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Specialty Care at ANMC

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ANMC: State-of-the-art, culturally informed care.

At the Alaska Native Tribal Health Consortium, we believe the healthcare you receive should be state-of-the-art and relevant to your culture.

From the moment you set foot in the hospital or a specialty clinic at the Alaska Native Medical Center, you have access to full-spectrum care that provides for all aspects of your family’s health.

Our 182-bed hospital offers a full range of medical specialties and labs to Alaska Native and American Indian people living in Alaska. We also partner with Tribal Health facilities throughout the state to ensure that quality, culturally informed care is available to all.

Contact:
Toll free: 1-855-482-4382

4315 Diplomacy Drive
Anchorage, AK 99508

Specialty Clinics Map

Visit ANMC

Our Providers

Our providers are your providers. They are experts in their fields providing you highly specialized care in specialties from general surgery to oncology. Learn more about the different specialties and offerings available to you below.

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Specialty and Tertiary Care

Sometimes your care requires a specialist. At ANMC, we are home to more than 25 specialty clinics housing board certified physicians, surgeons, and nurse practitioners who are masters of their craft.

ANMC houses a Comprehensive Pediatric Emergency Center that was the first Level II Trauma Center in the entire state of Alaska and our Emergency Services Department continues to expand to better serve you.

Departments

Allergy and Immunology

Cardiology

Colorectal Cancer Screening

Dermatology

Diabetes

Ear, Nose & Throat

Emergency Medicine (ER)

Endocrinology

Gastroenterology

General Medicine

General Surgery

Hepatology and Liver

HIV/EIS

Nephrology

Neurology

Neurosurgery

Oncology and Hematology

Ophthalmology

Orthopedic Services

Pain Management

Podiatry

Pulmonology and Sleep Medicine

Rheumatology

Urology

View All ANMC Services
Allergy and Immunology

Patients of all ages are referred to our clinic for a variety of allergy and immunology issues affecting your immune system. We treat everything from food and environmental allergies to severe eczema and immunocompetency assessments and more. View the full list of conditions we treat below.

Phone:907-729-1956
Fax: 907-729-2082
Hours: 8 a.m.- 4:30 p.m., Monday–Friday

The Allergy and Immunology Clinic is located within the Internal Medicine Clinic, on the third floor of the Healthy Communities Building.

We treat a variety of allergy and immunology issues, including: 

  • Recurrent anaphylaxis without known etiology
  • Chronic cough
  • Chronic sinusitis
  • Unstable asthma
  • Drug allergy
  • Angioedema
  • Urticaria
  • Food and environmental allergies
  • Severe eczema
  • Immunocompetency assessments

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic. If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

Cardiology

Cardiology is the medical treatment of the heart and parts of the circulatory system related to the heart. Cardiologists specialize in diagnosing and treating conditions related to the cardiovascular system. The ANMC Cardiology Clinic is staffed with board-certified cardiologists and advanced nurse practitioners who are the leading healthcare providers for all cardiac patients within the Alaska Tribal Health System.

Phone: 907-729-4700
Fax: 907-729-1831
Hours: 8 a.m.- 4:30 p.m., Monday–Friday

Healthy Communities Building (HCB), 3900 Ambassador Drive, second floor.

Our approach to patient care considers remote living by offering 28 field clinics across Alaska throughout the year. We also coordinate appointments by video teleconference for patients who need follow-up visits without the expense and hassle of traveling to Anchorage. Our cardiovascular lab has been credentialed through the Intersocietal Accreditation Commission for Echocardiography and Vascular Sonography since 2008.

Services we provide:

  • Electrocardiography
  • Echocardiography
  • Stress echocardiography
  • Vascular sonograms
  • Exercise treadmill testing
  • Event and holter monitors/24-hour blood pressure monitoring
  • Pacemaker/defibrillator implant and interrogation
  • Cardiac catheterizations
  • Percutaneous coronary intervention (stents)
  • Trans telephonic monitoring of pacemakers (TTM)
  • Video teleconference evaluations

My provider sent a referral to your clinic, what happens next?

Every referral we receive is logged into our tracking system. The provider then reviews your information and requests the necessary tests. The referral then goes to the provider’s nurse case manager who makes the appointments in the time frame indicated by the provider. Please ensure that your contact information is up to date so we are able to contact you to schedule your appointments.. Once your appointments are made, a travel and housing request is made with the Travel Management Office (TMO).

Please call the TMO at 866-824-8140 for any travel and lodging questions.

How soon can I be seen?

If your cardiac problem is determined to be medically urgent by a cardiologist, it is possible to be seen the same day or as soon as you can travel to Anchorage. Otherwise, we will schedule you per the provider’s indication and the availability of testing (usually 2-4 weeks). Most referrals to cardiology are not urgent and it is safe to wait to be seen. We are usually flexible, so if you have specific dates that you are available, please let us know and we will coordinate with other appointments or any personal travel plans.

Why do I have to fast for blood work?
Your cholesterol level may be tested, which requires fasting. If you eat, the results may be skewed.

Why do I have so many appointments scheduled?
Most of our patients require more than one appointment. The provider may need more information or may need to order blood tests, an echocardiogram or additional tests. Please check in for each appointment and arrive 15 minutes early. If you cannot make your scheduled appointment, please call 907-729-4700.

How long will my appointments take?
It depends on the appointment but generally expect: 20-minutes for blood draws, 1-hour for cardiovascular or sonogram testing, 45-minutes for a provider evaluation.

What is a stress echo?
A stress test checks the function of your heart under stress or exercise. Exercise makes your heart beat stronger and faster, which increases your heart’s demand for blood and oxygen. Your doctor will use electrical tracings and sonogram pictures to determine if there is a potential blockage in your heart’s arteries or problems with the electrical conduction system. Please wear comfortable shoes and clothing and do not eat four hours before the test.

These websites are an excellent resource for patients and family members to learn more about their heart condition and learn about ways to prevent heart disease.

The American Heart Association
American College of Cardiology

Heart Healthy Tips:
Eat a balanced diet of fruits, vegetables, whole grains and lean meats. Avoid soda. Bake, broil or grill to create the healthiest means and reduce your portions.

If you smoke, stop. We know that stopping is hard but it is one of the best things you can do for yourself. For help, call the Alaska Quit Line at 1-800-QUIT-NOW or ask your primary care provider to refer you to your region’s tobacco cessation team.

It is important to stay active throughout your entire life. Staying active can help keep your weight at a healthy level, increases circulation, helps to prevent diabetes, reduces stress, improves your muscle tone and helps fight depression. Find an activity that you enjoy doing, recruit a friend and do it often. Something as simple as a brisk walk for 30 minutes daily can do wonders for your health and well-being!

Colorectal Cancer Screening

The Colorectal Screening Clinic, or CRC, offers colonoscopy screenings and care to ANMC patients. Colorectal or colon cancer is one of the most frequently diagnosed cancers among Alaska Native people and also one of the most preventable and treatable types of the disease. Screening is important to colon cancer prevention.

ANTHC recommends that Alaska Native men and women begin screening by age 40. Screening tests can find issues early so we can deal with them before they become serious.

Phone: 907-729-4444
Fax: 907-729-2746
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Check in at the clinic front desk that is shared with the Gastroenterology Clinic, Alaska Native Medical Center, first floor on the Water Path

To make an appointment, your primary care provider or another specialty clinic must send in a referral.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

What is a colonoscopy?
A colonoscopy is an exam of the lower part of the gastrointestinal digestive tract, which is called the colon or large intestine or bowel. The colon is a muscular tube, which is about 5-feet long, responsible for absorbing salt and water, and eliminating waste or stool from the body. A colonoscopy is a safe procedure. Colonoscopies look for and can biopsy, or take a tissue sample, to look for changes in the colon, which may be an early sign of cancer before symptoms appear.

How is a colonoscopy performed?
You will be given medication (see below question about preparation) to help relax and then placed on your side. A colonoscope, which is a lighted, thin and flexible tube with a small camera, is inserted into your anus and then advanced through your entire colon to the beginning of the colon called the cecum. The procedure generally takes between 20 and 60 minutes.

How do I prepare for my colonoscopy?
Your colon must be completely clear of stool before the colonoscopy, so your provider can see any abnormal areas. In order to do this, you will be instructed to follow a clear liquid diet with no solid food the day before your procedure. You may drink water, clear broth, juice, coffee or tea (no creamer or milk), and Jell-O (no red colors to avoid being mistaken for blood). You will also be given medication known as the “prep” to assist in eliminating the bowel of stool. This is a liquid laxative plus several pills to ensure your colon is free of stool for your colonoscopy to be a good study. During your visit before your procedure, your provider will review your medications with you and let you know which prescriptions you may continue to take and which ones you will need to pause prior to your colonoscopy procedure.

Dermatology

Dermatology is a medical specialty focused on the diagnosis and treatment of diseases of the skin, hair and nails. Our medical providers have special training in the prevention, recognition and treatment of issues and diseases of the skin, hair and nails.

Phone: 907-729-1933
Fax: 907-729-1506
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive, third floor

Each dermatologic condition has characteristic symptoms and should be managed accordingly. Additionally, each case will vary significantly in severity, which will determine the treatment options. Some of the most common dermatologic conditions include:

  • Acne: pimples on the skin due to inflammation of the sebaceous glands
  • Warts: small hard growth on the skin caused by a virus
  • Eczema: rough and inflamed skin that is itchy and may bleed
  • Psoriasis: itchy, red, scaly patches on the skin
  • Dermatitis: red, swollen and sore skin caused by irritation or allergy
  • Fungal infections: infection of the skin or nails caused by a fungus
  • Skin cancer: uncontrolled growth of skin cells

There are many types of therapies that may be used in the management of skin conditions. Some of these may include:

  • Topical medications
  • Immunotherapy/systemic medications
  • Surgery (biopsy, excision)
  • Phototherapy (specific dermatologic conditions, which is ordered by the dermatology provider)

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long is my first appointment and what will be done for my dermatologic condition?
Your first appointment will be a thorough exam by the dermatology provider and may take 20-40 minutes, depending on your dermatologic condition.

Can I get a referral for my child to get a wart removed?
Your primary care provider can treat this at their office. You can still get a referral to see our specialty clinic, but we do suggest you try over-the-counter treatments before you visit our clinic, especially in the case of younger children. Our treatment for warts is cryotherapy, which can be painful and results in blistering and requires multiple treatments.

Who can get phototherapy and when can I start the treatment?
Treatment is ordered by our providers if it is determined that your dermatological condition will benefit from this therapy. You may start the therapy treatment right away.

Diabetes

The ANTHC Diabetes Program clinical team is a multidisciplinary group of diabetes experts specializing in managing the diabetes needs of Alaska Native people. The Diabetes clinical team consists of a physician, nurse practitioners, a dietitian, and a pharmacist, who are also certified diabetes educators, and a nurse case manager.

Phone: 907-729-2505 or 907-729-1125
Fax: 907-729-1129
Hours: 8 a.m.- 4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive, third floor

We provide guidance for people with:

  • All types of diabetes
  • Complex diabetes medication regimens
  • Insulin pumps
  • Continuous glucose monitors
  • Diabetes complications


We also aim to provide support in teaching diabetes self-management techniques during clinic visits. We partner with our patients to better understand how to:

  • Live well with good nutrition and activity
  • Self-monitor blood sugar
  • Manage food insecurity
  • Take diabetes medications
  • Take care of feet, eyes and teeth


In addition to providing patient care at ANMC, the ANTHC Diabetes Program’s clinical team provides patient care at Tribal health regional hospitals across the state during annual Diabetes Specialty Field Clinics. Contact your local clinic for more information.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
You will be called within one business day and scheduled within 2-4 weeks.

Who will I see during my appointment?
Expect to see a medical provider, either the diabetes doctor or diabetes nurse practitioner and a diabetes educator.

What should I bring with me to a diabetes clinic appointment?
You should bring all medications in their original containers, your blood glucose monitor and log book.

The aim of the ANTHC Diabetes Program is a life free of diabetes and its complications for all Alaska Native people. Every day, the diabetes content experts from the ANTHC Diabetes Program work in partnership with the Alaska Tribal Health System to continuously move toward this goal.

Ear, Nose, and Throat

We treat a wide variety of medical and surgical problems related to the ears, nose, throat, as well as surgery on many problems in the neck.

Phone: 907-729-1400
Fax: 907-729-1405
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Second floor of the University Lake Medical Center, 3801 University Lake Drive

The Ear, Nose and Throat (ENT) Clinic treats a wide variety of medical and surgical problems related to the ears, nose, throat, as well as surgery on many problems in the neck. ENT provides the following services:

Tonsillectomy, Myringotomy with tubes (ear tubes), Endoscopic sinus surgery, Thyroidectomy, Atticotomy, Direct laryngoscopy, Tympanoplasty, Mastoidectomy, Myringoplasty, Septoplasty, Stapedectomy, Tympanoplasty, Neck dissection, Thyroid lobectomy, Excision of lesions, Excision of masses

Below is a list of diagnoses and diseases that are routinely treated:

  • Ear diseases/diagnoses:
  • Otitis externa (ear pain) or recurrent ear infections,
    • Otitis media (OM)
    • Recurrent acute otitis media (RAOM)
    • Acute otitis media (AOM)
    • Otitis media (OM)
    • Serous otitis media (SOM)
  • TM perforation(s) (tympanic membrane) – ear drum
  • Hearing loss / sensorineural hearing loss / conductive hearing loss
  • Vertigo, dizziness, tinnitus
  • Eustachian tube disorder (ETD)
  • Cholesteatoma
  • Ear drainage (requires an audio per ENT doctors)
  • Nose diseases:
  • Nasal fractures
  • Rhinitis (nasal drainage)
  • Nasal septal deviation
  • Sleep apnea, snoring
  • Throat diseases:
  • Recurrent strep pharyngitis
  • Recurrent tonsillitis
  • Enlarged tonsils, swollen tonsils, and other tonsil related issues
  • Lymph nodes of neck
  • Tonsillar hypertrophy (enlarged tonsils)

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

Why do I need a hearing test before my appointment?
An audiogram is needed to assist in diagnosing potential ear issues.

Will my first visit also be my pre-op appointment?
No, even though your primary care provider may feel you need surgery, the ENT specialist needs to conduct a thorough exam and confirm they believe surgery is needed.

Emergency Medicine

If you are experiencing an emergency please dial 911 immediately.

The Alaska Native Medical Center’s Emergency Department (ED) provides emergency and medical services, including the evaluation and stabilization of patients transferred to ANMC from other facilities and communities. ANMC’s Emergency Department is staffed by board certified emergency physicians and nursing staff who specialize in care for patients with serious illnesses and injuries.

ANMC is an Adult and Pediatric Level II Trauma Center, making it the trauma referral center for all of Alaska’s Tribal health facilities. Trauma centers are hospitals that have specialists trained in taking care of severely injured patients.

If you are experiencing an emergency please dial 911 immediately.

ANMC Emergency Department: Open 24 hours a day, seven days a week

Emergency Department Fast Track (see below for description): 907-729-1729
6:30 a.m.–2:30 a.m. seven days a week
No medical advice is given over the phone.

ANMC was Alaska’s first hospital to receive Level II Trauma designation in 1999, providing the highest level of trauma care possible to our patients. ANMC received designation as a Pediatric Level II Trauma Center in 2016.

ANMC’s ED is not the place to come for services like physicals, checkups, or medication refills. The ED staff recommends contacting a primary care provider for those services and answers to common questions.

Treatment for lower acuity illness and injury is provided by physician assistants and nurse practitioners in the ED Fast Track, which is open from 6:30 a.m.-2:30 a.m., seven days a week.

All ED patients are triaged near the ANMC ED waiting area and then will be either sent to be seen in the ANMC ED or in the Fast Track depending on their illness or injury acuity and the time of their visit.

What is a Trauma Center?
Trauma centers are hospitals that have specialists who are trained in taking care of severely injured patients. Level II Trauma Centers have trauma surgeons, orthopedists and neurosurgeons with specialized training available 24 hours a day, seven days a week, to take care of patients with complex and severe injuries. These centers are regularly reviewed by the American College of Surgeons and must meet or exceed national standards for trauma care.

Endocrinology

The ANMC Endocrinology Clinic specializes in providing a full range of services related to the endocrine system.

Phone: 907-729-1942
Fax: 907-729-2082
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive, third floor

The ANMC Endocrinology Clinic specializes in providing a full range of services related to the endocrine system including evaluation and treatment of:

  • Abnormal thyroid function
  • Thyroid nodules including thyroid biopsy and thyroid cancer treatment
  • Abnormal pituitary function
  • Abnormal ovarian and testicular function

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider, you’ll be called to schedule an initial visit with Endocrinology within two weeks.

Why can’t I see my primary care provider for my thyroid?
Often primary care providers are able to manage thyroid hormone imbalances; however, they may not be able to appropriately manage all patients. Typically, we receive referrals from primary care providers when they believe their patients require expert consultation.

Do I need an escort?
You will not need an escort for your initial visit with our endocrinologists unless your mobility is greatly diminished or other extenuating circumstances are present. We will request you bring an escort if you are scheduled for a thyroid biopsy.

Why are new labs and imaging needed before every visit?
Blood and urine tests provide our endocrinologists with vital information about your blood cell counts, chemistry, and hormone levels, which enables them to accurately diagnose and treat endocrine problems and adjust medications properly. We generally need recent labs done within a week of the clinic visit and may need updated imaging as well, which may include ultrasounds, CT/MRI, or nuclear medicine scans.

Low-Iodine Diet information for thyroid cancer patients:
http://www.thyca.org/pap-fol/lowiodinediet/

Endocrine Web for diabetes patients:

https://www.endocrineweb.com/

Gastroenterology

Gastroenterology focuses on the digestive system and its disorders.

Phone: 907-729-2503
Fax: 907-729-2082
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Check in at the clinic front desk, which is shared with the CRC Screening Clinic, on the 1st floor, Water Path, at the Alaska Native Medical Center hospital.
4315 Diplomacy Drive

The ANMC Gastroenterology Clinic specializes in providing a full range of gastroenterology services including:

  • Esophageal 24-hour pH probe testing
  • Esophageal manometry study
  • Esophageal dilation for strictures
  • Flexible sigmoidoscopy
  • Diagnostic colonoscopy and colon biopsy
  • Esophagogastroduodenoscopy (EGD)
  • Capsular endoscopy (Pill-cam)

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider, you’ll be called to schedule an initial visit with Gastroenterology within two weeks.

Is my first visit also my pre-op visit?
No, even though your primary care provider may feel you need a procedure, the gastroenterologist needs to conduct a thorough exam and confirm a procedure is needed. The initial visit consists of lab and image reviews and a physical exam. After the initial visit, you will be scheduled for a procedure if warranted.

Do I need an escort for my visit?
If you are scheduled for a procedure, we will request an escort come with you as you will be under sedation or general anesthesia for your procedure. We will discuss this with you at the time we are scheduling your appointments.

I have abdominal pain, will the gastroenterologist provide me with pain medications?
The gastroenterologist will assess and evaluate what is causing your abdominal pain. Often, pain medications will not aid in the discovery of the cause. The gastroenterologist may prescribe medications to relieve discomfort, but this does not include narcotic pain medications. If you have chronic pain this should be further discussed with and treated by your primary care provider.

Why are new labs needed before the visit?
Even if you have recently had labs drawn, our gastroenterologist may need updated labs or additional labs beyond what was ordered by other providers. Labs are often used to assess if a procedure is recommended. It is important to complete all labs prior to the clinic visit with the gastroenterologist so they will have all information needed to properly assess your condition.

I have been offered a procedure, do I really need to stop smoking before the procedure?
Prior to procedures, patients will need to abstain from tobacco products for at least 24 hours in order to promote healing during recovery.

Why do I need to follow a clear liquid diet for my procedure?
A clear liquid diet is often used before gastrointestinal tract procedures and tests that require the gastroenterologist to look inside your gastrointestinal (GI) tract to get a clear view of the tissues and take samples for biopsies if needed.

Will I have pain after my procedure?
It is common to have mild discomfort after a GI procedure, such as a sore throat. Severe pain after a procedure is rare and may require immediate medical attention.

How long until I can return to work after my procedure?
Typically, you will be able to return to your normal work routine the day after your procedure. You may receive specific instructions regarding activity and work restriction depending on your procedure during your preoperative visit.

American Gastroenterological Association: http://www.gastro.org/

General Medicine

The ANMC General Medicine Clinic serves patients outside of the Anchorage Service Unit on a “self-referral” basis for general medical needs while they are visiting Anchorage. Our internists also serve medically complicated patients from across Alaska by referral.

Phone: 907-729-1934
Fax: 907-729-2026
Hours: 8 a.m.–4:30 p.m., Monday–Friday

ANTHC Healthy Communities Building
3900 Ambassador Drive, third floor

Self-referral services include:

  • Medication refills
  • Evaluation for cold, flu, minor aches and pains
  • STI/STD checks
  • Primary care responsibilities for people in town temporarily


Referral services include:

  • Pre-operative evaluations
  • Medical work ups beyond the scope of primary care
  • Hospital discharge clearance to travel home

What should I bring to my appointment?
Bring all your medications in the original containers. Bring any questions you have about the condition you are being seen for.

How long does it take for my lab results to come back?
Most lab results are available within 24 hours. If you have not received a call within two business days of your visit, feel free to call the clinic and ask to speak with the case manager of the provider you saw.

Can I get pain medicine/pain management from this clinic?
The Internal Medicine Clinic does not provide chronic pain management. Our providers do not commonly or routinely prescribe pain medications; it is highly unlikely you will receive a pain medication prescription from our providers. Pain medications are best managed by a primary care provider. You are welcome to an appointment to discuss your pain and other options for addressing it.

If I have an appointment with this clinic, can I get my housing and travel extended?
If you make your own appointment with Internal Medicine it is considered a “self-referral” and we cannot extend your housing or travel for a self-referral appointment. If you are referred to see one of our providers by your primary care provider or another clinic, then your housing and travel can be extended for the appointment, however, usually this is addressed by the referring clinic.

Who will follow up with me after my visit?
After you see one of our general medicine providers, typically follow up is managed by your primary care provider. If there is any follow up needed by your primary care provider, our case management will communicate this to them, however it is helpful if you reach out to your primary care provider as well. Occasionally, our general medicine providers will want to follow up with you directly. If this is the case, they will let you know.

Who is my primary care provider?
Your primary care provider is a provider in your community or sub-regional clinic who addresses your general health needs. This provider will help you manage your overall health and help coordinate your care if you see specialists while in Anchorage. If you are unsure who your primary care provider is, please ask a case manager in our clinic, who can help identify your primary care provider.

General Surgery

The ANMC General Surgery Clinic specializes in providing a wide range of procedures involving the neck, chest, abdomen and extremities.

Phone: 907-729-2700
Fax: 907-729-2746
Hours: 8 a.m.–4:30 p.m., Monday–Friday

First floor of the Alaska Native Medical Center on Mountain Path 1

Some of the most common procedures performed by the ANMC General Surgery Clinic involve:

  • Surgery of benign gastrointestinal conditions such as appendicitis, hernias, gallstones and hemorrhoid operations
  • Surgery for gastrointestinal cancer, including the stomach, small bowel and pancreas and colon malignancies
  • Surgical treatment of breast cancer and benign breast disease
  • Endoscopy including colonoscopy, esophagogastroduodenoscopy (EGD) and ERCPs
  • Laser venous closure for varicose veins
  • Liver surgery for benign and malignant conditions
  • Surgery of the thyroid and parathyroid glands
  • Trauma surgery
  • Vascular surgery


ANMC’s General Surgery Service also includes the Colorectal Cancer Screening Clinic and the High Risk Breast Clinic.

ANMC’s general surgeons are all board certified by the American Board of Surgery and are members of the American College of Surgeons and are instrumental in ANMC’s Level II Trauma designation.

ANMC is committed to providing optimal care to the traumatically injured patient. In 1999, ANMC earned verification through the American College of Surgeons (ACS) and designation from the State of Alaska as a Level II Trauma Center. Since then, ANMC has been successfully reverified by ACS six times, continuing to maintain its status as a Level II Trauma Center. As both an Adult and Pediatric Level II Trauma Center, ANMC provides 24-hour coverage from general surgery, orthopedic surgery, neurosurgery anesthesiology, emergency medicine, radiology and critical care.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider we will call within 24 hours to let you know that we received your referral. Your referral is sent to be reviewed and a plan is made by one of the general surgeons. You will be called to schedule your appointments within one week.

Is my first visit also a pre-op appointment?
Not typically. Your first visit is a consultation to assess your General Surgery needs.

Do I need an escort for my initial visit?
Not necessarily. You will only be asked to have an escort if one is needed.

Hepatology/Liver

The ANMC Hepatology and Liver Clinic specializes in providing a full range of liver disease and hepatitis services in order to improve the health of Alaska Native people who either have or are at risk of getting viral hepatitis or other liver diseases.

Phone: 907-729-1560
Toll free: 1-800-655-4837
Fax: 907-729-1570
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Internal Medicine Clinic
907-729-1500
Healthy Communities Building, 3rd Floor

The ANMC Hepatology and Liver Clinic specializes in providing a full range of liver disease and hepatitis services including:

  • Medical screening and diagnosis of liver diseases and cancers
  • Treatment planning for liver diseases and cancers
  • Patient education to promote knowledge, understanding, and prevention of viral hepatitis and other liver diseases
  • Consultation with health care providers for management of viral hepatitis and other liver diseases including autoimmune hepatitis, primary biliary cholangitis, hemochromatosis, non-alcoholic fatty liver disease and alcohol liver disease


What kind of conditions does the Hepatology Clinic treat?
Some common liver conditions we treat include chronic viral hepatitis (including hepatitis B and C), autoimmune hepatitis, primary biliary cholangitis and fatty liver disease. Your primary care provider will refer you to be seen and evaluated at the Hepatology Clinic if your liver lab tests are abnormal and indicate you may have a liver disease.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

What can I expect during my appointment?
You will have your height, weight, blood pressure, pulse and temperature taken before you see the provider. The provider will review your medical records, examine you and discuss your liver health with you. Most clinic appointments will include a blood draw either before or after the visit.

How long is the appointment?
You should expect to be in the clinic for an hour for your first visit (including time for blood draw if needed) and 30-45 minutes for follow-up visits.

Will I be given hepatitis C treatment at my first appointment?
The first appointment is a pre-treatment evaluation of your liver disease. Treatment will be set up following that appointment if hepatitis C treatment is appropriate for you.

General Resources

Hepatitis B Resources

Hepatitis C Resources

Liver Disease Resources

View more related resources here. 

Hepatitis B Resources

Hepatitis C Resources

Liver Disease Resources

View more related resources here. 

What does “hepatitis” mean?
Hepatitis means inflammation of the liver. There are three major types of viral (infectious) hepatitis and there are non-infectious liver diseases, like autoimmune hepatitis, alcohol hepatitis and non-alcoholic steatohepatitis.

Why do I need an ultrasound of my liver?
An ultrasound is a non-invasive way to screen for liver cancer and it shows the shape and size of your liver, the ducts surrounding the liver, the blood vessels to/from your liver, and it can show if there is fluid (ascites) around the liver.

What is a Fibroscan®?
Most liver clinic patients have a FibroScan® at least once. It is different from an ultrasound of your liver. FibroScan® is a non-invasive way to measure the amount of scarring and fat in the liver. The test takes about 15 minutes. A probe is placed against the skin in the right upper abdominal area and a wave of energy passes from the probe through the skin to measure liver density. You will need to fast (no food or water) for three hours before the test.

What is a liver biopsy?
A liver biopsy is a medical procedure to remove a very small piece of your liver to find out more about the health of your liver. You will have a liver clinic appointment with a blood draw a day or two before a liver biopsy. You will be at the hospital for about three to four hours on the day of your liver biopsy. You will need an escort to be with you when you leave the hospital after a liver biopsy.

Why is it recommended to abstain from alcohol use when I have liver disease?
Heavy alcohol consumption can damage a person’s liver cells, which can lead to scarring of the liver. When you have liver disease, abstaining from alcohol use may help repair the liver.

If I have fatty liver, what can I expect to happen when I am seen?
Your provider will check you for other causes of liver disease and if you have fatty liver, you will undergo a FibroScan® to measure how much fat and scarring is in your liver. If you have a lot of scarring and fat, your liver clinic provider will discuss with you the benefits and risks of having a liver biopsy.

Do I need treatment if I have hepatitis B?
Most people with chronic hepatitis B infection do not need treatment unless their liver blood tests show a high level of virus in their blood. Anyone with hepatitis B should have a blood draw for liver tests and liver cancer screening every six months. If you have been diagnosed with hepatitis B, you will be sent a reminder letter every six months to have your blood tested.

Can I give my baby hepatitis B or hepatitis C while breastfeeding?
There is no risk of transmitting hepatitis B or C while breastfeeding unless your nipples are cracked and bleeding. All newborns should be vaccinated against hepatitis B starting at birth.

Why should I receive treatment for hepatitis C if I don’t have any symptoms?
Most people with hepatitis C do not have any symptoms, but the virus can still be spread to others. Also, if hepatitis C is left untreated, you can develop chronic liver disease, cirrhosis, or liver cancer over time.

How old should my child be before I have them tested for hepatitis C?
If you are a mother with hepatitis C, your child should be tested once after 12-18 months of age. A viral load can be drawn as early as 2 months of age if needed.

Why do I need blood draws during my appointments while on hepatitis C treatment?
Monthly blood draws help to safely monitor you and determine if the treatment is working. Some patients may need more frequent monitoring due to the medications they are on or if they have advanced liver disease.

When am I considered cured of chronic hepatitis C?
You no longer have hepatitis C if the viral load is not detected 4 weeks after treatment completion.

Can I get hepatitis C again?
You are not immune to hepatitis C after treatment. You can get hepatitis C again if exposed to the virus.

How do I prevent getting hepatitis C again?
Avoid risk factors for hepatitis C: Do not share needles or drugs, razors, toothbrushes or nail clippers and cover all cuts. Only obtain tattoos from licensed tattoo artists. Practice safe sex.

If I have autoimmune hepatitis or primary biliary cholangitis, are there treatments available and how long do I have to take them?
Yes, there are very effective treatments available and you will likely have to take these daily for the rest of your life. Also, you should have your liver blood tests monitored every three to six months. If diagnosed with one of these autoimmune liver diseases, you will be sent a reminder letter every six months to have your blood tested.

HIV/Early Intervention Services

The HIV Clinical Services/Early Intervention Services (HIV/EIS) is an internal medicine clinic at ANTHC that provides medical care and case management to Alaska Native and American Indian individuals living with or at risk for HIV, in collaboration with primary care teams across Alaska.

 

HIV/Early Intervention Services

Phone: 907-729-2907
Toll free: 1-888-855-8006
Fax: 907-729-1570
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Internal Medicine Clinic
Phone: 907-729-1500
Healthy Communities Building, 3rd Floor

The HIV Clinical Services/Early Intervention Services specializes in HIV care, treatment and prevention, including:

  • Statewide HIV patient services
  • HIV PrEP, PEP and STI Doxy-PEP education and clinical support
  • HIV and STI consultation and technical assistance for health care providers
  • HIV, PrEP, PEP, Doxy-PEP and STI training and education
  • Case management and care coordination with health care teams across Alaska
  • Provider and patient education on HIV prevention, treatment and sexual health
  • Field Clinics in partnership with regional health organizations.
  • Telemedicine
Nephrology

The ANMC Nephrology Clinic specializes in providing a full range of nephrology services.

Phone: 907-729-1935
Fax: 907-729-2082
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive, third floor

The ANMC Nephrology Clinic specializes in providing a full range of nephrology services including:

  • Management of chronic kidney disease
  • Management of acute kidney injury
  • Preparation for dialysis
  • Management of resistant hypertension
  • Evaluation of proteinuria
  • Kidney stone prevention
  • Assistance with kidney transplant referral, qualification, and aftercare

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider, you’ll be called to schedule an initial visit with Nephrology within two weeks. Typically, we are able to see new patients within three to four weeks of receiving the referral for routine care.

Do I need an escort?
Unless your mobility is greatly diminished or other extenuating circumstances are present, you will not need an escort for your initial visit with our nephrologists. If you are scheduled for a kidney biopsy, we will request you bring an escort.

Why are new labs needed before every visit?
Blood and urine tests provide our nephrologists with vital information on your blood cell counts and chemistry that enables them to accurately diagnose and treat kidney disease and adjust medications properly. We generally need recent labs done within a week of the clinic visit.

Virginia Mason Kidney Transplant Center

At this time, we are referring patients who require outpatient dialysis to providers outside of ANMC. The following is a list of providers you may be referred to for your care:

Neurology

The ANMC Neurology Clinic specializes in providing a full range of neurology services, evaluations, treatment and recommendations.

Phone: 907-729-1914
Fax: 907-729-2082
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive, third floor

The ANMC Neurology Clinic specializes in providing a full range of neurology services, evaluations, treatment and recommendations such as:

  • Traumatic and non-traumatic acquired brain injuries
  • Headaches
  • Multiple sclerosis
  • Stroke and cerebrovascular disease
  • Seizures/epilepsy, including vagal nerve stimulator therapy
  • Alzheimer’s disease and dementia
  • Movement disorders including Parkinson’s
  • Disease and deep brain stimulator therapy
  • Administration of Botox for neuromuscular indications
  • Trigger point injections (also known as prolotherapy) for myofascial pain
  • Chronic neck and back pain
  • Neuropathy
  • Other various neurological conditions


The Neurology Clinic also offers and performs numerous neurodiagnostic studies including electroencephalogram (EEG), electromyogram (EMG), nerve conduction velocity (NCV), video evoked potential (VEP), and auditory brainstem response (ABR).

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take for me to be seen?
Once a complete referral is received from your primary care provider, your referral will be reviewed by Neurology and more info or testing may be requested. You will be called to schedule an initial visit with Neurology and any additional testing if needed as soon as possible.

What will my new patient appointment consist of?
If you are being seen for the first time by one of the Neurology providers, you will go over a full review of past medical history with an emphasis on neurological diseases. Depending on your symptoms, additional testing may be requested prior to being seen in preparation for your visit.

Do I need an escort for my visit?
You will not need an escort for your initial visit with Neurology unless your mobility is greatly diminished, you cannot travel alone due to medical issues, or other extenuating circumstances are present.

I have chronic pain. Will Neurology provide me with pain medications?
No, this is not typically offered by a specialty clinic and chronic pain prescriptions are usually managed by your primary care provider. Depending on your situation, you may also be referred to the Pain Management Clinic.

What is an electroencephalogram?
An EEG is a test used to help diagnose a seizure disorder. It is a safe, painless, non-invasive test using small electrodes attached to your scalp to record the electrical activity of your brain. Please see epilepsy.com for more info.

What is an EMG/NCV?
An electromyogram (EMG) is a test to measure a muscle’s response to a signal from your nerves. The information obtained helps to determine if you have any neuromuscular abnormalities. An EMG is not usually painful but may be uncomfortable as a very small needle is inserted into the muscle being tested. A nerve conduction study (NCV) is a test that measures the ability of your nerve to conduct a signal. This test can determine nerve damage and destruction and helps to determine if there is a problem and where the problem is located. This non-invasive test is not painful but may be uncomfortable as a small electrical current delivered by an electrode stimulates the nerve and another electrode records the information.

What is Prolotherapy?
Prolotherapy is an injection-based technique that involves injection of an irritant and local anesthetic for treatment of chronic musculoskeletal or myofascial pain. This treatment is based upon the principle that chronic pain is often caused by muscles needing to compensate to stabilize loose ligaments and tendons that keep your joints stable. Prolotherapy injections cause inflammation and scar tissue to form and build up around the affected area tightening the ligament and making it more stable. This relieves the burden on the associated muscles and helps to alleviate muscle spasms and pain.

Neurosurgery

The Neurosurgery Clinic specializes in providing a full range of neurosurgery services, including trauma services for head, neck and spine injuries, and treatment for acute and traumatic brain injuries such as strokes and aneurysms.

Phone: 907-729-2525
Fax: 907-729-2526
Hours: 8 a.m.–4:30 p.m., Monday–Friday

Alaska Native Medical Center, first floor, along Water Path 3

Our full list of services:

  • Decompressions (opening up the narrowing of the spinal canal)
  • Foraminotomies (opening up the foramen, which spinal nerves pass through)
  • Laminectomies (opening up the bony spine to decompress the spinal canal)
  • Microdiscectomies (removal of the disc using a microscope)
  • Anterior cervical discectomies and fusions (neck surgery approached from the back)
  • Spinal fusions (fusing or joining two or more adjacent vertebral levels into one)
  • Shunts (internal implant to divert fluid from the brain)
  • Craniotomies (opening of the skull)


ANMC’s neurosurgical team also treats patients who have brain or spinal cord trauma and are a major component of ANMC’s Level II Trauma Center designation.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take for me to be seen?
Once a complete referral is received from your primary care provider, you’ll generally be called to schedule an initial visit with Neurosurgery and imaging appointments within two weeks.

Is my first visit also a pre-op appointment?
No. Even though your primary care provider may feel you need surgery, the neurosurgeons need to conduct a thorough exam and confirm they believe a surgery is needed. The initial visit consists of image reviews and a thorough physical examination.

Do I need an escort for my initial visit?
You will not need an escort for your initial visit with a neurosurgeon unless your mobility is greatly diminished or other extenuating circumstances are present.

I have back pain. Will Neurosurgery provide me with pain medications?
Neurosurgery only provides pain medication to patients it has completed a surgery on. If you have chronic back pain, you should discuss it with your primary care provider to confirm if pain medications are appropriate.

Why is new imaging needed?
Even if you have recently had imaging (X-rays, MRI, etc.) our neurosurgeons may need updated images for a variety of reasons. Imaging you received may not provide the views the neurosurgeons feel are necessary, or they may want new imaging to see if your degenerative disease has progressed further.

I’ve missed work for my back pain, will Neurosurgery help me complete my Long-Term Disability or Family Medical Leave Act paperwork?
Neurosurgery will assist with paperwork related to surgeries it completes. If you have missed work due to back pain, but have not been scheduled for a surgery, you should consult with your primary care provider.

I have been offered surgery, do I really need to quit smoking?
Yes. Prior to surgeries, Neurosurgery will test for nicotine usage and will not operate on most patients who have not quit smoking as instructed by their neurosurgeon. Tobacco use decreases the success rates of surgeries because it impairs healing and depresses your immune system.

What is the difference between pre-op with neurosurgery and pre-op with my primary care physician?
Your primary care provider will conduct a variety of tests to confirm you are healthy enough to obtain a major surgery, which includes labs, an echocardiogram and a chest X-ray if necessary. Neurosurgery reconfirms you are still healthy enough and educates you more specifically on the surgery you will be having and obtains your consent to the surgery.

After surgery, will I be completely pain free?
All neurosurgeries are significant and you should expect to have post-operative pain due to the significance of the surgery. After significant recovery time, substantial and lasting improvements in back or leg pain should be expected, but this does not mean you should expect to be completely pain free. Each individual case is different.

Will I need physical therapy or rehabilitation after my surgery?
Physical therapy should be conducted after your surgery to help you heal. If you don’t have physical therapy in your home community, you should expect to see a physical therapist after your surgery to learn about home exercises to help the healing process. In many cases, before surgery is offered, you will be required to attempt physical therapy as a conservative measure.

How long until I can return to work?
We all heal differently. Each individual case will vary. Some surgeries require patients to be away from work for three months or longer.

American Association of Neurological Surgeons

If your care is too complex for the Alaska Native Medical Center, here are a few providers we may request to assist with your care:

Oncology and Hematology

The Oncology and Hematology Clinic offers personal, state-of-the-art cancer care and treatment. We bring all aspects of care – from physician visits to lab appointments to the pharmacy – to our patients at one convenient location.

Our clinic sees patients that have been referred for the treatment of cancers or blood diseases. The Infusion Center administers infusions for patients who need chemotherapy, hydration, blood products, biologics and other infusions. People who are being seen in our clinic and have additional issues that are not oncology and hematology related will still need to see their primary care provider.

907-729-1180
Clinic Hours:
8 a.m.–4:30 p.m., Monday–Friday

Infusion Center Hours:
7:30 a.m.–5:30 p.m., Monday–Friday

Healthy Communities Building, 3900 Ambassador Drive, fourth floor

The ANMC Oncology and Hematology Clinic specializes in providing a range of services including:

  • Medical oncology (treatment of tumors)
  • Hematology (treatment of blood issues)
  • Infusion services (treatment through injection of fluids)
  • Palliative care (treatment and relief of pain for terminal illnesses)

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider, you’ll generally be called to schedule an initial visit with Oncology and Hematology within one week.

Do I need an escort for my initial visit?
Yes, we will authorize an escort for your consultation. It is helpful to have an additional person hearing the information the provider gives you.

What can I expect after my initial visit?
We may not know all of your treatment plans until you have seen the doctor. If you are from out of town, this can result in needing you and your escort to remain in Anchorage for longer than originally planned. Please plan on your stay being extended.

How long until I can return to work?
Everyone heals differently. Your individual results will be different than someone else’s. Some treatments require patients to be away from work for three months or longer.

American Cancer Society
CancerCare

If your care is too complex for Alaska Native Medical Center, here are a few providers we may request to assist with your care:

Ophthalmology

Ophthalmology is a medical specialty dealing with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems. The ANMC Ophthalmology Clinic offers comprehensive referral-only eye care services and outpatient and inpatient consultations by board certified ophthalmologists. Members of our team have authored many publications on ocular research as well as the medical and surgical treatment of eye disease and trauma.

907-729-1450
8 a.m.–4:30 p.m., Mon–Fri

3976 University Lake Drive, Alaska Pacific Medical Building, second floor

Our team provides medical and/or surgical management of a wide variety of conditions including:

  • Cataracts
  • Strabismus
  • Eyelid abnormalities
  • Prematurity related eye problems
  • Glaucoma
  • Eye trauma


ANMC ophthalmologists have vast surgical experience and or subspecialty fellowship and training in:

  • Pediatric ophthalmology and strabismus
  • Glaucoma
  • Cornea

How do I make an appointment?
To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

Please call in advance if you are not able to make it to your appointment. Many patients live outside of Anchorage and need time to travel. By calling in advance to cancel your appointment, it gives our clinic time to schedule another patient in that time slot.

Who is eligible for services?
All Alaska Native and American Indian people living in Alaska.

Why do I need to have three appointments for surgery?
The first appointment is for pre-operative measurements. A technician will obtain numerous eye measurements, which will be used in the surgery. Your eyes may need to be dilated. The provider will discuss the procedure with you and give you pre-operative instructions. You will be given eye drops, which you will begin using the day before surgery.

The second appointment is for the surgery. Your eye will be dilated prior to being taken to the operating room. Dilation for surgery can take up to 1.5 hours. After your eye is dilated you will be taken to the operating room.

The third appointment is for a post-operative exam. At this time, the provider will check for infection and ensure it is safe for you to return home.

Why do I need an escort?
When you are having surgery, an escort is required to attend your pre-operative appointment as well as come with you to the hospital on the day of surgery. Your escort is also required to stay with you at all times through the post-operative appointment on the day after your surgery. It is essential that they are with you at these times in order to ensure they are aware of and understand all of the eye drops that need to be administered to your operative eye. There is also an increased risk of falling for you, as your eye may be covered post-surgery. Having an escort with you lessens your chances of a fall. Your eye covering will be removed at the post-operative appointment. If you do not have an escort with you for surgical appointments your surgery will be rescheduled.

When can I go back to work/school?
A release for work/school depends on what type of eye surgery you have. If you have cataract surgery, you can expect to return to work two days after surgery.

Will I be able to see after surgery?
There is no guarantee of what your vision will be after eye surgery. There are many other factors that influence your vision. Your provider will discuss this with you at your pre-operative appointment.

When can I get glasses?
If you need glasses after cataract surgery, you can expect to wait four to six weeks for your eye to completely heal before getting glasses.

Will I be asleep?
Being awake or asleep for surgery will depend on what type of eye surgery you are having and whether or not it is safe for you to be awake. Typically, cataract surgery is done while you are awake.

What are the physical restrictions?
Physical restrictions will depend on what type of surgery you have. Your provider will go over any restrictions with you at the post-operative appointment.

Will I feel pain?
Although the provider makes every effort for you not to feel pain, you may. The provider will instruct you to inform him/her if you feel pain and will apply additional numbing medication. You will feel pressure throughout the surgery; however, this is not painful.

How long do I have to use the eye drops?
Use of eye drops will depend on the eye surgery you have. Your provider will discuss this with you at the pre-and post-operative appointments.

Eye protection tip: Always use polycarbonate eye protection while fishing!

 

Orthopedic Services

With expert physicians and providers on staff, the ANTHC’s Orthopedics Clinic focuses on the prevention, diagnosis and treatment of musculoskeletal diseases.

Our highly-trained physicians specialize in the care of bones, joints, muscles and other parts of the musculoskeletal system for adults and children. Orthopedic clinicians bring expertise in the areas of foot and ankle, hand, hip and knee, shoulder and elbow, and sports medicine and pediatric orthopedic surgery.

907-729-1600
8 a.m.–4:30 p.m., Monday–Friday

3801 University Lake Drive, University Lake Medical Center (ASI), Third Floor

ANMC orthopedics offers inpatient and outpatient surgical services depending on the nature of the treatment. We are able to offer in-person clinical appointments, video and audio telemedicine, and virtual assistance across Alaska.

For those who require inpatient care, ANMC is able to offer the highest-level of specialized staff and equipment to assist patients recovering from orthopedic surgery.

Our services include:

  • General and pediatric orthopedics
  • Orthopedic trauma for adults and pediatrics
  • Sports medicine
  • Orthopedic hand surgery
  • Shoulder, hip and knee injuries and disorders
  • Foot and ankle reconstructive surgery


We are proud to offer a continuum of care with a focus on Alaska Native traditions and culture.

FOR PROVIDERS ONLY.

Providers, please complete the Ortho Telerad Services form online at:
https://forms.anthc.org/orthopedic-teleradiology/

If the Orthopedic Telerad Services online form is unavailable, please complete the downtime form and fax or email it to the Orthopedics Department.
Fax: 907-729-1789
Email: orthotelerad@anthc.org

Additional Information and FAQ’s:

All consultation requests must be submitted via the web-based form. Fax and other alternative methods will be rejected unless ANMC-designated downtime procedures have been activated.

Orthopedic clinic hours are Monday through Friday, 8 a.m. to 5 p.m. During these hours, all Telerad submissions are triaged and processed in the order received. Any Telerad received outside of the regular business hours will be processed on the next business day.

If urgent medical attention is needed after 5 p.m. and on weekends: Call the ANMC operator at 907-563-2662 to contact the “On-Call Surgeon.”

If the case is Emergent and requires immediate emergency transport do not use this form. Call 907-729-2337; this is available 24 hours a day, 7 days a week.

For questions or assistance, please email Telehealthprgm@anthc.org.

What is an orthopedic doctor?
Also known as orthopedists or doctors of osteopathy, an orthopedic doctor specializes in bones, joints, muscles, ligaments, tendons and nerves.

What types of conditions do you treat?
Many people across Alaska choose the ANMC Orthopedics Clinic to treat all types of musculoskeletal conditions which may involve hand surgery, total joint replacements, pediatric orthopedic conditions, and foot and ankle conditions.

What is a fellowship-trained orthopedic surgeon?
All of our surgeons staffed in the ANMC Orthopedic Clinic are fellowship trained, meaning they have completed the education and training requirements including a year of specialty training in a specific field of their orthopedic specialty. We have doctors trained in all of the orthopedic specialties from hand surgery, total joint replacement, pediatric orthopedics, foot and ankle, and traumatic injuries to the musculoskeletal system.

Pain Management

The Pain Management Clinic specializes in neck and back pain as well as chronic pain syndromes. We make multimodal pain management recommendations that include pharmacologic, psychological, rehabilitative and other options. We also perform interventional procedures based on the patient’s condition and pathology.

907-729-2525
8 a.m.–4:30 p.m., Monday–Friday

We are on the first floor of the Alaska Native Medical Center hospital between Cardiology and Radiology on Water Path 3. Clinic visits will occur at this location, but procedures such as epidural steroid injections, radiofrequency ablations, etc., will typically occur at our Ambulatory Surgery Center located at 3801 University Lake Drive.

The ANMC Pain Management clinic specializes in providing a full range of services to reduce or eliminate back, leg, arm and neck pain, including:

  • Intralaminar epidural steroid injections (injection for the nerve as they come out of the spine)
  • Nerve root blocks (diagnostic injection, usually in conjunction with neurosurgery)
  • Radiofrequency ablations (burning of the nerves in the back to decrease pain)
  • Transforaminal epidural steroid injections (injection of the irritated nerve coming out of the back)
  • Medial branch block (diagnostic injection for delineating the origin of neck or back pain)
  • Facet blocks (injection into a joint in the spine)
  • Cryoablation (freezing of a nerve to decrease pain)
  • Trigger point injections (local anesthetic injection into the muscles)
  • Ganglion block (injection of a nerve center to decrease the pain)
  • Spinal cord stimulation (implanted device which helps to decrease pain)
  • Suggestions for medications, physical therapy, Behavioral Health Services or Traditional Healing

How do I make an appointment?
Your primary care provider or another specialist should refer you to the Pain Management Clinic. Patients must complete a questionnaire before an appointment will be made. Patients previously seen in the Pain Management Clinic can call the clinic directly for an appointment.

How long will it take me to be seen?
Once a complete referral is received from your primary care provider, you’ll typically be called to schedule an initial visit with Pain Management within two weeks. Please call our clinic if that time period has lapsed and we have not been in touch.

Why do I have two appointments?
When you schedule an appointment with Pain Management, we will set up a clinic visit with a provider and a procedure a couple days later. Nearly 80 percent of our patients end up having a procedure completed after seeing a provider, so it is most efficient to book it with your other provider visit.

Do I need an escort?
You will not need an escort for most Pain Management appointments and procedures unless your mobility is greatly diminished or you have extenuating circumstances. Your clinic will determine and authorize your escort. For more complex procedures such as spinal cord stimulation, cryoablation or radiofrequency ablation, you will need an escort.

Will Pain Management provide me with pain medications?
We will provide medications only for acute pain after a more complex procedure. If you have chronic pain, you should discuss it with your primary care provider to confirm if pain medications are appropriate.

Why must I complete a pain questionnaire prior to being scheduled?
For new referrals/patients, a seven-page pain questionnaire is required. The pain questionnaire provides additional information to the provider, which will help them pinpoint where your pain is generating from and what procedures may benefit you most.

Why is new imaging needed?
Even if you have had imaging (X-rays, MRI, etc.) completed, our providers may need updated images for a variety of reasons, but in particular to understand if your condition has progressed further and the best course of treatment. When we review your medical chart, we will decide whether we feel new imaging is necessary.

Why don’t you book my clinic visit and procedure on the same day?
Procedures are completed in our Ambulatory Surgery Center on Wednesdays and Fridays each week. Due to provider availability and for efficiency purposes, we nearly always schedule your clinic visit and procedure on separate days.

After my procedure, will I have permanent pain relief?
No procedure will guarantee permanent pain relief. Our expectation is that our procedures will provide you with relief for up to several months and sometimes several years. This will allow you to participate in more physical therapy and/or home stretching and do other things that are limited by your pain. Our hope is that when you do more, you will need the injections less.

If and when your pain returns, call us to schedule another clinic appointment and procedure, if medically appropriate. There must be 8-12 weeks between epidural steroid injections and at least six months for radiofrequency ablations and cryoablations.

Why can’t I get a procedure if I’m sick?
Steroid-based procedures can depress your immune system for a short period of time. Your pain may also be altered by your infection, skewing our perception of your pain. For your protection, we will avoid conducting procedures on someone who is ill.

Podiatry

The Podiatry Clinic diagnoses, treats and rehabilitates abnormal conditions of the feet. Our clinic also works to prevent and correct deformities of the feet, keeps people mobile and active, relieves pain, treats infections and works with patients with diabetes to keep their feet healthy.

P: 907-729-8470
F: 907-729-4029
8 a.m.–4:30 p.m., Mon–Fri

Healthy Communities Building
3900 Ambassador Drive, fourth floor

The ANMC Podiatry Clinic specializes in providing a full range of services including:

  • High-risk diabetic foot care
  • Forefoot surgery
  • Foot wounds
  • Orthotics

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from your provider, you’ll generally be called to schedule an initial visit with Podiatry within one business week.

Is my first visit a preoperative visit?
No. Even though your provider may feel you need surgery, the podiatrist needs to conduct a thorough exam and confirm they believe a surgery is needed. The initial visit consists of image reviews and a very thorough physical examination.

Do I need an escort for my initial visit?
Unless your mobility is greatly diminished or other extenuating circumstances are present, you will not need an escort for your initial visit with Podiatry.

I have been offered surgery, do I really need to quit smoking?
Yes. You need to be nicotine free for at least six months prior to scheduling any elective foot surgery. Tobacco use decreases the success rates of surgeries because it impairs healing and depresses your immune system.

How long until I can return to work?
We all heal differently, so this depends on your individual case. Some surgeries require patients to be away from work for six weeks or longer.

Pulmonology and Sleep Medicine

The Pulmonology Clinic specializes in the diagnosis and treatment of problems relating to the lungs. The clinic offers comprehensive therapeutic and diagnostic services to adults with disorders of the respiratory system. Our highly qualified team includes pulmonologists, respiratory therapists, nurses and diagnostic technicians.

907-729-8141
8 a.m.–4:30 p.m., Monday–Friday

Alaska Pacific Medical Building, first floor,
3976 University Lake Drive, Suite 100

Our services include:

  • Evaluation and treatment of asthma and chronic obstructive pulmonary disease (COPD)
  • Evaluation and treatment of respiratory disorders, including bronchiectasis, pneumonia and pulmonary fibrosis
  • Evaluation and screening for lung nodules
  • Screening, work-up and follow-up care for lung transplants
  • Evaluation and treatment of sleep apnea and sleep disorders, including insomnia and narcolepsy
  • Pulmonary function testing, performed in our clinic


ANMC’s Sleep Center specializes in diagnosing and treating people with sleep disorders through diagnostic tests, sleep studies and treatment of their condition. Our eight-bed Sleep Center treats both adult and pediatric patients.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
Once a complete referral is received from a provider, you’ll generally be called to schedule an initial visit with Pulmonary or Sleep, potentially including testing, within one to four weeks.

What is a Pulmonology Clinic (Pulmonary)?
Pulmonology/pulmonary is a lung specialty clinic where the providers evaluate your lungs, breathing issues and respiratory disorders.

What is a bronchoscopy/EBUS (endobronchial ultrasound guided bronchoscopy)?
A bronchoscopy is a procedure where the doctor uses a scope to look in the lungs/airways. An EBUS is a bronchoscope that has an ultrasound at the end of the scope to evaluate lymph nodes in the airway. The reason for the bronchoscopy is airway inspection, biopsy and lavage (washing out the lungs to evaluate for infection).

Do I need an escort for my initial visit?
Unless your mobility is greatly diminished, you are scheduled for a procedure (bronchoscopy, EBUS or CT lung biopsy) or other extenuating circumstances are present, you will not need an escort for your initial visit with a pulmonologist.

What is a pulmonary function test?
A pulmonary function test (PFT) is a series of breathing tests that check how well air moves in and out of your lungs.

What is a sleep study?
A sleep study is a test that is performed while you are sleeping to see if you stop breathing at night. The test is performed in a sleep lab while you are hooked up to monitors.

American College of Chest Physicians
American Academy of Sleep Medicine

If your care is too complex for the services we provide in our specialty clinic, the following are some of the providers we may request to assist with your care:

Rheumatology

Rheumatologists specialize in autoimmune issues and diseases that involve joints, soft tissues, vessels, and connective tissues that can connect tissues and other organs. These diseases can cause swelling, stiffness and deformity.

An autoimmune disease occurs when your body’s immune system, which normally fights off disease, sends inflammation to areas of the body when it is not needed causing damage/symptoms. These diseases can affect the eyes, skin, nervous system and organs.

P: 907-729-1949
F: 907-729-2082
8 a.m.–4:30 p.m., Monday–Friday

Healthy Communities Building
3900 Ambassador Drive

The ANMC Rheumatology team provides care and services to adult patients with autoimmune conditions, including the diagnosis and management of rheumatic and autoimmune conditions such as rheumatoid arthritis, seronegative spondyloarthropathies, systemic lupus erythematosus, and vasculitis.

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

If you have any questions, please contact our clinic and we can work with you and your provider on the appropriate referral.

How long will it take me to be seen?
It usually takes two weeks after your referral is received to process and schedule your initial appointment. Before an appointment is scheduled, we need to review and request necessary health records, lab results and imaging from your primary care provider/referring provider. Our clinic will contact you as soon as possible as we are ready to schedule your first appointment.

What should I expect at an initial visit with a rheumatologist?
Initial visits take one hour, preferably in person and usually include a history and physical examination, patient teaching, and may include lab work and X-ray imaging of your joints. Follow up visits are generally 30-45 minutes.

Urology

Our board certified Urologists specialize in the care of cancers of the urinary tract, the male reproductive system, prostate enlargement, stress incontinence in women, kidney stones and congenital deformities in children.

907-729-8493
8 a.m.–4:30 p.m., Monday–Friday

Alaska Native Medical Center, first floor, Mountain Path 1 (next to Surgery Clinic and Dental)

We evaluate and treat patients with a variety of urological conditions, including:

  • Benign prostatic hypertrophy (BPH/enlarged prostate)
  • Bladder cancer
  • Bladder stones
  • Elevated PSA
  • Erectile dysfunction (ED)
  • Hematuria (gross & microscopic)
  • Hydrocele
  • Kidney cancer
  • Kidney stones
  • Male infertility
  • Pediatric urology
  • Penile cancer
  • Prostate cancer
  • Prostatitis
  • Testicular cancer
  • Ureteral cancer
  • Urethral stricture disease
  • Urinary incontinence
  • Urinary retention
  • Urinary tract infection
  • Varicocele
  • Voiding dysfunction


Our urologists provide the following urological procedures and treatments, in addition to the conditions above:

  • Laser TURP (transurethral resection) for enlarged prostate
  • Lithotripsy (ESWL)
  • Urodynamics
    No-scalpel vasectomy

To make an appointment, you must first receive a referral from your primary care provider or another specialty clinic.

Please contact our clinic and we can work with you and your provider on the appropriate referral.

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