Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Provider photo for Alexandra McSpadden

Alexandra McSpadden, PA-C

Plastic Surgery

Welcome to My Doctor Online, a web site that my colleagues and I developed to make it easier for you to take care of your healthcare needs. On this site you will find answers to many of your questions about my clinical practice. Also included are several online features that will allow you to e-mail me, check your laboratory results and refill prescriptions. I hope you find its content informative and useful.

My Offices

Santa Rosa Medical Center
Appt/Advice: 707-566-5288

See all office information »

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Office Visit

Getting Here

Finding My Office
  • My office address, maps, and transportation instructions are included in “Offices and Directions.”
  • Please arrive 15 minutes early to allow time for parking and check-in.
  • Please bring your Kaiser Permanente medical card and a photo ID, such as your driver’s license, with you.

Before Your Visit

Please bring your medications with you or a list of medications you are taking.
  • Our electronic medical record system tells us what has been prescribed, but only you can confirm what you take everyday. This includes prescription medications as well as over-the-counter drugs, such as aspirin, vitamins, herbs or supplements.
  • It’s important to know which medicines, and how much of each, you are taking because it influences my recommendations for tests or other medicines you might need.
Think about the questions and issues you would like to discuss with me.
  • It is a good idea to write them down and bring them to our visit.
Remember to bring your forms 
  • If we sent you a form or questionnaire, please complete as much as you can and bring it with you to our visit.
  • If you have a form you need us to complete, please bring it with you. Remember to tell us by which date you need it completed and returned to you.

During Your Visit

Before you see me, you will meet my Medical Assistant (MA):
  • My MA will call you in from the waiting room, will take your vital signs, record your weight, and bring you to the exam room. You will also be asked if you smoke and if you exercise. If you do smoke and are ready to try to quit, my MA will give you information about the many services we provide to help you quit.  Similarly, we will also provide you with information about exercise options.  We believe that exercise is good medicine.
You'll receive a Preventive Health Prompt:
  • Your Preventive Health Prompt lists all of the preventive tests, screenings, and immunizations you have had in the past as well as when you will be due for your next test or screening. I’ll have a copy as well so I can review the document during your visit.
All of our exam rooms have computers with access to your medical record:
  • We can review your lab results and x-rays during your visit. I’ll usually order any lab tests, x-rays, or medicines that you’ll need while we’re together. You won’t need a paper prescription; you’ll just go to the laboratory, pharmacy or radiology department and present your card.
  • You may have a physical examination.
  • We will discuss your medical history.
Ask questions:
  • It is always good to ask questions and voice any concerns you may have about instructions, medical tests, medications, or treatments. If you don't understand my answers, please ask for more information.
Before you leave, my MA may give you a copy of your After Visit Summary. 
  • This summary includes my name and the date and time of our visit, your vital signs, my test orders and your medications or immunizations. It usually includes the instructions I’ve given you during our visit and any follow-up information.
  • You can refer back to your After Visit Summary if you forget what we discussed, or if you just want to recheck your vital signs and weight. If you have registered at for an online password, you can view your visit summary from my home page, by clicking on "View Information – Past Visits" under "Stay Connected with Your Doctor".

After Your Visit

If I referred you for a consultation with a specialist:
  • And scheduled your appointment at the time of your visit, you will receive an appointment reminder in the mail.
  • And did not schedule an appointment during your visit, you will be contacted by the specialty department to arrange an appointment.
  • If we talked with a specialist by phone, we will also decide if you should follow up with the specialist or me if you have additional issues or questions.
If you had lab work or other tests done:
  • I’ll contact you with your results by letter, e-mail or phone.
  • You may view your results online. They are often available online before I contact you, so my comments and recommendations usually follow in a separate e-mail.
You can contact me:
  • By e-mailing me at any time for non-urgent questions.
  • You can call my office directly.
  • You can also refill your prescriptions from my home page.

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