Medicare Procedure and Patient Information
2023 Medicare Patient Data
Information about Medicare patients treated by Tasha K. Marchand, WHCNP.
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Tasha K. Marchand, WHCNP is a nurse in Spokane, WA specializing in obstetrics & gynecology and women's health. Tasha K. Marchand, WHCNP is affiliated with Providence and PROVIDENCE HEALTH AND SERVICES WASHINGTON.
Cesarean Section (C-Section)
A Cesarean section (more often known as "C-Section") is a surgery performed during labor and delivery. A C-Section is a procedure that delivers a baby through an incision in the lower abdomen and uterus. In the United States, about a third of all births are performed by Cesarean section. Most often, a C-section is done by an obstetrician/gynecologist (OB-GYN), or in certain regions, a general surgeon or family physician.
C-section incisions can be up-and-down (vertical), from belly button to lower abdomen or side-to-side (horizontal), across the lower abdomen. Side-to-side incisions are more frequently used. After the exterior incisions are made, the doctor then cuts into the uterus and amniotic sac and delivers the infant and cuts the baby's umbilical cord. The mother receives medicine to expel the placenta and the doctor helps to safely remove it. Finally, the doctor uses sutures to seal the uterus and tissue incisions. The initial C-section skin incision is also closed with sutures or staples.
C-sections are typically performed with regional anesthesia, which inhibits pain in the lower half of the body, but allows mothers to be awake. However, some mothers may receive general anesthesia, where they are put to sleep during the surgical procedure.
C-sections may be planned or unplanned, depending on the circumstances of the birth.
Pre-existing conditions like heart disease, high blood pressure, herpes, and HIV may prompt a doctor to prescribe a C-section. Other situations for C-section include:
Other mothers may require a C-section due to complications arising during delivery. These unplanned, emergency C-sections allow for a healthy birth even when complex complications are present. Problems during labor which may necessitate a C-section include:
Mothers should expect about a six-week recovery period following a C-section, including an initial hospital stay of two to three days. While in the hospital, mothers may spend time with their baby and begin breastfeeding. After returning home, mothers should limit strenuous activities such as lifting, reaching, and exercise, and should make sure to get plenty of rest.
Cryotherapy
Cryotherapy is the targeted use of extreme cold to destroy unhealthy or unwanted tissue. The doctor applies the cold on the skin or injects it through a needle to reach the inside of the body, where it freezes away the problem tissue. Cryotherapy is often used to remove minor skin problems such as warts or skin tags, and it is also used to treat some small tumors.
To achieve the cold temperatures needed for cryotherapy, liquid nitrogen or argon gas is passed through a tube, which becomes cold enough to freeze cells on contact. Alternatively, liquid nitrogen can be swabbed directly onto the skin or via a spray, which applies only a specific, small amount to the skin at a time.
Because the area treated is typically very small, cryotherapy is not usually painful. There may be a sensation of cold and possibly some slight discomfort. Cryotherapy is very fast and can easily be performed in a doctor's office. It also doesn't require stitches, because there is no cutting involved. These benefits make cryotherapy a good choice for many issues, including:
Depending on the procedure, it usually takes three to four weeks to heal after cryotherapy. If it was done internally, patients may feel sore or have a small amount of swelling the first day afterwards. If cryotherapy was performed on the skin, patients will have a scab where their tissue was removed. Keep it clean and dry so it can heal.
Hysteroscopy
A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.
Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.
Information about Medicare patients treated by Tasha K. Marchand, WHCNP.
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Information about Medicare patients treated by Tasha K. Marchand, WHCNP.
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She is certified by the Board Certification: National Certification Corporation, Women s Health Care Nurse Practitioner (WHNP-BC) and has a state license in Washington.
Board Certification: Board Certification: National Certification Corporation, Women s Health Care Nurse Practitioner (WHNP-BC)
Licensed In: Washington
Tasha K. Marchand, WHCNP is associated with these hospitals and organizations:
Tasha K. Marchand, WHCNP appears to accept the following insurance providers: Aetna PPO, Humana PPO, CIGNA PPO, Medicare Advantage, TriWest, Aetna, United Healthcare, TRICARE, Medicaid, Regence Blue Shield, Humana, Cigna, OptumHealth Behavioral Solutions (United Behavioral Health), Humana HMO, First Health, WellPoint, Kaiser Permanente, Molina Healthcare, Aetna Medicare PPO, Asuris Northwest Health PPO, Naphcare, Pacific Source Health PPO, Stevens County SheriffS Office, State of Washington Department of Corrections, Premera, Ferry County Jail, Evernorth PPO, Blue Cross of Idaho Health Service PPO, First Choice PPO, Regence BlueShield of Washington PPO and Interwest Health PPO.
According to our sources, Tasha K. Marchand, WHCNP accepts the following insurance providers:
Tasha K. Marchand, WHCNP has an exceptional overall rating with an average of 5.0 out of 5 stars based on 39 ratings. We collect ratings and reviews of Tasha K. Marchand, WHCNP from all over the web to help you find the right in Spokane, WA.
These charts describe general payments received by Tasha K. Marchand, WHCNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$125
Veozah $125 |
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Ms. Tasha Marchand is a specialist in women's health and obstetrics & gynecology. Clinical interests for Ms. Marchand include colposcopy, cryotherapy, and cystocele (bladder prolapse). Ms. Marchand is rated 5.0 stars (out of 5) by her patients. She seems to honor several insurance carriers, including Blue California, Coventry, and CIGNA Plans. She is professionally affiliated with Providence.