Suffolk Anesthesiology Associates, P.C. (SAA) is comprised of physician anesthesiologists and CRNAs that have been providing anesthesia services throughout the Long Island metropolitan area for over 50 years. We provide anesthesia services for the St. Catherine of Siena Medical Center, as well as multiple outpatient facilities throughout Long Island.
All of the anesthesiologists of Suffolk Anesthesiology Associates, P.C. are medical doctors who have extensive, specialized training in the practice of anesthesiology and have been board-certified by the American Board of Anesthesiology.
The expertise of our physicians spans the full scope of surgical and procedural care. This includes general surgery, orthopedics, neurosurgery, cardiothoracic and vascular surgery, urology and plastic surgery. We provide anesthesia for labor and delivery of obstetric patients. In addition, we care for patients undergoing procedures for GI endoscopy, cardiac electrophysiology, and interventional radiology.
. Mizanur Ahmed, M.D.
• Jasmine Bhatia, M.D.
• Steven B. Cohen, M.D.
• Michael Fernando, M.D.
• Robert Fondacaro, M.D.
• Vineet Gambhir, M.D.
. Youngil Kim, M.D.
• Thomas Kubanick, M.D.
• Shirley Mayo, M.D.
• Valentina Radianu, M.D.
• Brett Smith, M.D.
• Julia Sverdlova, M.D.
. Matthew Tito, M.D.
• Lance Turner, M.D.
. Uchenna Ubozoh, M.D.
• Jennifer Whittemore, D.O.
. Daniel Feldman, M.D.
. Terrence Tam. M.D.
. Carlos Figueroa, M.D.
. Loren Crowley, CRNA
• Carolyn Gangemi, CRNA
. Lisa Hawthorne, CRNA
. Gina Schiavone, CRNA
• Christina Hendershot, CRNA
. Nazish Khalid, CRNA
• Michael Lampasona, CRNA
• Marie Lochard, CRNA
• Kasuda Lombardo, CRNA
• Jesus Macaspac, CRNA
• Ethelia McKay, CRNA
. Casandra Prygocki, CRNA
• Shaun Schultz, CRNA
. Ellen Wagner, CRNA
. Brittany Weber, CRNA
. Andrea Zullo, CRNA
. Arlyne Ramos, CRNA
. Laura Kukowski, CRNA
. Cathleen McFarland, CRNA
. Cindy Jackolski, CRNA
. Sharyn Sachs, CRNA
Lance T. Turner, President
Robert Fondacaro, Vice-President
Vineet Gambhir, Treasurer
Michael Fernando, Secretary
A variety of anesthesia techniques are available with the ultimate goal of assuring your comfort and safety throughout the procedure. The type of anesthesia will depend on the specific surgery being performed along with its expected duration, your individual medical history, needs for postoperative pain control, and your personal preference.
All of these factors will be considered when developing an anesthetic plan. Your participation in supplying information about your medical conditions, previous anesthetics, current medications and allergies will assist the anesthesiologist in recommending the safest and best anesthetic for you.
These different kinds of Anesthesia include the following:
2. Regional Anesthesia - Including Epidural, Spinal and Nerve Block Anesthesia
The risks and benefits of the various types of anesthetic will be discussed with you by your anesthesiologist prior to your surgery. Please take the time to ask any questions that you might have. Remember, the decision as to the type of anesthesia to be administered is ultimately up to your anesthesiologist. We strive to provide you with the safest anesthetic and best surgical outcome possible.
During General Anesthesia, medications are given so patients are unconscious (“asleep”) and unable to feel any pain during the surgical procedure. Some of these medications are given through an IV and others are gases administered through a breathing mask or tube with oxygen. Some of the side effects of general anesthesia include nausea, vomiting, sore throat, muscle aches, shivering and confusion. General anesthesia is the most common type of anesthetic administered.
Regional Anesthesiology entails injecting a local anesthetic near nerves to numb a portion of the body. There are several types of regional anesthetics including spinal anesthesia, epidural anesthesia and various specific nerve blocks. When Regional Anesthesia is used, patients may be awake, sedated or put to sleep for their surgical procedure.
Epidural Anesthesia involves the injection of a local anesthetic, usually with a narcotic, into the epidural space, through either a needle or catheter. The epidural space is outside of the spinal cord. This type of anesthesia is commonly used in labor and delivery and for procedures of the lower extremities.
Spinal Anesthesia also involves the injection of a local anesthetic, with or without a narcotic, into the fluid that surrounds the spinal cord. This type of anesthesia is commonly used for genitourinary procedures, cesarean sections and procedures of the lower extremities.
Nerve Blocks are used to block pain at a specific site. By injecting a local anesthetic into or around a specific nerve or group of nerves, pain relief can be localized to the site of pain. This type of anesthesia provides pain control during and after a procedure, It is associated with minimal side effects. Examples of nerve blocks include an adductor canal nerve block for knee surgery, an interscalene nerve block for shoulder surgery, and a supraclavicular nerve block for arm surgery.
Monitored Anesthesia Care involves the injection of medications through an IV catheter to help you relax, as well as to block pain. A combination of sedative and narcotic medications are used to help you tolerate a procedure that otherwise would be uncomfortable. In addition, the surgeon may inject a local anesthetic at the site of the procedure for pain control. With this type of anesthesia, you are able to respond to questions, but will be drowsy throughout the procedure. Please keep in mind that if for any reason you are unable to tolerate this type of anesthetic, there may be a need for a general anesthetic to be administered to complete the procedure safely.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t
control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.
You’re protected from balance billing for:
If you have an emergency medical condition and get emergency services from an out-of-network provider or hospital, the most they can bill you is your plan’s in-network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in a stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services. If your insurance ID card says “fully insured coverage,” you can’t give written consent and give up your protections not to be balance billed for post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan’s in- network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, and intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. If you get other types of services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections. If your insurance ID card says “fully insured coverage,” you can’t give up your protections for these other services if they are a surprise bill. Surprise bills are when you’re at an in-network hospital or ambulatory surgical facility and a participating doctor was not available, a non-participating doctor provided services without your knowledge, or unforeseen medical services were provided.
Services referred by your in-network doctor
If your insurance ID card says “fully insured coverage,” surprise bills include when your
in-network doctor refers you to an out-of-network provider without your consent (including lab and pathology services). These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. You may need to sign a form (available on the Department of Financial Services’ website) for the full balance billing protection to apply.
You’re never required to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have these protections:
coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.
o Cover emergency services without requiring you to get approval for services in advance (also known as “prior authorization”).
o Cover emergency services by out-of-network providers.
o Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
o Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.
If you think you’ve been wrongly billed and your coverage is subject to New York law (“fully insured coverage”), contact the New York State Department of Financial Services at (800) 342-3736 or firstname.lastname@example.org. Visit http://www.dfs.ny.gov for information about your rights under state law.
Contact CMS at 1-800-985-3059 for self-funded coverage or coverage bought outside New York. Visit http://www.cms.gov/nosurprises/consumers for information about your rights under federal law.