19415 Deerfield Avenue
Lansdowne, Virginia 20176
Updates on this page will be posted with the most recent at the top. HOWEVER, please scroll to the bottom and read the entry entitled IMPORTANT OFFICE INFORMATION DURING THE PANDEMIC
July 17, 2020
If you put off your annual mammogram becasue of the quarantine, PLEASE GO GET YOUR (POTENTIALLY LIFE- SAVING) MAMMOGRAM ASAP!!!
All the imaging centers are doing screenings now. However, the Peterson Family Breast Center on the Inova Loudoun Hospital Campus is permanently closed. As you may know, Inova in partnership with Fairfax Radiology has taken over what used to be RIA, and a reorganization of breast imaging services is in progress. This is part of that reorganization. All the breast imaging services previoulsy offered at the Peterson Center are currently available across the street at the the former RIA Lansdowne office, and images from the Peterson center studies are availble to the radiologists at that Lansdowne location.
I wish to update you regarding what you need to bring imaging to the office with regard to your breast images. This info is copied from another page in the website, just to be certain as many of you can see it as possible.
Breast images are now accessible to physicians through secure portals at all radiology centers. This allows images to be accessed through a computer. Because of this, we no longer require that you pick up any films or CDs of imaging for your office visit, unless the imaging was done out of the area. We also access the radiology reports in this manner. Below is a list of facilities for which we have computer portal access. If your facility is not on the list, please call our office:
Reston Radiology: Loudoun Imaging in Ashburn, Fair Oaks Imaging Center, Womens Imaging Center of Reston (on the Reston Hospital Campus)
Fairfax Radiology - all locations are accessible, including Inova Loudoun Hospital, the Cornwall campus, and what used to be called RIA in Lansdowne and CountrySide/Sterling (these are now part of Inova/Fairfax Radiology)
Washington Radiology - all locations are accessible
Progressive Radiology in Winchester
I DO NOT have computer access to imaging from: Winchester Medical Center, Novant facilities including Haymarket, Prince William Hospital, Fauquier Hospital, Virginia Hospital Center, George Washington Hospital system, Medstar Georgetown Hospital system, Medstar Washington Hosptial Center, Johns Hopkins System/Sibley. Imaging from these sites MUST be provided on CD.
AN IMPORTANT WORD ABOUT DIGITAL AND 3D BREAST IMAGING:
When viewing breast images via computer, please be aware that the image quality is NOT THE SAME as what the interpreting radiologist sees, as the radiology viewing system is very sophisticated and of significantly higher resolution than monitors outside of the imaging center. In that regard, it is sometimes difficult for me to render a completely independent review of your images. If that is true in your case, I will discuss it with you after I review your images in the office.
The 3D portion of a 3D mammogram is read dynamically by scrolling through a series of images rapidly, much like a video, and your eye is drawn in and out of the tissue uncovering the anatomy better than a single flat (2D) image. Until recently, the 3D portion of a mammogram study could be scrolled through ONLY ON THEY SYSTEM WHERE IT WAS RECORDED, ie, only in the imaging center where it was taken, NOT via computer outside of the imaging system. HOWEVER, Loudoun Imaging Center in Ashburn and FairOaks Imaging Center have software that allows me to scroll through the images remotely, thankfully! The only other site for which I can do this is Progressive Radiology in Winchester. Therefore, for local imaging needs you may wish to consider having your imaging done at Loudoun Imaging in Ashburn, (or Fair Oaks Imaging Center for our Reston/Herndon/Chantilly area patients) so I can see what the radiologist sees, and not just the 2D portion of your study. When our new office facility opens and the imaging department in the office is up and running, I will have an actual complete radiology workstation on which to view images, and will be able to see everything the radiologists from Loudoun Imaging or Fair Oaks Imaging can see, including the dynamic 3D imaging, with the same high resolution with which they interpret breast images!
OFFICE INFORMATION DURING THE PANDEMIC
My current office (until September 2020) is a shared office with a primary care practice. That practice is actively screening their sick patients on the phone before they come to the office, and any patient with symptoms suggestive of a viral illness are being directed to the ER and not being seen in the office. Any patient with an acute illness, who then is permitted to come to the office, is being taken directly from the waiting room into an exam room and is not being kept in the waiting room. Although I do share that waiting room for my patients, I DO NOT share any exam rooms, or any staff, with the primary care office.
Please do not come to the office if you do not feel well. Please call us if you can not keep your appointment, and please do not bring children or babies to your appointment. Please consider not bringing anyone else to your appointment unless strictly necessary for emotional suport or for transportation needs. If someone else wishes to hear my discussion with the patient, they are welcome to call in/Face Time during the visit.
You are required to wear a covering over your nose and mouth when coming to the office. There is a link below to a really easy way to accomplish this. Wearing a mask does not replace social distancing, and just to be clear, a mask or face covering is to help keep the wearer from spreading the virus, if the wearer is a COVID carrier without symptoms. Wearing a mask does not protect you from getting the virus from someone else. To lower that risk, again, hand washing, distancing, keeping hands away from the face, and completely avoiding those who are ill or may have been exposed are still your best protections. (The mask comments here of course do not apply to medical personnel wearing specialized medical masks to help reduce their own risk of infection while caring for sick patients).
or go to www.youtube.com and search for "DIY No Sew Face Mask Easy"
As a physician, my vocation is one of dedication to protecting you from illness. Please do your part to help protect me, as well (I am over 60 so in the at-increased-risk age group): Do not come to the office if you have a temperature of 100 or greater. Do not bring children or friends to your visit. If you need a support person during your visit, one person only with you is fine, and they have to abide by safety rules as well.
Do not come to the office if you have cough, shortness of breath, or any respiratory symptoms, fever, new body aches, nausea/GI upset, have been near a "healthy" person who has tested positive, if you have been near a COVID sufferer, if you have anyone near to you who has been to the highest affected areas such as New York, or other large cities. Please wait for 2 weeks to be seen if you have traveled on a plane.
We need to work together to kick this COVID thing in the pants. Be safe, keep each other safe, and do not believe the snake oil salesmen when there is information about supplements or treatments you can buy to prevent or cure this illness. NONE of it is medically proved to help. PREVENTION is our best protection.
Best meme I've seen lately: "Do not change your behavior to avoid being infected, assume you are infected, and change your behavior to avoid transmitting".
Check back to this page frequently, I will keep it updated as things evolve.
Thanks in advance for your patience.
Virginia Chiantella MD FACS