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PRACTICE FOCUS |
CLINICAL SERVICES
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PRACTICE PHILOSOPHY Dr.
Craner has been in private practice specializing in
Occupational and Environmental Medicine since 1996,
based in Reno and Las Vegas, Nevada. His practice
has extended to California and other areas of the
United States.
PRACTICE FOCUS
The emphasis of Dr.
Craner’s practice is on the diagnosis, treatment, and prevention
of occupational and environmental diseases, both in
individual patients as well as groups or
populations, such as occupants of the same office
building or housing complex, and workers in various
occupations or companies where they are exposed to
one or more hazardous substances. Appropriate
treatment for many occupational and environmental
diseases is highly dependent upon an accurate
diagnosis.
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CLINICAL SERVICES
- Clinical
consultation and patient care (individuals
and groups of employees, occupants, or
similarly exposed populations) for suspected or
known work-related or environmental exposures to
toxicological, biological, physical, or other
hazards (see areas of
Expertise/Interests)
 
- Diagnostic testing
- Spirometry
(pulmonary function)—in office and on site
(workplace, residential)
- Methacholine
challenge testing (for workup of
asthma/reactive airways disease)
- Laboratory
(toxicology, immunology)
- Site visit
(workplace and residential) to assess
hazards/conditions (often in conjunction with
clinical consultation)
 
 
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PRACTICE PHILOSOPHY
Dr. Craner’s practice
philosophy has always been to approach people’s
concerns and health issues through thorough,
objective, yet compassionate evaluation of the
problem. This includes:
- Listening carefully
and asking questions to obtain a detailed yet
focused history of the problem
- Conducting an
appropriate physical examination and, when
indicated, diagnostic and environmental testing
(and avoidance of unnecessary testing)
- Review and analysis of
environmental/industrial hygiene monitoring data
- Formulating a cogent
differential diagnosis
- Analyzing,
synthesizing and interpreting all of the
information to arrive at a rational,
scientifically-based diagnosis, assessment of
causation, treatment recommendations/plan, and
prognosis
- Conducting literature and other research
when indicated
- Communicating clinical
diagnosis, differential diagnosis, and questions
to be addressed to the patient (and to other
involved parties) in a clear, effective manner,
both verbally and in writing
When providing medical
surveillance and consultation services on behalf of
an employer, Dr. Craner has always recognized the
paramount importance of his ethical obligation to
protect the health and safety of the employees for
whom he is providing services.
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