Due to the national crisis as a result of the coronavirus pandemic our office continues to be open. Please be aware that we are taking all necessary precautions to prevent the transmission of this disease. Our office is being diligent about sanitation and cleaning before and after patient care.
During this time we are asking that you please call to cancel or reschedule your appointment only if you have any of the following symptoms, a fever higher than a 100.4, cough, shortness of breath or have been in contact with anyone with COVID-19.
Thank you for your understanding during this time as the safety of all of our patients and employees remain our top priority.
We, as a whole, support the mission of In Touch Adult Health NP's PC Pain Management through our intentional presence in all we do. We demonstrate excellence in clinical care by our commitment to evidence-based practice, and delivering culturally competent patient care in a caring and healing environment. We promote innovation in clinical practice, programs, and technology through active participation in shared decision-making and research. We provide a compassionate and respectful environment for all members of our community through our Professional Practice Model and patient-based care.
We will be agile in our response to patient, professional, financial, community, and healthcare delivery system needs and changes. We will be passionate in our delivery of seamless pain management care that will produce superior outcomes within your life. We will have a professional practice environment that attracts and retains highly qualified professionals.
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 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 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.
Monday -Thursday 7-5
We are closed Friday and weekends.
Phone Lines Open: 9-12 and 1-4
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
OFFICE IS CLOSED ON 1/17/22 DUE TO WEATHER. ALL VISITS WILL BE TELEMEDICINE.
New Years Eve-Hours may vary
New Years- Closed
Memorial Day- Closed
4th of July-Closed July 5th, 2021
Christmas Eve- Times may vary
Christmas Day- Closed
ALS (Lou Gehrig's disease)
Spinal CORD injury with spasticity
Inflammatory bowel disease
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 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.
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.
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
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.
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.
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.
Your results can last for up to 4 months, at which point you may want to schedule follow-up maintenance treatments.
Please have referring physician/provider fax a referral, last 3 office notes if applicable, lab work, imaging pertaining to your issue, as well as any post-op reports. This is needed before an appointment can be scheduled.
Please have paperwork completely filled out before your 1st appointment. Due to length of the paperwork an appointment may need to be rescheduled if not done. If you have not received your paperwork in the mail you can print paperwork below. Please arrive at least 30 minutes early.
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
September 6, 2021
November 25, 2021
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.
If the weather prevents the office from being open you can find closing announcements here or on channel 2.
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.
You can register your cannabis certification below. Click the link and follow the instructions.