Anticoagulation Clinic

Medical Director: James French, M.D.

Each COR medical office has a warfarin clinic station where we use a highly developed and technically advanced system developed by Standing Stone.

Blood samples are obtained by a simple skin prick. Results are immediately produced using the CoaguChek machine. The patient is given a print-out of the results, any instructions on medication changes, and an appointment for the next monitoring visit.

The results are integrated into the patient's laboratory and electronic medical record. Our computer system helps track patients' progress and flag those patients who have missed a follow-up monitoring appointment. Monitoring and adjusting a patient's anticoagulation can be a challenging process. The COR physicians are rightly proud of the sophistication and excellence of our service.

Hematology Laboratory

Medical Director: James French, M.D.

The blood analysis laboratory provides commonly used testing for diagnostic and monitoring purposes. The Laboratory is CLIA certified. It has received awards for quality excellence. Each COR clinical office has a phlebotomy station. The laboratory reporting system is integrated into the COR Healthcare electronic medical records system.

The COR Blood Testing Laboratory has a 30-plus year history of providing excellence in patient care.

Cardiac Ultrasound Laboratory

Medical Director: James French, M.D.
Technical Director: Kari Finn, RDCS

Echocardiography uses sonar to create real-time images of the beating heart. These images tell us about the structure and function of the heart. The cardiac valves and muscles can be analyzed. Blood flow through the cardiac chambers can be studied and calculations made that provide valuable information about the health of the heart. This can aid greatly in diagnosis.

The procedure is painless and non-invasive. There are no injections or use of X-rays. The test is easily repeatable and reproducible allowing accurate monitoring of the heart or progression of the disease or recovery. This can be an invaluable aid for the physician caring for the patient with a cardiac condition.

The COR Cardiac Ultrasound Laboratory has a 30-plus year history of providing excellence. It is accredited by The Intersocietal Commission for the Accreditation of Echocardiography Laboratories.

Non-Invasive Vascular Laboratory

Medical Director: James French, M.D.
Technical Director: James French, M.D.

The non-invasive vascular laboratory uses ultrasound and blood pressure measurements to assess the health of the non-cardiac vascular systems.

The major arterial and venous systems throughout most of the body can be directly visualized and blood flow measured. Plaque, clot, and flow restrictions can be directly and indirectly assessed. Venous valves can be studied for incompetence which may lead to varicosities. The aorta can be assessed for strictures and aneurysms. The renal arteries can be analyzed for blockages that lead to hypertension. Arterial flow in the intestinal vessels can be analyzed for blockages near the origin.

Our vascular laboratory provides more than ten different procedures to study the health of the vascular system. The information obtained is used for diagnoses and monitoring for progression of disease as well as follow up of interventional and medical therapy.

The COR vascular laboratory has a 20-plus year history of providing excellence in vascular diagnosis.

Stress Exercise Testing

Problems with the heart's circulation, function and rhythm can at times be best revealed during periods of stress on the heart. This can be identified by stimulating the heart with exercise or pharmacologically or both. The heart can be studied using the ECGtreadmill stress testechocardiogram or nuclear imaging. Understanding a patient's blood pressure response, symptoms and any signs of arrhythmias (irregular heartbeats) can provide useful information to the physician. The method of testing is typically tailored to each patient's particular medical needs.

Heart Rhythm Monitoring

Portable diagnostic heart monitors are used to monitor the heart rhythm in the ambulatory setting. This usually consists of wearing a 24-hour recorder known as a Holter monitor. There are also portable recording devices such as the "Heart Card" which can be applied to the skin and activated to record the heart's rhythm while the symptoms are occurring (CARDIONET).

Mobile cardiac outpatient telemetry is a relatively new method of monitoring a patient's heart rhythm in the ambulatory setting with real-time monitoring of the heart rhythm by technicians who can contact the doctor immediately if a serious arrhythmia is documented.

When cardiac arrhythmias or suspected arrhythmic events are infrequent, a small implantable "event recorder" can be placed for patient monitoring over a longer period of time. The method chosen depends on the patient's individual circumstances. Information obtained from the recorder is processed by our arrhythmia testing laboratory and formally reported out by a cardiologist.

Cardiac Nuclear Stress Testing

Medical Directors: Ram Reddy, M.D.
Technical Director: Mihaela Nistor, CNMT

Nuclear cardiac testing is a noninvasive method of assessing the heart's pumping function and coronary circulation. Test results are used for diagnosing coronary disease in patients with suspicious symptoms as well as monitoring patients with known coronary disease. These images of the heart can tell the cardiologist about the presence of prior heart attacks as well as the presence of significant coronary insufficiency under stress.

COR Healthcare has 3 board certified nuclear cardiologists. The laboratory employs two Philips nuclear cameras and a complement of experienced full-time staff. Our laboratory carries the distinction of accreditation by the Intersocietal Commission For the Accreditation of Nuclear Laboratories.

Bone Density Testing

Medical Director: Roopa Reddy M.D.

Bone density testing or DEXA is a radiologic method of evaluating the calcium density of the bone. The aging process results in the loss of bone mineralization. This can result in weak and brittle bones which are more susceptible to fractures or compression collapse as is the case with the spine.

DEXA testing helps to establish the extent of bone demineralization and therefore guide the physician in choosing the best treatment. Follow up testing is used to determine the response to therapy as well as reassess progression of the disease in those patients not on therapy.