Medicare Procedure and Patient Information
2021 Medicare Procedure Volume
Volume of procedures performed by Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP for Medicare patients.
156 |
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Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP is a nurse in Sandy Spring, MD specializing in internal medicine (adult medicine) and geriatrics (elderly care). Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP is affiliated with MedStar Montgomery Medical Center, MedStar Good Samaritan Hospital, MedStar Health and MEDSTAR MEDICAL GROUP II LLC.
18100 Slade School Road
Sandy Spring, MD 20860
18101 Prince Philip Drive
Olney, MD 20832
2401 W Belvedere Avenue
Baltimore, MD 21215
Benign Prostatic Hyperplasia (Enlarged Prostate)
Benign prostatic hyperplasia (BPH) is a noncancerous condition in which the prostate gland becomes enlarged. BPH affects about half of men between the ages of 50 and 60, and approximately 80% of men over 80. As the prostate grows in size, it can press down on the tube where urine flows out of the body (the urethra) and cause urinary problems.
Medication can relieve mild to moderate symptoms of BPH, such as frequent urination, incomplete bladder emptying, a weak urine stream, and straining while urinating. However, other forms of treatment may be more appropriate if an individual has pain with urination, frequent urinary tract infections, or is unable to urinate. The size of the prostate and the severity of their symptoms will determine the type of treatment they need. If the prostate is not very large, doctors will likely recommend a transurethral procedure. This minimally invasive technique involves the insertion of a scope into the urethra. The most common transurethral procedures for BPH are:
If the prostate is too big for a transurethral procedure, an individual may need a simple prostatectomy, which can be done in one of three ways: laparoscopic, robotic, or open. During a laparoscopic simple prostatectomy, a surgeon makes several small incisions on the belly. Then they insert a long tube with a camera into one of the cuts and surgical instruments into the others. Using the camera to see inside the belly, they carefully removes the enlarged part of the prostate. Robotic simple prostatectomy uses the same techniques as the laparoscopic method, but the surgery is done with the help of a robot. For men with very large prostates, open simple prostatectomy may be the best treatment option. This surgery differs from the other approaches in that it requires a much larger incision.
Most transurethral treatments for BPH, like TUIP, TUNA, and laser prostate ablation, are done in the doctor's office or outpatient surgery center. TURP and simple prostatectomy, however, need to be performed in the hospital and require an average stay of one to three days. Patients should wait a week before doing any strenuous activities after a TUIP, TUNA, or laser prostate ablation, and about four to six weeks after a TURP or simple prostatectomy. Although these treatments improve BPH symptoms for most patients, it is important to be aware of the risks involved, such as urine control issues, tightening of the urethra, and erectile dysfunction.
Pressure Ulcers (Bedsores)
Commonly referred to as bedsores, pressure ulcers or pressure sores are areas of injured skin that result from staying in one position for a long period of time. Being bedridden or confined to a wheelchair puts a person at a high risk of developing such sores. The most commonly affected sites are the buttocks, hips, lower back, shoulder blade and spine areas, and backs of arms and legs. A pressure ulcer typically starts out as tender, reddish skin and may turn into a shallow wound that appears like a blister. At the next stage, it becomes a deep wound with yellowish dead tissue and some exposed fat. The most severe pressure ulcers are large wounds with dark dead tissue and exposed muscle or bone. Early detection and treatment are crucial as ulcers tend to develop rapidly and cause infections that could eventually lead to organ failure.
Mild sores may heal on their own when pressure on the affected area is reduced. This can be accomplished by simply repositioning the body every hour. If the sores are painful or infected, medications such as pain relievers and antibiotics may be prescribed. Cleaning the wound and changing dressings regularly also help the healing process. Severe pressure ulcers, on the other hand, may require surgery, which involves removal of any damaged, infected, or dead tissue and closing the wound. Wound closure can be achieved either by stitching the skin edges together or by using a flap of the patient's own tissue.
If a patient needs to have pressure ulcer surgery, they will likely be on bedrest for a few weeks to allow the wound to heal completely. The patient and their family members will be given instructions on positioning and transfer techniques to help keep pressure off the wound. When the doctor thinks the patient is ready, he or she will give the patient special exercises to help them regain their range of motion. To prevent the recurrence of ulcers, patients or their caregivers should be diligent about changing positions regularly, observing for early signs of new pressure sores, and replacing any worn-out mattresses or cushions.
Volume of procedures performed by Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP for Medicare patients.
doctor visit | 156 |
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Volume of procedures performed by Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP for Medicare patients.
doctor visit | 156 |
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She has a state license in Maryland.
Licensed In: Maryland
Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP is associated with these hospitals and organizations:
Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP appears to accept the following insurance providers: Aetna Medicare PPO, CIGNA EPO, CIGNA Indemnity, Private Healthcare Systems (PHCS), Medicare Advantage, MAMSI, AARP, HealthSpring, Coventry National Network PPO, Aetna, United Healthcare Choice Plus, Blue Choice, United Healthcare Choice, First Health PPO, TRICARE Prime, United Healthcare, Great-West Healthcare, Medicaid, Cigna, TRICARE, Coventry, Aetna Managed Choice POS, First Health, Aetna HMO, Kaiser Permanente, Optimum Choice Preferred (POS) & OCI Direct (HMO), MedStar Family Choice - Maryland Health Choice, Medicare Fee for Service, Choice Fund PPO, CFBSBC Blue Preferred PPO, CFBCBS (NCA) Indemnity, M.D. IPA (HMO), Open HMO, M.D. IPA Preferred (POS), POS OA & OA Plus, MedStar Select (MedStar Associates' Plan), Network OA, Innovation Health: PPO, CFBCBS Maryland Indemnity or PPO, Opoen HMO Option, CFBCBS EPO, Innovation Health: Indemnity, CFBCBS Maryland Point of Service Plan (MPOS), Innovation Health: POS, Innovation Health: Open POS Plus, Choice POS & Choice POS II, United Student Resources, Select HMO/HealthFund/Health Network, HealthyBlue PPO, CFBCBS Federal Employee Program (Std/Basic PPO/Blue Focus), Open EPO Plus, Innovation Health: Open Network Only Plus, Open POS II, PPO and PPO Plus and Innovation Health: POS Plus.
According to our sources, Dr. Nomy Thomas Jacob, AGNP, DNP, CRNP accepts the following insurance providers:
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Dr. Nomy Thomas Jacob is a general internal medicine and geriatrics (elderly care) specialist in Baltimore, MD, Sandy Spring, MD, and Olney, MD. Dr. Thomas Jacob's clinical interests include frailty, malnutrition, and osteoporosis. Her hospital/clinic affiliations include MedStar Good Samaritan Hospital and MedStar Montgomery Medical Center. She can take several insurance carriers, including Blue California, Coventry, and Coventry Health Care Plans. Dr. Thomas Jacob (or staff) is conversant in Tamil, Hindi, and Malayalam.