rays are taken. The dye makes the surrounding blood vessels visible via x-ray.
If necessary, certain procedures can be performed after an angiogram while the catheter is in place. Angioplasty is the use of a catheter to widen narrowed or blocked arteries. Stents are like tiny coiled springs that hold blood vessels open, and they can be placed during a catheterization. Damaged heart valves can also be repaired or replaced.
A typical angiogram takes about an hour to perform, but it may be longer if the catheterization is used to perform procedures on the blood vessels. It may be uncomfortable at times but is usually not painful. Afterwards, patients may be monitored for up to six hours to make sure any bleeding from the insertion site has stopped. They are given fluids to help flush the dye from their body. For a day or two after an angiogram it is important for patients to drink plenty of fluids and keep strenuous activity to a minimum.
Hydrocephalus
Normally, the brain is bathed in a liquid called cerebrospinal fluid. This fluid cushions and nurtures the brain cells as it flows around and through the brain. Sometimes, cerebrospinal fluid does not get reabsorbed into the body properly, or a blockage in the brain can stop it from flowing. This causes a buildup of pressure called hydrocephalus. This condition affects a wide range of people, but it is much more prevalent among infants and older adults. Left untreated, hydrocephalus can cause uncomfortable symptoms, such as headaches and blurred vision, and eventually may cause brain damage.
Hydrocephalus is most often treated with an implanted device called a shunt. A shunt is a long, thin tube that is used to drain excess fluid. One end is placed within the brain. The tube runs under the skin, along the neck behind the ear, and to another part of the body where the fluid can be reabsorbed. Most often this is the abdomen, but the chest or other areas can also be used. Shunts have a valve that allows doctors to monitor and control the pressure within the brain. Insertion of a shunt is a surgical procedure that takes one to two hours. Incisions are made in the head and the abdomen, and the shunt is threaded into place before the openings are stitched closed.
In cases where hydrocephalus is caused by a blockage, a procedure called endoscopic third ventriculostomy, or ETV, may be performed. During this procedure, a surgeon makes a dime-sized hole in the skull and uses a thin tube with a camera on the end (called an endoscope) to see inside the brain. The surgeon punctures a hole in the floor of the third ventricle, a fluid-filled space within the brain. The hole provides an opening for cerebrospinal fluid to flow around the blockage, normalizing pressure. The entire procedure usually takes less than an hour and patients can often go home the following day. ETV can provide a permanent and safe alternative to a shunt, but it is only useful for patients whose hydrocephalus is caused by a blockage.
Spinal Fusion
Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.
There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.
Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.
Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:
Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.
She is certified by the Board Certification: American Association of Nurse Practitioners and has a state license in Maryland.
Board Certification: Board Certification: American Association of Nurse Practitioners
Licensed In: Maryland
Meghan L. Starner, MSN, NP is associated with these hospitals and organizations:
Meghan L. Starner, MSN, NP 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, M.D. IPA Preferred (POS), Private Fee-for-Service Plans (PFFS), CareFirst Maryland Indemnity or PPO, IH-PPO, Aetna Advantage 6350PD, DC/MD SHOP QHP Small Business Plans, CareFirst EPO, MedStar Family Choice DC Healthy Families, Optimum Choice Preferred (POS), Medicare Direct, OCI Direct (HMO), 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), Aetna Better Health of Virginia, CareFirst BlueCross BlueShield Advantage Core/Enhanced, 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, Core Essential (HMO), IH-Open EPO Plus, 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, CareFirst MedStar Select PPO and Aetna Classic 3500.
According to our sources, Meghan L. Starner, MSN, NP accepts the following insurance providers:
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These charts describe general payments received by Meghan L. Starner, MSN, NP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$127
$127 |
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$119
ANDEXXA $119 |
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$45
Cardiva VASCADE 5F VCS $45 |
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Ms. Meghan Starner specializes in family medicine and neurosurgery and practices in Baltimore, MD. Her areas of expertise include the following: spinal cord tumor, scoliosis, and dystonia. Ms. Starner accepts Blue California, Coventry, and Coventry Health Care Plans, in addition to other insurance carriers. Her hospital/clinic affiliations include MedStar Franklin Square Medical Center and MedStar Harbor Hospital.
