1. What is the difference between getting treated by one of the providers at Anal Dsyplasia Clinic Midwest in an out-patient/in-office setting versus having the procedure done by a Colo-Rectal Surgeon in a hospital?

The first difference, which is usually the most important one to our patients, is the entire process in itself. How we approach the subject matter, with open ears, non-judgmental versus the non-personal approach in a hospital environment.

The second difference would be the patients down time. At the Anal Dysplasia Clinic MidWest, we set aside 45 minutes for our patient appointments. Most procedures take less time but our providers take the time to talk to you before the start of the procedure and right afterwards to make sure all your concerns and questions were fully addressed. Of course there will be communication during the procedure and if you like, you can watch on a large monitor what exactly is done during your procedure. There is no prep required from our patients. In most situations, the patient can go right back into the daily routine of life. You do not need to bring a friend or family member to drive you home because there is no general anesthesia or IV sedation used for the procedures.   

In rare circumstances, mostly patients with extensive intra-anal condyloma, Dr. Bucher may recommend that you be treated by a colorectal surgeon.

The third and most important difference is the experience we have and the most up-to-date treatment options. Our office has more flexible office hours to accommodate your busy schedule. We offer Anal Dysplasia procedures 5 days a week, 8 hrs a day, allowing us to offer you many scheduling options, not like at other practices, where they only perform HRAs a half day a week, by a provider who is not certified.

2. What is the mission?

Anal Dysplasia Clinic MidWest provides exceptional anal healthcare services through the development of relationships and personalized care for HPV-related anal disease. ADC is dedicated to the prevention of anal cancer in men and women.

3. What services are provided?

Anal Dysplasia Clinic MidWest strives to address all aspects of Anal Dysplasia and HPV-related anal issues. ADC provides office-based evaluations and treatments/surgical procedures. Please refer to “Our Services” on the main page of this website. 

 4. What types of health insurance does ADC accept?

Anal Dysplasia Clinic MidWest is an in-network provider for most PPO/POS health plans. We do not accept HMO health plans, except HMO plans offered by the Presence Healthcare system and Advocate Healthcare system, which require prior approvals obtained by your primary care physician. We do accept Medicare coverage as well. Please check out the "Insurance" tab on our websites main page for a complete list of insurance plans that are accepted. We do ask you to please contact your Insurance provider to verify that we are indeed an in-network provider with your Insurance plan since plans and plan coverages are constantly changed and updated by Insurance Companies. Special arrangements may be made if your health plan is out-of-network or if you are paying out of pocket. 

5. What happens if I move out of the area?

If you move out of the area, a copy of your medical records can be sent to your new physician upon receipt of a signed HIPAA medical records release form.

6. Is there a co-pay for office visits?

Co-pays are pre-determined by your insurance provider and all co-pays will be collected at the time of the office visit.

7. Does Anal Dysplasia Clinic MidWest utilize EMR?

We utilize Electronic Medical Records (EMR) to keep track of all your medical care, i.e. office visits, lab results, medications and much more. EMR provides a much cleaner work environment in a very secure setting. New patients can down load and print out our New Patient Registration Forms at home. Just bring the completed forms to your first appointment and you are ready to go. 

We are more than happy to assist you with all our technology.

8. What are Dr. Bucher's credentials?

Dr. Bucher is board certified in Family Medicine. He holds fellowship degrees from the American Academy of Family Physicians and the American College of Nutrition. He has been practicing medicine for close to 30 years. He has received extensive training in office-based evaluation and treatment of Anal Dysplasia and HPV-related anal diseases at the University of California-San Francisco Dysplasia Clinic, at Strong Memorial Hospital in Rochester, New York, and with the American Society for Colposcopy and Cervical Pathology. Dr. Bucher also consults with Dr. Stephen Goldstone (the pioneer in anal dysplasia treatment) in New York City. Dr. Bucher is certified by the AIDS Malignancy Consortium (AMC) to perform high resolution anoscopy (HRA) for clinical trials sponsored by AMC, AIDS Clinical Trials Network Group (ACTG), and the National Cancer Institute (NCI). He is the only certified HRA provider in the midwest.(our surgical physician assistant Noah Goss is as well a certified HRA provider). We are currently performing HRAs for several clinical trials that are offered through North Western Memorial Hospital in Chicago, Rush Medical Center in Chicago and CORE center in Chicago. Dr. Bucher is also the principal investigator for Chicago site for the national anal cancer prevention study called ANCHOR. 


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