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Dr. Melonie Adia Nance, MD is a general surgeon in New York, NY specializing in general surgery and head and neck surgery. Dr. Melonie Adia Nance, MD is affiliated with U.S. Department of Veterans Affairs, New York University and NYU Langone Otolaryngology Associates.
Parathyroid Surgery
Parathyroid surgery is a procedure done to identify and remove diseased parathyroid glands. These tiny glands in the neck regulate calcium levels in the body. Occasionally, one or more of the parathyroid glands can become hyperactive, swelling and causing too much calcium to be moved from the bones to the bloodstream. This is called hyperparathyroidism, and it can cause problems including weakness, nervous system disorders, and kidney problems. To treat hyperparathyroidism, overactive parathyroid glands are removed.
One kind of parathyroid surgery is called bilateral neck exploration. The surgeon finds and looks at all of the parathyroid glands on both sides of the neck, visually identifying any that are diseased and removing them. Minimally invasive, or focused, parathyroidectomy is done to remove a single diseased gland. The gland causing problems is identified before surgery using localization techniques such as hormonal or radiology testing. Since in most cases only one gland is causing problems, focused parathyroidectomy is a common alternative to bilateral neck exploration. Both procedures are safe and effective.
In the rare case that all four glands are diseased, the surgeon will either remove three and a half glands and leave one half in place, or all four will be removed and part of one gland will be transplanted into the forearm. This is done to keep calcium levels where they should be.
After surgery, patients will have a bandage on their neck and a sore throat. Patients may only want liquids or very soft food for the first day, and thy may be asked to take calcium supplements for a while until their remaining parathyroid glands begin functioning well again. Recovery is fairly quick, and within a few days patients should be feeling like themselves again.
Thyroid Problems
Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.
When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:
Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.
Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.
Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.
The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.
Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.
Thyroid Surgery
Thyroid surgery is a procedure to remove all or part of the thyroid gland. The thyroid is a small, butterfly-shaped gland in the lower neck that regulates the hormones that manage metabolism. Thyroid surgery, also known as thyroidectomy, treats thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), goiters (noncancerous thyroid inflammation), and thyroid cancer. It may also be used to remove thyroid nodules or cysts that have a risk of becoming cancerous.
Both hypothyroidism and goiters are caused by an autoimmune reaction where the body produces antibodies that attack the thyroid cells for unknown reasons. The thyroid reacts by releasing too little or too much T3 and T4 thyroid hormones, impairing thyroid function and causing irregular metabolism. Goiters develop from the autoimmune reaction causing continued antibody damage to the thyroid over time. Thyroid goiters are large, swollen lumps that can be felt near the base of the neck. Obstructive goiters can cause pain, coughing, and abnormal breathing. Hypothyroidism may also be caused by iodine deficiency, as iodine is needed to produce thyroid hormones.
The exact cause of thyroid cancer and thyroid nodules or cysts is unknown. While thyroid cancer and thyroid nodules or cysts can occur in individuals with thyroid disorders, they are not associated with a malfunctioning thyroid.
Physicians may prescribe thyroid surgery if blood tests reveal patients' thyroid stimulating hormones (TSA) are outside of the acceptable range, indicating a malfunctioning thyroid. Thyroid biopsies (tissue samples) and tests for thyroid-attacking antibodies are also criteria for surgery.
An ENT or general surgeon performs thyroid surgery. While a patient is placed under anesthesia, the surgeon makes an incision at the center of the neck and removes the thyroid gland. Two alternative methods of thyroid surgery are transoral (incision through the mouth) and endoscopic, where a surgeon operates a video camera for live footage to help guide the removal process.
Thyroid surgery requires minimal aftercare. Most patients recover quickly and resume normal activities within a few days of surgery. However, thyroid surgery patients must take daily synthetic thyroid medication (levothyroxine) for life to replace their removed thyroid.
She completed residency at University of Pittsburgh Medical Center (UPMC). She is certified by the American Board of Otolaryngology - Otolaryngology and has a state license in Maryland.
Residency: University of Pittsburgh Medical Center (UPMC) (2007)
Board Certification: American Board of Otolaryngology - Otolaryngology (2008)
Licensed In: Maryland
Dr. Melonie Adia Nance, MD is associated with these hospitals and organizations:
Dr. Melonie Adia Nance, MD appears to accept the following insurance providers: Aetna HMO, Local 1199 - NYU Hospital Member Choice, Aetna Medicare, Aetna Indemnity, Local 1199 PPO, HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, WellCare, United Healthcare Medicare, Medicare Part B, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, United Healthcare Navigate, Aetna POS, First Health PPO, Great-West Healthcare HMO, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, MetroPlusHealth Medicare, Qualcare Inc, Hotel Trades Council, HIP Prime Silver Exchange, Insurance Design Administrators, Healthfirst Essential Plan 1 & 2, Health Net of California, Global Excel, Centers Plan For Healthy Living, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, MetroPlusHealth Gold, American Plan Administrators, HIP Prime Platinum Exchange, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, HIP Prime Gold Exchange, AXA Assistance USA, Healthfirst Gold Total, Pro, Plus EPO, Nippon Life-Aetna, Fiserv Health, UMR GEHA, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, MetroPlusHealth Medplus Plan Exchange, HIP Prime Silver, HIP Prime Bronze Exchange, Partners Health Plan FIDA, Meritain Health, CenterLight Healthcare DIRECT, HIP VIP Medicare Bold, Administrative Concepts, HIP Bridge, Healthfirst Silver Total, Pro, Plus EPO, Connecticare Bridge, BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), River Spring Medicare HMP SNP, NY Fire Department - WTC, HIP Prime Bronze, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, Connecticare Commercial, MetroPlusHealth Child Health Plus, MetroPlusHealth Essential Plan 3 and 4, Aetna Signature Administrators PPO, HIP Prime Gold, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, MetroPlusHealth Goldcare, MetroPlusHealth Gold Plus Plan Exchange, MetroPlusHealth Essential Plan 1 and 2, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, HIP Prime Basic Exchange, Global Health, Healthfirst Bronze Leaf Exchange, HIP Prime Platinum, Partners Health Plan Medicare, Nippon Life of America-Aetna, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, World Trade Center - Sedgwick, US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., CenterLight Healthcare PACE, Aetna International, Medicare Part A and B, MetroPlusHealth Bronze Plus Plan Exchange, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, MVP Select Care Inc., BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Aetna Meritain Health, Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, Bind Benefits inc, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Centerlight Pace Medicare HMO, HIP Prime Catastrophic Exchange, Allied, MetroPlusHealth Platinum Plus Plan Exchange, Empire Mediblue Healthplus Dual, Aetna Medicare Value Select HMO, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, MetroPlusHealth Silver Plus Plan Exchange, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, WTC Health Program, CenterLight Healthcare Select and BCBS Federal Program.
According to our sources, Dr. Melonie Adia Nance, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Melonie Adia Nance, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$1,124
L8500 $12 |
$1,112 |
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$731
Inspire Upper Airway Stimulation System $731 |
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$98
L8500 $26 |
$72 |
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$81
$81 |
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$77
NSE - Cutting Accessories $77 |
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$76
NIM $76 |
| $1,843 | |
| $343 |
Dr. Melonie Adia Nance, MD has received 4 research payments totaling $89,330.
Dr. Melonie Nance's areas of specialization are head and neck surgery and general surgery; she sees patients in New York, NY. These areas are among her clinical interests: cleft lip and palate, sinus cancer, and skull base tumors. She appears to be in-network for Trustmark, Anthem, Blue California, and more. For her residency, Dr. Nance trained at the University of Pittsburgh Medical Center (UPMC). She is professionally affiliated with U.S. Department of Veterans Affairs and NYU Langone Health.
