FAQ

New Patient FAQs

How Do I Schedule an Appointment?

You have several options to choose from:

What Are The Office Hours?

Monday: 7:00 a.m. to 7:00 p.m.
Tuesday: 8:00 a.m. to 5:00 p.m.
Wednesday: 7:00 a.m. to 7:00 p.m.
Thursday: 7:00 a.m. to 6:00 p.m.
Friday: 7:00 a.m. to 5:00 p.m.
Saturday: Once a month 8:00 a.m. to 12:00 p.m.

Currently accepting appointment for the following Saturdays:

  • November 3rd, 2018
  • December 1st, 2018
  • Coming soon dates for 2019!

What do I need to do before being seen in the office?

Please fill out this Health History Form.

  • Don’t worry – we will remind you to fill this out prior to your appointment!

Please review and sign this HIPAA Form.

It can be very helpful when we have records from your prior health care evaluations. Fill out this Release of Information Form and we can help assist you in getting your records.

Of note, we have a close relationship with the major nearby health systems and may already have access to your records with them. Please call our clinical coordinators at (224) 407-4400 and they can answer all of your questions and facilitate all communication.

Please fill out this Food Diary prior to your appointment with the dietitian.

Can children be seen?

Unfortunately, Dr. Troy is not a pediatric gastroenterologist. Patients 18 and older can be cared for.

What if I do not speak English?

Language assistance services in the form of interpreters or written translations can be made available upon your request.

WHERE DOES DR. TROY PERFORM ENDOSCOPIC PROCEDURES?

Dr. Troy performs endoscopies (EGDs), colonoscopies, flexible sigmoidoscopies, and capsule endoscopies within the brand new endoscopy suite located within the office space at 40 Skokie Boulevard, Suite 110, in Northbrook.

WHAT DO I NEED TO DO PRIOR TO MY PROCEDURE/APPOINTMENT?

Please fill out this Health History form.

  • Don’t worry – we will remind you to fill this out prior to your appointment.

Expect important instructions and reminders will be communicated to you by email and phone from Mobile Anesthesiologists, our anesthesia care providers.

  • Information within the emails does not contain protected health information.

You will receive an email reminder asking you to provide your health history, medications, and previous surgeries. Please provide this information using their secure online form. Here are simple instructions to help you access the secure form.

  • Go online to www.zzzmd.com
  • Select “Simple Admit” and then “Illinois (Chicago)”
  • Go to “Patients Start Here”
  • Enter password: MAC773NEW

NOTE: We will securely share the Health History information you have provided us with Mobile Anesthesiologists in efforts to reduce wasting your time with repetition of information. However, their trained staff will still confirm the accuracy of all information.

  • If you have any general questions, call Mobile Anesthesiologists at: (773) 355-5300
  • If you have any questions regarding the anesthesia you will be given or the online history form, call Mobile Anesthesiologists at: (773) 756-5844
  • If you have any billing questions, before or after your procedure, please do not hesitate to contact the billing staff at Mobile Anesthesiologists at: (855) 457-9900

HOW IS COMPREHENSIVE GASTROINTESTINAL HEALTH DIFFERENT FROM OTHER PRACTICES?

  • Evening and weekend hours.
  • Superior communication.
  • Easier colonoscopy preparation options.
  • Coordinated comprehensive care between traditional gastroenterology, nutrition, and counseling, if needed.
  • Greater focus on medical education and empowering the patient.

For more details on how we set ourselves apart, please click here.

IS COMPREHENSIVE GASTROINTESTINAL HEALTH THE RIGHT PLACE FOR ME?

We are focused on excelling in the care of outpatient gastrointestinal issues and routine endoscopic procedures.

If you have a GI condition that necessitates frequent hospitalizations (ex. severe liver disease), advanced endoscopic care (ex. ERCP or endoscopic ultrasound), or if you have significant heart or lung disease that limits the safety of undergoing a procedure in an outpatient setting, you may be better served at a practice more tightly affiliated with inpatient care.

WHAT HAPPENS IF I NEED TO BE HOSPITALIZED FOR A GASTROINTESTINAL CONDITION?

Dr. Troy maintains an affiliation with the major local health systems and hospitals. Although she may not be coordinating your inpatient gastrointestinal care, she will likely have access to your electronic medical record and will eagerly communicate with your inpatient team. This way she will be able to follow along on your progress and assist in arranging and fulfilling any necessary follow up care.

Financial FAQs

WHAT INSURANCE IS ACCEPTED?

We are currently in the process of contracting with numerous insurance companies. Please click here to view them all.

WHAT IF I HAVE MEDICARE?

WHAT IS THE FEE SCHEDULE FOR MEDICARE OR SELF-PAY PATIENTS?

WHAT IS THE FEE SCHEDULE FOR NUTRITIONAL COUNSELING?

One Time Consultations

  • 60 minute consultation: $120
  • 30 minute consultation: $65
  • 15 minute consultation: $35

Multi Session Packages

  • 4 Session Nutrition Package: $440
    • Four 60 minute consultations
    • Coordination of meal tracking plan
    • Personalized meal plan recommendations
    • Email support and communication between sessions
  • 8 Session Nutrition Package: $800
    • Eight 60 minute consultations
    • Coordination of meal tracking plan
    • Personalized meal plan recommendations
    • Email support and communication between sessions

Telemedicine Option

If you would prefer to skip the drive to the office, you can pay an additional $5 per session (the fee we pay to utilize the secured service).

WHAT IS THE FEE SCHEDULE FOR BEHAVIORAL COACHING/COUNSELING SERVICES?

One Time Consultations

  • 60 minute consultation: $120
  • 30 minute consultation: $65
  • 15 minute consultation: $35

Multi Session Packages

  • 4 Session Coaching/Counseling Package: $440
    • Four 60 minute consultations
    • Email support and communication between sessions
  • 8 Session Coaching/Counseling Package: $800
    • Eight 60 minute consultations
    • Email support and communication between sessions
  • 8 Session Gut Directed Hypnotherapy Package: $550
    • 60 minute assessment in person
    • Three 45 minute sessions in person
    • Four 30-45 minute pre-recorded sessions
    • Daily 15 minute pre-recorded practice

I HAVE A BALANCE. HOW CAN I PAY IT?

Click here to pay your bill online.

Credit cards, checks, or cash are accepted at the office during business hours. 

WHAT IF I HAVE QUESTIONS ABOUT BILLING OR INSURANCE COVERAGE?

You can email our billing team at info@physicianfinancialadvocates.com or call them at (872) 444-6787.

Medical FAQs

WHAT IS A COLONOSCOPY?

A colonoscopy involves looking at the colon from inside the body using a long, thin, flexible tube with a tiny camera on the end, through which the doctor can view your whole colon and rectum. The colonoscope is inserted into the anus and advanced through the entire colon and possibly a short distance into the small intestine (called the terminal ileum).

The image on the TV monitor is magnified many times so the doctor can see small changes in tissue. The colonoscope contains channels that allow the doctor to obtain biopsies (small pieces of tissue), remove polyps, and to introduce or withdraw fluid or air.  If the doctor sees areas of inflammation or needs a sample of tissue to look for microscopic changes, biopsies or samples of tissue can be obtained.

The procedure is generally about 20-30 minutes long. An anesthesiologist administers medications through the IV line. Most people have a deep sleep during the examination and are unaware that it was even performed.

Click the link to learn more details

DO I REALLY NEED A SCREENING COLONOSCOPY?

WHY ARE COLONOSCOPIES RECOMMENDED?

Colorectal cancer (also known as colon cancer) is the 2nd most common cause of cancer deaths in the United States, yet it is one of the most preventable types of cancer. Approximately 1 in 20 people will develop colon cancer in their lifetime. Colorectal cancer is often curable when detected early.

Colonoscopy is the only test that allows a biopsy or removal of a polyp at the very same time it is first identified. Removing polyps during a colonoscopy could stop colon cancer from growing or even cure it.

There is no way to completely eliminate the risk of developing colorectal cancer, but the systematic detection and removal of colon polyps during screening colonoscopies is the single most important intervention to reduce your risk of developing colorectal cancer.

As well, early detection of colorectal cancer by screening is the best way to improve the chance of a successful cancer cure.

HOW DOES A COLONOSCOPY HELP PREVENT COLORECTAL CANCER?

Most colon cancers develop from precancerous polyps, which are abnormal growths from the wall of the colon. If these precancerous polyps are left alone, they have the potential to grow into a cancer.

Not all colon polyps have the same risk of turning into colon cancer. Precancerous polyps (adenomas and serrated polyps) could become cancerous; other types of polyps (hyperplastic, inflammatory) do not. 

By performing colonoscopies, we can find these precancerous polyps and remove them before they have a chance to transition into a cancer. The development of more than 75-90% of colorectal cancer can be avoided through early detection and removal of precancerous polyps. If people took advantage of screening tests, the vast majority of deaths from colon cancer could be prevented.

This also allows us to determine who needs a closer eye on them than the average population. Instead of colonoscopies every 10 years, some people need colonoscopies every 3-5 years depending on the number and size of polyps that are present.

BUT I HAVE NO SYMPTOMS, DO I REALLY NEED THIS NOW?

Precancerous polyps usually cause NO SYMPTOMS, and removal of these polyps prevents colon cancer.

Colon cancers found in patients with symptoms are more advanced and less likely to be cured.

Colon cancers found in people WITHOUT symptoms are not as advanced and are more frequently cured.

The biggest risk factor for developing colorectal cancer is aging.

BUT NO ONE IN MY FAMILY HAS COLON POLYPS OR COLON CANCER, ARE YOU SURE I REALLY NEED TO DO THIS?

Although having a family history of colon polyps or colon cancer increases your risk of developing colon cancer, 75% of colon cancers DO NOT have a family history.

DO I NEED AN OFFICE APPOINTMENT PRIOR TO SCHEDULING A COLONOSCOPY?

You can schedule directly for a colonoscopy if:

  • Age over 50
  • Age over 45, if African-American
  • Family history of colon cancer or significant colon polyps in a close relative 

However, if you have any symptoms that you are concerned about or would like to discuss issues with the gastroenterologist prior to the procedure, we would encourage scheduling an office consultation first.  

WHAT IS AN ENDOSCOPY (EGD)?

An endoscopy (also called an upper GI scope or EGD) is a procedure that uses a long, thin, flexible tube with a tiny camera on the end, through which the doctor can examine your esophagus (swallowing tube), stomach, and the duodenum (the first part of the small intestine).  

The image on the TV monitor is magnified many times so the doctor can see small changes in tissue. If the doctor sees areas of inflammation, ulcers, polyps, or tumors or needs a sample of tissue to look for microscopic changes, biopsies or samples of tissue can be obtained.

The procedure is generally 5-15 minutes long. An anesthesiologist administers medications through the IV line. Most people have a deep sleep during the examination and are unaware that it was even performed.

Click the link to learn more details.

WHAT IS A FLEXIBLE SIGMOIDOSCOPY?

A flexible sigmoidoscopy (also called a “flex sig” for short) allows the doctor to examine the end part of the colon and rectum.

A long, thin, flexible tube with a tiny camera on the end is inserted into the anus and advanced through the lower third of the colon and rectum. The scope blows air to inflate the colon to allow the doctor to more carefully examine the colon.

The doctor can insert instruments through the scope that can sample the colon tissue or remove polyps (abnormal growths from the wall of the colon).

Most individuals will be fully awake during the procedure because it is so short, approximately 10 minutes in duration.

If you are not sedated, then you will be able to feel the small tube being inserted and feel pressure, bloating, or slight cramping as the scope is advanced the short distance. Some individuals will receive sedating medications through an IV line and will not be likely to feel or remember any part of the procedure.

Click the link to learn more details.

WHAT IS A CAPSULE ENDOSCOPY?

Capsule endoscopy allows for examination of the small intestine. This middle portion of your gastrointestinal tract, which includes three portions of the small intestine (duodenum, jejunum, ileum), cannot be easily reached with standard endoscopy methods.

You will be given a pill sized video camera for you to swallow. This camera has its own light source and takes pictures of your small intestine as it passes through. These pictures are sent to a small recording device you have to wear on your body.

Your doctor will be able to view these pictures after they are downloaded.  This may provide information on structural changes in your small intestine.

The most common reason for doing capsule endoscopy is to search for a cause of bleeding from the small intestine. It may also be useful for detecting polyps, Crohn’s disease, ulcers, and tumors of the small intestine.

Click the link to learn more details.

WHAT IF I HAVE A QUESTION ABOUT ANESTHESIA?

If you have any questions about anesthesia services, please call Mobile Anesthesiologists at the following numbers:

  • General questions: (773) 355-5300
  • Questions regarding the anesthesia you will be given or the online history form: (773) 756-5844
  • Anesthesia billing questions: (855) 457-9900

Click here for more information.

DO I NEED TO SEE THE GASTROENTEROLOGIST FIRST BEFORE SCHEDULING NUTRITIONAL COUNSELING?

No. If you are interested in proceeding directly to nutritional counseling, you may schedule an appointment directly with our dietitian.

Want to schedule an appointment?

Call us at (224) 407-4400 or fill in the appointment form.