Services

Broadly speaking our physicians provide services under 3 different settings:

  1. Offices: Located at 724 Tilghman Drive, Dunn, NC. 28334 and 568 Ruin Creek Road, Suite 127, Henderson NC 27536. Patients are seen only by appointment. Although most patients are referred to us by medical offices in the area, referral is not a requirement to be seen.
  2. Medical Centers: Patients are seen only at the request of a provider caring for the hospitalized patient. If you believe our physicians should be involved in your or your loved one’s care, please discuss this with the provider to see if a consultation is medically appropriate. Dr. Ashish Singh sees patients at DLP Maria Parham Medical Center (Henderson) and Dr. Shantanu Singh sees patients at Betsy Johnson Hospital (Dunn) & Central Harnett Health (Lillington).
  3. Test interpretation only with no direct patient encounter: Dr. Ashish Singh does interpretation of Pulmonary Function Tests performed at DLP Maria Parham Medical Center and Sleep Studies performed at both DLP Maria Parham Medical Center and Granville Medical Center. Dr. Shantanu Singh interprets these studies at Betsy Johnson Hospital & Central Harnett Hospital. Please note our physicians do not have a face to face encounter at any stage for theses services if the test was ordered by a provider other than our physicians. Interpretation reports are sent to the provider ordering the test. Please contact the provider ordering the test to discuss test results and next management step. If you would like to discuss the results and management with our physicians, please have your provider make a referral or call yourself to schedule an office appointment.

 

Our physicians provide a broad range of services for patients with diseases of the lung, sleep and those who are admitted to the hospital in a critical condition. It is difficult to capture all services here but an outline of the common services is provided for an overview:

  1. In-office
    • Evaluation and management of problems related to lungs
      • Shortness of breath
      • Cough
      • Wheezing
      • Coughing up of blood
      • Spots seen on chest x ray or chest CT scan
      • Acute bronchitis
      • COPD, Emphysema, Chronic Bronchitis
      • Asthma
      • Pneumonia
      • Nontuberculous mycobacteria
      • Bronchiectasis
      • Sarcoidosis
      • Interstitial Lung Diseases
      • Pulmonary hypertension
      • Cor pulmonale
    • Evaluation and management of problems related to sleep
      • Snoring, snorting, pauses in breathing during sleep
      • Inability to sleep
      • Restless Legs with an irresistible urge to move legs
      • Moving and jerking of legs during sleep
      • Sleeping excessively
      • Physically acting out dreams
  2. At DLP Maria Parham Medical Center, Betsy Johnson Hospital & Central Harnett Health
    • Evaluation and management of
      • All the problems listed above
      • Critically ill patients admitted to ICU
      • Pulmonary embolism
    • Minor surgical procedures
      • Bronchoscopy (examining inside of bronchial tubes with a light to collect specimens and/or biopsy to make diagnosis of lung disease)
      • Endobronchial ultrasound (sampling of lymph nodes in the mediastinum using a needle under ultrasound guidance)
      • PleureX catheter insertion (placement of a long term catheter for the removal of fluid collected in the sac covering the lungs)
      • Percutaneous tracheostomy (artificially forming an opening in the trachea to provide an airway to breathe)
      • Thoracentesis (removal of fluid with a needle and catheter collected in the sac covering the lungs)
      • Paracentesis (removal of fluid with a needle and catheter collected in the abdomen)
      • Central venous catheter insertion (insertion of a catheter in an internal jugular vein in neck or subclavian vein in chest or femoral vein in groin to administer intravenous medications when a catheter usually inserted in arm by a nurse is not adequate to meet patient’s treatment needs)
      • Temporary hemodialysis catheter insertion (insertion of a catheter in internal jugular vein in neck or femoral vein in groin to initiate hemodialysis until there is no need for hemodialysis or until patient can get a permanent access to continue hemodialysis)
      • Arterial catheter insertion (insertion of a catheter in radial artery in wrist or femoral artery in groin in a patient requiring continuous monitoring of blood pressure such as a patient in shock)
      • Endotracheal intubation (insertion of a breathing tube into trachea through mouth or nose required usually in a patient not able to maintain own airway or breathing adequately
      • Chest tube insertion (insertion of a catheter or tube to remove air, fluid, blood or pus from the sac covering the lungs)
      • Lumbar puncture (collect sample of spinal fluid by inserting a needle in between lumbar vertebrae to test for diseases such as meningitis)
  3. Test Interpretations
    • Interpretation of Sleep Studies performed at DLP Maria Parham Medical Center sleep lab
    • Interpretation of Sleep Studies performed at Granville Medical Center sleep lab
    • Interpretation of Pulmonary Function Tests performed at Maria Parham Medical Center, Betsy Johnson Hospital & Central Harnett Health   

 

If the level of expertise a patient requires is not available locally, we make referral to Duke University Medical Center or UNC Medical Center – Chapel Hill for further evaluation and management.