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 Nell Suby

Nell Suby, MD

Gyn Oncology

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

Sacramento Medical Center
Appt/Advice: 916-614-4055

See all office information »

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Office Visit

Getting Here

  • 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, like your driver's license, with you.

Before Your Visit

Please bring your medications with you.

  • It is important for us to know which medicines, and how much of each, you are taking because it influences recommendations for tests or other medicines you might need.
  • Our electronic medical record tells us what has been prescribed, but only you can confirm what you take every day. This includes prescription medications as well as over-the-counter drugs such as aspirin, vitamins, herbs, or supplements.
  • We can talk about renewing your prescriptions during the visit, or if you already have a prescription, you can pick up a refill at the pharmacy while you are here.

Think about the questions and issues you would like to discuss.

  • It is a good idea to write them down and bring them to our visit.
  • It is helpful to have a friend or family member present for the discussion portion of your visit.

During Your Visit

Before you see me, you will meet with my medical assistant (MA) or nurse.

  • My assistant will call you in from the waiting room, take your vital signs, record your weight, and bring you to the exam room.

We will review your medical information, which is readily available through computers in our exam rooms.  

  • We can review your lab results and X-rays during your visit. While we are together, I can order any tests, X-rays, or medicines that you will need. You will not need a paper prescription or lab order form. After I submit the order, you just go to the laboratory, pharmacy, or Radiology department and present your card.
  • If additional specialty advice is needed while you are in the exam room, I can often call a colleague and get specialty advice immediately.

You will have a physical examination.

  • We will discuss your medical history and any current symptoms you are having.
  • We may also perform a pelvic exam. Most pelvic exams take about 5 minutes and are not painful. This test allows me to examine your external and internal female organs. It will include an examination of the vaginal canal and cervix by using an instrument called a speculum. We might also check the size and shape of your uterus and ovaries.

Tests in the office.

  • Sometimes we perform certain tests here in the office, such as endometrial biopsy or cervical biopsy. If you need one of these tests, I’ll explain them during your visit and then schedule a follow-up appointment.

Please 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.

My assistant will 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 your 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. You can also view your After Visit Summary online.

After Your Visit

Specialist referral.

  • If we talked to another specialist by phone during your visit, we will decide if you should follow up with that specialist or with me for additional issues or questions.
  • If I referred you to a specialist and scheduled your appointment, you will receive an appointment reminder in the mail or by e-mail.
  • If we did not book the specialty appointment during your visit, you will be contacted by the specialty department to arrange an appointment.

Test results.

  • 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 some of your results online. Since the results are often available online before I contact you, my comments and recommendations usually follow separately.

Follow-up questions/activities.

  • The Gyn-Oncology support staff in my office can provide a contact person for you if you have any questions related to surgery or postoperative care.
  • We consider questions before and immediately after your surgery to be urgent. Because “Email Your Doctor” messages are for nonurgent conditions, we ask that you call by telephone until 6 weeks after your surgery so that we can respond to your concern quickly. 
  • From my home page, you can view your test results, review information about past visits, and find more information about gynecologic cancers.

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