Generations of Quality Care Under One Roof
When you make your first appointment with one of our Rheumatologists, be certain, that is who you will see. In our Rheumatology Department at Slocum- Dickson, we feel that maintaining a direct physician/patient relationship is important to achieving a positive outcome of managing your health. A physician will always be involved in your care.
What is Rheumatology?
Rheumatology is the branch of medicine concerned with the diagnosis and treatment of arthritis, certain autoimmune diseases, musculoskeletal pain disorders and osteoporosis. There are more than 100 types of these diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, fibromyalgia and tendonitis.
What is a Rheumatologist?
A Rheumatologist is an internist who is qualified by additional training and experience in the diagnosis and treatment of arthritis and other diseases of the joints, muscles and bones. Many rheumatologists conduct research to determine the cause and better treatments for these disabling and sometimes fatal diseases.
When Should You See a Rheumatologist?
If musculoskeletal pains are not severe or disabling and last just a few days, it makes sense to give the problem a reasonable chance to be resolved. But sometimes, pain in the joints, muscles or bones is severe or persists for more than a few days. At that point, you should see your physician.
Many types of rheumatic diseases are not easily identified in the early stages. Rheumatologists are specially trained to do the detective work necessary to discover the cause of swelling and pain. It’s important to determine a correct diagnosis early so that appropriate treatment can begin early. Some musculoskeletal disorders respond best to treatment in the early stages of the disease.
Because some rheumatic diseases are complex, one visit to a rheumatologist may not be enough to determine a diagnosis and course of treatment. These diseases often change or evolve over time. Rheumatologists work closely with patients to identify the problem and design an individualized treatment program.
How Does the Rheumatologist Work with Other Health Care Professionals?
The role the rheumatologist plays in health care depends on several factors and needs. Typically the rheumatologist works with other physicians, sometimes acting as a consultant to advise another physician about a specific diagnosis and treatment plan. In other situations, the rheumatologist acts as a manager, relying upon the help of many skilled professionals including nurses, physical and occupational therapists, psychologists and social workers. Team work is important, since musculoskeletal disorders are chronic. Health care professionals can help people with musculoskeletal diseases and their families cope with the changes the diseases cause in their lives.
Slocum-Dickson’s Board Certified Rheumatologists
Ute H. Dreiner, M.D. is Board Certified in Rheumatology by the American Board of Internal Medicine. Dr. Dreiner received her Medical Degree from Rheinisch- Westfalische Technische Hochschule, Aachen, Germany. She completed her Internship, Residency & Orthopedic Fellowship Program at Berkshire Medical Center in Pittsfield, Massachusetts. She completed her Clinical Fellowship of Rheumatology at the University of Texas in San Antonio.
Allan M. Smiley, M.D. is Board Certified in Internal Medicine. Dr. Smiley received his Medical Degree from Wayne State University School of Medicine in Detroit Michigan. He completed his Internship, Residency Program and Fellowship at Sinai Hospital of Detroit and Wayne State University in Detroit Michigan.
Rheumatology Nurse Practitioners & Physician Assistants
Marcy Gambino, P.A. provides care for patients in the Rheumatology Department under the direction of Dr. Dreiner. Marcy graduated Magna Cum Laude from Daemen College in Amherst, NY where she earned her Bachelor of Science / Master of Science Degree in Physician Assistant Studies.
Procedures & Services
- Rheumatoid arthritis
- Lyme Disease
- Plantar Fasciitis
- Back pain