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                NOW OPEN!!! Dunkirk Orthopedic Office • General Orthopedics • Hand & Upper Extremity • Joint Reconstruction • Sports Medicine • 419 Central Ave, Dunkirk NY • 716-952-4266                WELCOME Dr. Calvin Schierer · CASTILE PRIMARY CARE office · 5596 Route 19A · 585-493-9230                LOCATION MOVE: Neurosurgery · Dr. Loubert Suddaby has MOVED · 4855 Camp Rd., Ste. 400, Hamburg · 716-648-6875                WELCOME Colorectal Surgeon – Dr. Jeffrey J. Visco · 1150 Youngs Rd., Ste. 203, Williamsville · 716-636-9004

Treating diseases, disorders, and injuries of the brain and spinal cord.

At General Physician, PC our neurosurgeons specialize in treating conditions, injuries and/or disorders of the nervous system that are causing physical symptoms, pain, and dysfunction.  These include brain injury, fluid, or tumors; cervical/thoracic/lumbar pain; spinal disorders, instability, or injury; and spinal, ulnar, or joint nerve pain. Once a diagnosis is made our surgeons will work with you to determine the best course of treatment, knowing that we seek the best possible outcome for each patient. We offer both surgical and minimally invasive procedures depending on the medical treatment necessary.  

Surgical procedures include:

Cerebral

  • Burr holes for Subdural Hematoma
  • Craniotomy/Craniectomy
  • Cerebrospinal or Ventriculoperitoneal shunts

Spinal

  • Kyphoplasty for Fractured Vertebra
  • Microdiscectomy
  • Cervical/Lumbar Laminectomy
  • Cervical/Lumbar Fusion
  • Insertion of Spinal Cord Stimulator and/or Generator
  • Ulnar Neurolysis

Injections:

  • Hip or spine injections
  • Facet nerve block
  • Occipital Nerve Block

 

Providers

Loubert Suddaby, MD

Safeguarding the health of your digestive tract and organs

At General Physician, PC our gastroenterology team specializes in treating disorders of the gastrointestinal tract, colon, liver, pancreas, and bile duct.  Some of these conditions include Crohn’s Disease, Gastroesophageal Reflux Disease, Ulcerative Colitis, Celiac Disease, Pancreatitis, Pancreatic Cancer, Hepatitis, Colorectal Cancer and Barrett’s Esophagus.  We offer comprehensive care and treatment options for each patient once a diagnosis is made.

Our services include:

  • Colonoscopy
  • Upper Endoscopy
  • ERCP (Endoscopic Retrograde Cholangiopancreatography)
  • PEG (Percutaneous Endoscopic Gastrostomy) Placement/Removal
  • Flexible Sigmoidoscopy
  • Biologic Therapy Infusion

 

Providers

James G. Corasanti, MD PhD

We can help you reclaim your life.

At General Physician, P.C., our pain management team offers a comprehensive, patient-centered multi-modal approach in the treatment of chronic pain related to headache, neck and back pain, upper/lower limb pain and abdominal/pelvic pain.  Our goal is to elevate a patient’s quality of life by maximizing pain relief while increasing activity and improving psychological well-being.  Our services will allow our patients to reclaim their lives.  General Physician, PC is ushering in a new direction in pain management using the latest in evidence-based analgesics, cutting-edge interventional procedures and new technologies for spinal cord stimulation. 

Our Services include:

  • Nerve blocks
  • Epidural or muscle injections
  • Spinal cord stimulation
  • Nerve radiofrequency ablation
  • Lowering opioid dependency

 

Providers

Thomas Suchy, MD

Good health starts with good nutrition. 

At General Physician, PC we offer individualized nutritional counseling, diabetes education, and related services based on each patient’s needs. This, in coordination with your referring physician, will help you to achieve your health-related goals. Setting up a wellness plan can benefit a wide variety of conditions including diabetes, metabolic and autoimmune disorders, food allergies, gastrointestinal issues, hypertension, oncology, cardiac rehab, or those in need of nutritional guidance for sports or a lifestyle change. 

Those who think they have no time for healthy eating, will sooner or later have to find time for illness.

– Edward Stanley

There is comfort in knowing the right team is behind you.

Dedicated surgical specialists treating cancers and conditions related to the lower gastrointestinal tract and the abdominal cavity.

 

Colorectal Surgery

Our colorectal surgeons specialize in evaluating, diagnosing and treating the most common to the most complex in colorectal conditions and cancers. We offer preventive screenings, non-invasive treatments, and surgical procedures based on the needs of each patient.

Services and procedures include:

  • Colon Cancer
  • Rectal Cancer
  •  Screening and diagnostic colonoscopy
  •  Inflammatory Bowel Disease
  •  Crohn’s Disease/Ulcerative Colitis
  •  Diverticulitis
  •  Chronic Constipation
  •  Anorectal diseases (hemorrhoids, fistulas, fissures etc.)
  •  Ileoanal/J-pouches
  •  Stomas (Ileostomy, colostomy)
  •  Anorectal Surgery (hemorrhoidectomy, repair anal sphincter, fistulectomy etc.)
  •  Fecal Incontinence

 

Providers

Timothy Adams, MD
Steven Barone, MD 
Mark Falvo, MD
Kelly Marotta, NP
John Redmond, NP
Jeffrey J. Visco, MD

 

General Surgery

At General Physician, PC, our general surgery team offers successful treatment options for a wide variety of conditions involving the gallbladder, appendix, abdominal hernia repair, and benign disease of the colon and small bowel.  We offer the latest in minimally invasive laparoscopic and robotic surgical options as well as biopsies, endoscopies and other skin procedures including cyst and mole removal.

Our services include:

  • Cholecystectomy—laparoscopic and robotic
  • Hernia repair—inguinal, umbilical, ventral/incisional-laparoscopic and robotic
  • Skin Procedures—lipoma, cyst, mole removal
  • Bowel surgery—large and small intestine
  • Mediport insertion
  • Emergency surgery—i.e. appendectomy
  • Endoscopy
  • Colonoscopy

 

Providers

Evan J. Evans, MD
Ajay Panchal, MD

 

Breathe Easier

Caring for and treating the lungs and respiratory system

Pulmonary care refers to the medical specialty devoted to the lungs. Pulmonary care is necessary for patients who have chronic breathing problems, diseases such as pneumonia, or who are preparing for or who have had lung surgery.

We are extremely proud of the wide array of services we are able to offer including:

  • Asthma
  • Bronchoscopy 
  • Critical Care
  • COPD 
  • Dyspnea 
  • Lung Cancer
  • Lung Mass 
  • Pulmonary Fibrosis 
  • Pulmonary Function Tests
  • Pulmonary Hypertension 
  • Sarcoid
  • Solitary Pulmonology Nodules
  • Thorascopy


To make an appointment please call our office at 716-710-8266
 

Providers

James Lampasso, MD
Jeffery R. Neu, MD
Celestino Pietrantoni, DO

Clinical pharmacy consultations

Patients, pharmacists and providers, working together to improve overall health.

 

What Can a Clinical Pharmacist Do?

  • Answer questions about your medications and help you better understand information about your medical conditions
  • Work with your doctor(s) to design and/or simplify a personalized medication regimen
  • Assist you in using medical devices such as insulin pumps, blood glucose meters, inhalers and injectable medications
  • Help ensure cost effective therapy is being prescribed 
  • Provide additional follow up to help you achieve your health goals (smoking cessation, diabetic control, asthma/COPD control, management of high blood pressure etc.)

Who is Eligible to Participate?

Our program is available to all patients who see one of our General Physician, PC providers.

Providers

Focusing on Disease Prevention

Our team works diligently to provide coordination and continuation of care. This encompasses communicating with all members of the patient’s care team working toward a resolution of the infectious process. Services include: consultation for diagnosis and treatment of infections with follow up as necessary.

Appointments are by physician referrals only


Provider:

Dr. Thomas J. Cumbo

Location:
705 Maple Road, Suite 300
Williamsville, NY 14221

Phone:
716.631.8400

Hours: 
Monday 8am-5:30pm
Tuesday -Wednesday 8am-4:30pm
Friday 8am-3pm

 

Urogynecology (Female Pelvic Medicine and Reconstructive Surgery) - is a sub-specialty of obstetrics and gynecology dedicated to the treatment of pelvic floor disorders, such as problems with tissue relaxation (prolapse), urinary, bowel and sexual dysfunction. These diseases include the inability to control your bladder, pelvic organ prolapse, urinary incontinence, fecal incontinence, constipation, sexual dysfunction, and pelvic pain. These problems can significantly affect the quality of life and can be treated with the help of a board certified and experienced urogynecologist.

Urogynecology involves the diagnosis and treatment of the following conditions:

Pelvic Organ Prolapse  •  Urinary Incontinence  •  Overactive bladder
Urinary Frequency  •  Urinary Urgency  •  Incomplete Bladder Emptying
Recurrent Urinary Tract Infection  •  Atrophic Vagina  •  Vaginal Mesh Complications
Pelvic/Vaginal Pain  •  Painful Bladder Syndrome  •  Sexual Dysfunction  •  Fecal Incontinence

Office Procedures:

Catheterization: Use of a very small sized catheter to drain urine from the bladder. This may be done to determine if you empty your bladder appropriately, or to collect urine specimens to send to the lab.

Cystoscopy: a procedure that involves placing a tiny camera though the urethra into the bladder to visualize the inner surface of the bladder.

Urodynamic Testing: a bladder function test involving the use of a tiny catheter in the bladder and one in the vagina or rectum.  The bladder is filled with sterile water to assess the function of the bladder and urethra as well as the function of muscles and nerves.  This test can help determine the reason for leakage of urine, urgency and/or the reason for the inability to empty the bladder well.

Conservative Treatment Options: 

Dietary and lifestyle changes: A modifications in a diet to try to avoid products known to be bladder irritants. Water and drinks management is very important as well as physical activity and weight loss.

Bladder Training: Training your bladder to hold urine longer by doing pelvic floor exercises when you have an urge to urinate and allowing that urge to pass prior to urinating.  The amount of time holding your urine increases incrementally over time.

Pelvic Floor Physical Therapy (PFPT): Meeting with a pelvic floor physical therapist to better understand the exercises involved in strengthening the pelvic floor muscles.  PFPT treats many issues including vaginal prolapse, urinary incontinence, fecal incontinence, pelvic muscle weakness, and pelvic pain.

Pessary: A device that is placed in the vagina to support a vaginal prolapse and/or treat leakage of urine. A pessary fitting is done to determine which pessary type and size may be right for you. Sometimes you may need to try a few pessaries until you find the right pessary for you

Surgical Treatment Options: 

Female pelvic reconstructive surgery:  surgeries that restore normal anatomy of female pelvic organs. A minimally invasive approach is usually utilized (laparoscopic or robotic surgery). This surgery may or may not involve hysterectomy. Use of synthetic or graft materials may be sometimes offered to patients as well to achieve best results.

Types of Reconstructive surgeries: Sacrocolpopexy, Uterosacral ligament suspension, Sacrospinous ligament suspension, Anterior, and Posterior Colporrhaphy, Perineorrhaphy. 

Anti-incontinence surgeries:

Periurethral bulking injections: during cystoscopy a tiny needle is used to inject a substance into the urethra to bulk up the urethra to reduce urinary incontinence that occurs with activity.

Sling: A surgical procedure in which a small, thin ribbon of mesh is placed through a vaginal incision under the urethra to reduce urinary incontinence that occurs with coughing, laughing or activity. 

Burch procedure: the procedure was introduced in the 1950s. Still being used as effective anti-incontinence surgery and involves placing sutures on both sides of the urethra to create the necessary support and treat stress incontinence. Can be done via an open or minimally invasive approach.

  

Urgency treatments:

Sacral neuromodulation: A procedure that involves placing a small lead into tailbone and a stimulating device in the area of where your hip pocket would be. This device works as a pacemaker to the bladder nerves to treat urge related urinary incontinence, frequent urination, incomplete bladder emptying, bladder retention, and fecal incontinence.

Percutaneous tibial nerve stimulation (PTNS): An office procedure involving the placement of a very small, acupuncture needle in the ankle and attaching the needle to a small device to stimulate the nerves that go to the bladder.  This procedure gives off a signal to the bladder nerves to treat urge related urinary incontinence, urgency, and frequent urination. Each session lasts 30min. It is repeated weekly for 12 weeks, and then monthly as needed.

Bladder Botox injections: Injection of botox in the bladder wall during cystoscopy to relax the muscles of the bladder.  This treatment temporarily treats urge related urinary incontinence and frequent urination. The effect lasts usually for 6-9 months. It can be periodically repeated to maintain efficacy.

Many treatments do not require surgery. However, when surgery is necessary, Dr. Kirakosyan offers cutting-edge, minimally invasive approach.

Dr. Kirakosyan is board certified in Obstetrics and Gynecology and he is one of very few in the United States board-certified specialists in Female Pelvic Medicine and Reconstructive Surgery (Urogynecology).

 

Providers

Armen Kirakosyan, MDArmen Kirakosyan, MD

 

Providing surgical consultation and treatment
of benign and malignant breast disease

Providers

Meeghan Lautner, MD
Karen L. Gutierrez, FNP, AGN ANCC-BC
Danielle Paolini, PA

 

Our team of board certified healthcare professionals provides compassionate, well-rounded care for breast disease that is
tailored to each patient. 

We can coordinate same day appointments with breast imaging as well as medical and radiation oncology to help optimize your care and busy schedule.

In addition to top notch surgical breast care, we have access to patient education and assistance resources, wellness and
survivorship services such as nutrition, physical therapy, psychology, breast prosthesis, wigs and several support groups just to name a few.

Treatment of benign breast disease such as:

  • Fibrocystic disease
  • Fibroadenoma
  • Nipple discharge
  • Breast pain

A multidisciplinary approach to breast cancer treatment.

 

Genetic Testing for Hereditary Breast
and Ovarian Cancer Syndrome (HBOC)

Who Should Have Genetic Testing?

The decision to pursue genetic testing is based on a personal or family history of cancer, as well as a blood relative with a known HBOC genetic mutation. If there is a personal history or a close family member diagnosed with any of the HBOC related cancers, genetic evaluation and testing are recommended.

The testing process starts with a comprehensive family history used to assess personal risk and qualification for testing. Once genetic testing is complete, the results will form the basis for establishing future cancer screening recommendations and options for any course of treatment needed. 

What are BRCA1 and BRCA2?

BRCA1 and BRCA2 are human genes within the HBOC family of genes that, when a mutation is present, greatly increases the risk for developing cancers, such as breast, ovarian, pancreatic, prostate and melanoma. The genetic mutations of BRCA1 and BRCA2 are hereditary and can be passed down from generation to generation similar to eye color. Genetic testing, therefore, is done to determine if the inherited gene mutations are present. It is not only a powerful tool in identifying the elevated risk for the HBOC related cancers but can also provide critical information necessary for personalized medical care and appropriate treatment options. 

Please contact 716.884.3000 to find out more about genetic testing or to schedule an appointment. 


 

Accepting new primary care patients.

Patient Education  Patient-Centered Medical Home

It’s important for everyone to have a primary doctor for preventative and general medical care. Whether it’s for an annual physical, the common cold, high blood pressure, or anything in between, your primary care provider keeps a watchful eye over your health.

Our primary care practice welcomes you and your entire family. From the Northtowns to the Southtowns, you’re sure to find an office conveniently located near your home or work. While our network is large, our providers still take great pride in forming meaningful relationships with all of our patients. And if you should ever need more specialized attention, your primary provider can quickly refer you to a GPPC specialist.

Services we offer:

  • Routine physicals and checkups
  • Diagnosing and treating minor illnesses
  • Chronic illnesses
  • Vaccinations
  • Health screenings and diagnostic testing

 

WNY’s leading orthopedic surgery team.

When your bones, muscles, or joints experience chronic or excessive pain, surgery may be the ultimate solution. At General Physician, PC, our team of orthopedic surgeons are prepared to diagnosis and treat a wide range of musculoskeletal conditions.

Since every orthopedic situation is different, your provider will discuss all your options, so you can make an informed decision. If surgery is necessary, our surgeons will use minimally invasive procedures, whenever possible, to help speed up the recovery process so you can return to your activities and lifestyle.

 

Our Orthopedic Specialties

Adult Joint Reconstruction/General Orthopedics

Provider: Dr. Joseph P. Falcone

Tackling both complex primary and revision surgery, and embracing the innovative technologies, Dr. Falcone integrates the doctrine of prevention in all of his treatment plans. With cutting-edge technologies such as, Custom Fit Knee Technology, Computer Assisted Surgery, Hip Resurfacing and Minimally Invasive Surgery (MIS), Dr. Falcone is a leader in joint care in Upstate New York. Services Include:

  • Primary Hip and Knee Replacement Surgery
  • Complex Revision Hip and Knee Surgery
  • Shoulder Replacement
  • General Orthopaedics
  • Hip Resurfacing
  • Minimally Invasive Surgery -- Hip Replacement
  • Minimally Invasive Surgery -- Knee Replacement
  • Sports Medicine
  • Arthroscopic Surgery

 

Hand and Upper Extremity

Providers: 
Dr. Paul Paterson
Rachel Schwartz, PA
Nicolette Sciolino, PA-C

Treating injuries and conditions from the finger tips to the shoulder including new techniques in shoulder replacement, carpal tunnel surgery, and fracture care, to improve the quality of life for patients. We are extremely proud of the wide array of services we are able to offer, including:

  • Total shoulder arthroplasty – new rotator cuff sparing technique accelerates and improves recovery. More experience with reverse replacement than anyone in the area.
  • Ultra-minimally invasive Carpal Tunnel release, and Trigger finger release
  • All upper extremity trauma, including fractures, tendon lacerations, nerve lacerations
  • Ultrasound guided shoulder injections and elbow tenotomy 

For more information on specific procedures performed, FAQs and resources, please see Dr. Paterson's bio page

 

Knee and Hip Center

Providers:
Dr. Marcus Romanowski
Dr. Cindy Romanowski
Jerome Mastrandrea, PA
Jessie Donaldson, PA

Dr. Marcus Romanowski treats patients suffering from knee and hip pain that has reduced their mobility and activity level.  To return function and improve mobility, Dr. Marcus performs total knee and hip replacement and partial knee replacement surgery.  Dr. Cindy Romanowski is a leader in preoperative patient education and postoperative rehabilitation.

Dr. Marcus and Dr. Cindy provide coordinated care across the continuum of care from preoperative education and surgery to physician-supervised home therapy programs. Their patients suffer fewer post-surgery complications and enjoy faster recovery rates. 

Services include:

  • Inpatient Total Knee & Hip Replacement
  • Outpatient Total Knee & Hip Replacement
  • Same day Partial Knee Replacement
  • Viscosupplementation (gel) injections
  • Physician-led preoperative education seminars
  • Individualized postoperative rehabilitation programs
  • Dedicated post-surgery Home Physical Therapy team in communication daily

 

Spine Surgery

Providers: 
Dr. Edward Simmons
Andrew Dybalski, RPA-C
Luke Martinic, RPA-C

Treating a wide variety of spinal disorders including disc herniations, spinal stenosis, scoliosis and kyphosis, spondylolisthesis, fractures, and other spine trauma. Dr. Simmons treats all areas of the spine, including the cervical, thoracic and lumbar regions.

Surgical procedures include:

  • Minimally invasive techniques
  • Stabilization instrumentation and fusion 
  • Decompression of nerve impingement
  • Correction of spinal deformity
  • Artificial disc replacement.

Sports Medicine

Providers: 
Dr. Lisa Daye
Melissa Aduddle, PA-C

Our Sports Medicine team specializes in prevention, operative and non-operative treatments for all sports injuries.  Dr. Lisa Daye and her clinical staff take pride in returning adult and youth athletes back to optimal performance by using the latest techniques for managing knee, shoulder, and ankle instability caused by sprains, fractures; tears of the meniscus, rotator cuff or ACL; or tendon and ligament ruptures. They take time to educate, train, and treat patients from recreational to elite level, female and male, young and old.

Services include:

  • Arthroscopic knee, shoulder and ankle reconstruction
  • Multi-specialty coordinated care team for female athletes
  • Youth sports injury prevention and treatments
  • Fracture management
  • Steroid or viscosupplementation (gel) injections
  • Partial knee replacement

Offering a wide range of oncology expertise.

We all have been touched one way or another by cancer. But when it affects you or your family directly, the reality can be overwhelming. Thankfully, with early detection and the right medical team on your side, you can increase your chances of living a long, fulfilling life.

Our cancer care team features a number of highly trained, board-certified specialists who are experienced in a wide range of cancers. Just as important, an integrated process allows our providers to work across disciplines to provide a comprehensive approach to your care. From diagnosis to treatment, you can be confident you’re receiving the medical expertise and compassion you deserve.

Our services include:
• Gynecological Oncology
• Hematology/Oncology
• Medical Oncology

 

Providers

Trudy Baker, MD
Farid Berenji, MD
Herbert Duvivier, MD
Haider Khadim, MD
David Marchetti, MD

 

Advanced Practice Providers

Kristin Collado, PA
Danielle Paolini, PA

 

Great Lakes Cancer Care Network

We are proud to introduce Great Lakes Cancer Care, a partnership of cancer experts, resources and service providers, creating the largest cancer network in the region.  From your initial diagnosis and throughout treatment, the Great Lakes Cancer Care team will work with you and your family to manage your care. With a vast depth of talented providers, technology, and resources, we are committed to improving accessibility and outcomes by delivering the highest quality care.
 
Great Lakes Cancer Care Partnership Includes:

Cancer Care of Western New York
ECMC
General Physician, PC
Great Lakes Medical Imaging
Kaleida Health
UBMD Physician’s Group
Western New York Urology Associates
Windsong Radiology Group

 
716.884.3000

Now accepting new OB/GYN patients.

To make an appointment at any of our Women's Health locations, Call 716.656.4077

Care for all women for all stages of life. That’s the philosophy of our Women’s Health group. With an extended team of OB/GYN providers, we focus on a wide range of women’s health issues, including routine care, diagnostics, reproductive health, as well as consulting and care during pregnancy and childbirth.

We also combine the comfortable environment of small family practice with the modern amenities and flexibility you’d expect from a large group practice. You’re invited to schedule appointments at any of our offices at your convenience. And because women’s health is so very personal, our providers put you in control of your health and offer care that aligns with your values.

Our services include:

  • Obstetrics
  • Gynecology
  • Urogynecology
  • Surgery
  • Genetic tests
  • Infertility

 

Choose the area’s leader of cardiology care.

Visit Great Lakes Cardiovascular Website

Great Lakes Cardiovascular is the name of our cardiology group, which handles a wide range of heart-related issues, including congenital heart conditions, valve disorders, coronary artery disease. With world-renown providers as well as advanced facilities and equipment, Great Lakes Cardiovascular provides the premier cardiovascular care in Western New York.

Our cardiology team offers comprehensive diagnostic testing and advanced treatments for your heart condition.  

Since every patient’s situation is unique, your specialists provide individualized care using the most innovative, least invasive methods to deliver the best possible outcome. 

Our services include:

  • Cardiac consultation
  • Cardiac event monitoring
  • Echo cardiogram
  • Electrocardiogram
  • Electrophysiology
  • Exercise treadmill test
  • Interventional cardiology
  • MitraClip/transcatheter mitral valve repair
  • Nuclear imaging
  • Tilt-table testing
  • Transcatheter aortic valve replacement
  • Vascular Doppler ultrasound studies

 

Experienced cardiothoracic surgery.

Cardiothoracic surgery is a treatment option for diseases affecting organs inside the chest such as the lungs and heart. While these are serious medical issues, the field of cardiothoracic surgery has made incredible advances. Many procedures are now minimally invasive, which reduces risk and shortens recover time.

Our cardiothoracic team is comprised of some of the most respected surgeons in all of Western New York, covering a wide range of conditions and procedures. Our providers are well versed in the latest treatments utilizing cutting-edge equipment, giving you peace of mind and the best chance for a full recovery.  

Our services include:

  • Coronary artery bypass grafting
  • Aortic and mitral valve surgery
  • General and minimally invasive thoracic surgery
  • Esophageal surgery
  • Convergent procedure for atrial fibrillation

Endoscopic radial artery harvest

 

Subcategories

Latest News

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Colorectal Awareness Month - AM Buffalo

March is Colorectal Awareness Month. One simple test, a colonoscopy can save your life. Courtney is at General Physician PC and is talking with Dr. Barone. They discuss the importance of having a colonoscopy.

Read More>>

13 March 2019

Youth Football League is cutting full-contact practice by 66 percent

Cheektowaga football league is reducing the amount of full contact practices by 66 percent to improve player safety. "We feel that contact full contact drills are not necessary once a season begins," Joe D'Amaro, chairman of the Cheektowaga Little Loops Association, said.

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27 February 2019

Colon Cancer: What to Know About Getting Tested

Dr. Timothy Adams discusses the importance of early detection in the fight against colon cancer. Getting screened, means saving lives.

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