Loading Page
Robin Heese, FNP, DNP is a nurse in Baltimore, MD specializing in urology (urinary tract disease) and family medicine. Robin Heese, FNP, DNP is affiliated with MedStar Good Samaritan Hospital, MedStar Franklin Square Medical Center, MedStar Health and MedStar Union Memorial Hospital.
201 East University Parkway
Baltimore, MD 21218
5601 Loch Raven Boulevard
Baltimore, MD 21239
Unable to locate address.
9000 Franklin Square Drive
Baltimore, MD 21237
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.
Kidney Stones
Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.
Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.
The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:
People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.
Urodynamics (Bladder and Urethra Function Test)
Urodynamics are tests that assess how well the lower urinary tract is functioning. Specifically, they evaluate its ability to hold and release urine, as well as show if any blockages or leaks are present. The lower urinary tract is made up of the following:
Urodynamics tests are normally performed together as one series, but depending on patients' symptoms, only one or some of them may be necessary. The most common tests are:
For a few hours following a urodynamics study, patients will likely feel some soreness or discomfort. It is recommended to drink at least one glass of water every half hour for two hours to relieve these symptoms. Holding a warm, moistened washcloth over the area where discomfort is felt or taking a warm bath may also help. Results for cystrometrograms and uroflowmetry are typically available immediately after the test, but results for the other tests may take a few days. When doctors have reviewed a patient's test results, he or she will discuss them with the patient, along with any treatments the patient may need.
She is certified by the American Academy of Nurse Practitioners Certification Board, Family Nurse Practitioner and has a state license in Maryland.
Board Certification: American Academy of Nurse Practitioners Certification Board, Family Nurse Practitioner
Licensed In: Maryland
Robin Heese, FNP, DNP is associated with these hospitals and organizations:
Robin Heese, FNP, DNP does not have any reviews yet, be the first to leave a review of Robin Heese, FNP, DNP here: Leave a Review
Ms. Robin Heese's areas of specialization are family medicine and urology (urinary tract disease); she sees patients in Baltimore, MD. Areas of expertise for Ms. Heese include bladder cancer, partial nephrectomy, and cryotherapy. Her hospital/clinic affiliations include MedStar Franklin Square Medical Center, MedStar Good Samaritan Hospital, and MedStar Union Memorial Hospital.
