1408 Sweet Home Road Suite 12 Amherst, NY 14228
Appointments: (716) 458-1100 Fax: (716) 458-1101
Specializing in Pain Management
LET US BE IN TOUCH WITH YOUR CARE
Adult Nurse Practitioners
Deborah L. Dzielski MSN, ANP-C
Deborah L. Dzielski MSN, ANP-C
Deborah L. Dzielski MSN, ANP-C
Deborah started her nursing career in 1993 when she worked as an LPN for a nursing home. Soon after, she worked at the Children's Hospital of Buffalo, which inspired her to return to school at Erie County Community College and obtain her Registered Nurse degree. She was accepted into Daemen College in 2003, obtained her Bachelor's Degree in 2005, and continued on to receive her Master's Degree as an Adult Nurse Practitioner in 2007 and has been working in pain management ever since.
Debbra L. Hadden MSN, ANP-C
Deborah L. Dzielski MSN, ANP-C
Deborah L. Dzielski MSN, ANP-C
Debbra graduated from high school with her Licensed Practical Nursing degree in 1990, and went on to graduate from Niagara County Community College with an Applied Science Degree as a Registered Nurse in 1993. Debbra worked at DeGraff Memorial Hospital from 1990-2005 where she started as a Nurse's Assistant and working her way up through the years as a nursing supervisor. She continued her education at the University of New York at Buffalo, graduating in 1999 with a Bachelor of Science in Nursing, and received her Master's Degree as an Adult Nurse Practitioner from Daemen College graduating in 2003 and has been working in pain management ever since. Debbra believes that the most important aspect in pain management is to help improve one’s quality of life.
susan d. wegrzyn msn,anp-c
Deborah L. Dzielski MSN, ANP-C
susan d. wegrzyn msn,anp-c
Susan graduated from Tonawanda High School and started her nursing career at Millard Fillmore Hospital School of Nursing. After graduating in 1983 she worked at Kaleida Gates Hospital predominately in the Neurosurgical department. This included charge nurse floor duties, surgical nurse and later working with UB Neurosurgery. To advance her education and career path she enrolled at Daemon College and received her BSN as well as MS degree as an Adult Nurse Practitioner. She continued in Neurosurgery and also completed her Adavanced Practice First Assist. The management of pain has always been an interest as the patients silent killer of ones lifestyle. Patients are our top priority and providing them care to improve their functional ability.
BUSINESS HOURS
INSURANCE INFORMATION
susan d. wegrzyn msn,anp-c
Monday -Thursday 7-5
We are closed Friday and weekends.
Phone Lines Open: 9-12 and 1-4
INSURANCE INFORMATION
INSURANCE INFORMATION
INSURANCE INFORMATION
We currently participate with -
BCBS, Univera, Independent Health,
Medicare, Tricare, Lifetime Benefit, AARP, GHI, PMCO
WE DO NOT TAKE ANY WORKERS COMP CASES , NO FAULT INSURANCE, LIABILITY CASES, MEDICAID OR MEDICAID MANAGED PLANS
HOLIDAY HOURS
INSURANCE INFORMATION
INSURANCE INFORMATION
Memorial Day 5/27/24- Closed
4th of July 7/4/24-Closed
Labor Day 9/2/24-Closed
Thanksgiving 11/28/24- Closed
Christmas Eve 12/24-Closing at noon
Christmas Day 12/25/24-Closed
New Year Eve 12/31/24-Closing at noon
New Years Day 1/1/25- Closed
Medical Cannabis
NYS APPROVED INDICATIONS FOR MEDICAL CANNABIS
Cancer
ALS (Lou Gehrig's disease)
Parkinson's disease
Multiple sclerosis
Spinal CORD injury with spasticity
HIV/AIDS
Epilepsy
Inflammatory bowel disease
Neuropathies
Huntington's disease
Chronic pain
PTSD
Opiate use
Must have at least one of the following associated or complicating conditions in addition to an approved indication:
Cachexia or wasting syndrome, severe or chronic pain, severe nausea, seizures, severe or persistent muscular spasms, PTSD, opiate use
BOTOX for Chronic Migraines
Now offering Botox for chronic migraines
Botox is FDA approved for chronic migraines, which means 15 or more headaches per month lasting 4 hours a day or longer.
Botox is a form of botulinum toxin, a neurotoxin produced by bacteria that causes botulism. When the Botox botulinum toxin is purified and used in tiny doses in specific areas, it temporarily reduces muscle contractions for approximately 3 month.
Botox is injected around pain fibers that are involved in headaches. Botox enters the nerve endings around where it is injected and blocks the release of chemicals involved in the pain transmission. This prevents activation of pain networks in the brain.
Botox is FDA approved for chronic migraines, and is covered by most insurance plans. Allergan offers a Botox saving card which offers patients reduced fees. Our office will get authorization from your insurance company and will help you with the savings card.
Please keep in mind that your insurance company will approve Botox as a treatment for chronic migraines if you have trialed and failed to respond to two or more preventive treatments. If you have already failed preventive treatments, or already receiving Botox and would like our office to continue your care, please contact our office for an appointment.
BOTOX FOR AESTHETICS
FOR AN APPPOINTMENT CALL (716) 458-1100 EXT 1 AND LEAVE A MESSAGE.
Botox is a procedure using Botulinum Toxin which was developed to treat the visual signs of aging by reducing or removing wrinkles. Botox is FDA approved and clinically proven to treat frown lines and wrinkles that have formed overtime due to muscle contractions beneath the skin.
Reasons for Considering a Botox Treatment
- Excessive facial wrinkles
- Wrinkles or furrows in the forehead
- "Crows feet" around the eyes
- "Frown line" between your eyebrows
- Jowls and pulling muscles in the neck
- Gummy smile
Procedure
The procedure works by altering the facial muscles beneath the skin that are related to wrinkles. A local anesthetic will be applied on your skin prior to the treatment. A small amount of Botox is injected into the area and this works by blocking the impulses from the nerve to the facial muscle, thereby relaxing them. The result is the underlying facial muscles relax and the skin is smoothed out. The procedure takes only a few minutes and results occur within a few days and the full results are seen at two weeks post injection. The effects of Botox treatments will last about four months and the procedure can then be repeated
How to prepare for your botox appointment
3 DAYS BEFORE treatment: AVOID topical products such as Tretinoin (Retin-A), retinols, retinoids, glycolic acid, Alpha Hydroxy Acid, or other “anti-aging” products. Also AVOID waxing, bleaching, tweezing, or the use of hair removal cream on the area to be treated.
7 DAYS BEFORE treatment (to prevent bruising): AVOID blood-thinning over-the-counter medications such as aspirin, Motrin, ibuprofen, and Aleve.
Day of Treatment
- Arrive at the office with a “clean face.” Please do not wear makeup. You may bring your own makeup to apply after your treatment.
- You may experience a mild amount of tenderness or a stinging sensation following injection.
- Redness and swelling are normal. Some bruising may also be visible.
- You may experience some tenderness at the treatment site(s) that can last for a few hours or a few days. You may have bruises in the areas treated.
Immediately After Treatment
- Stay in a vertical position for four hours following injection. Do Not ”rest your head” or lie down. Sit upright.
- You may apply an ice or cold gel pack to the area(s) as instructed. After any pinpoint bleeding from the injection site(s) has subsided, you may begin wearing makeup.
- AVOID placing excess pressure on the treated area(s) for the first few days: When cleansing your face or applying makeup, be very gentle.
- AVOID exercise or strenuous activities for the remainder of the treatment day; you may resume other normal activities/routines immediately.
- You may take acetaminophen/Tylenol if you are experiencing any mild tenderness or discomfort.
- Avoid extended UV exposure until any redness/swelling has subsided. Be sure to apply an SPF 30 or higher sunscreen.
After your appointment, you may return to your regular activities immediately. The results of Botox take some time to develop, and you should begin to see improvement within 3 to 7 days.
How Much Does Botox Cost?
The cost of Botox treatments depends on the amount needed to produce the desired results. We use Botox conservatively to create natural-looking results that minimize wrinkles and lines. We will discuss the number of units we believe are needed and provide a specific price quote before your treatment sessions. COST IS $12 PER UNIT.
How Long Do Botox Results Last?
Your results can last for up to 4 months, at which point you may want to schedule follow-up maintenance treatments.
Office Polices
REFILLS
Please call your pharmacy or use the patient portal for refills, request 7-10 before you are due! Failure to do so can result in a delay of your refill request.
THE OFFICE WILL BE CLOSED ON
Thanksgiving 11/28/24- Closed
Christmas Eve 12/24/24-Close Noon
Christmas Day 12/25/24-Closed
New Years Eve 12/31/24-Close Noon
New Years Day 1/1/24- Closed
Memorial Day 5/26/25- Closed
Labor Day 9/1/25- Closed
Thanksgiving 11/27/25- Closed
Christmas Eve 12/24/25- Close Noon
Christmas Day 12/25/25-Closed
New Years Eve 12/31/25-Close Noon
New Years Day 1/1/26- Closed
Cancel policy
Please try to give 24 hours notice to cancel appointments other wise a no show fee may be given. Inclement weather and illness may be an exception. To many missed appointment can result in discharge from practice.
Weather Closing
If the weather prevents the office from being open you can find closing announcements here or on channel 2.
Links
Patient Portal
NYS Cannabis Registration
NYS Cannabis Registration
Make, change, or cancel appointments, order refills, as well as ask your provider non emergent questions. Call the office for your activation code today and click the link below.
NYS Cannabis Registration
NYS Cannabis Registration
NYS Cannabis Registration
You can register your cannabis certification below. Click the link and follow the instructions.