In selecting a personal doctor, have you considered a physician who specializes in ADULT healthcare? Providers of Internal Medicine are trained in the prevention and treatment of adult diseases. They can serve your medical needs throughout your life, from as early as the teens (age 16) through the "senior" years. Our providers of Internal Medicine focus on prevention and early detection of catastrophic illnesses. They can provide screening and treatment of cholesterol disorders, heart disease, hypertension, diabetes, osteoporosis, thyroid disorders and cancer. Annual health exams and routine sick visits can be handled by our internist as well.
Complete Evaluation of Cardiovascular & Pulmonary Diseases
Asthma and Chronic Obstructive Pulmonary Diseases
Men’s Healthcare (including Prostate Cancer Screening)
Prevention and Early Detection of Catastrophic Illnesses
Management of Diabetes Mellitus
Management of Hypertension
Psychiatric / Mood Disorders
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Given that cardiac diseases are the number one killer of Americans, we pride ourselves in the acute diagnosis and treatment of all full spectrum of cardiac disease. Studies show that Internal Medicine clinics offer the best treatment of lipid disorders on the whole, getting to patients to goal with the right medications: surpassing even that of cardiologists. Our in-depth understanding of cardiac medications and their interactions with other metabolic agents and chronic cardiac conditions: from innocent murmurs to acute coronary syndromes to malignant arrhythmias. The best possible care anywhere of cardiac diseases, by sheer volume of primary care patient demographics, is on our menu every day.
Nearly 36 million American adults have high cholesterol. Most may not suffer any symptoms, but it’s important to understand the 3 main parts of cholesterol and the healthy levels for each.
High-Density Lipoprotein (HDL) is known as "good" cholesterol. They get their good name because they are thought to carry cholesterol away from the arteries to the liver, where the body can eliminate it.1 So it's better for your HDL to be higher.
Low-Density Lipoprotein (LDL) is known as "bad" cholesterol. You don't want too many low-density lipoproteins or LDL to build up in your arteries. Together with other substances, LDL forms plaque, which can restrict blood flow to your heart or brain.1 That's why you want your LDL to be lower.
Triglycerides (trigs) are a type of fat in the blood. They're produced in the liver and also come from foods that you eat. High levels of trigs can contribute to the hardening and narrowing of arteries, making it harder for blood to flow.2 That's one reason why you want your trigs to be lower. Also, a high triglyceride level often goes hand in hand with a high LDL level and lower HDL level.1
There’s more to managing cholesterol than lowering bad cholesterol (LDL). It’s also important to raise good cholesterol (HDL) and lower fatty triglycerides. Be sure to ask your doctor about all of your cholesterol numbers.
The acute and chronic treatment of airway disease means getting to know your lungs. A baseline profile, often aided and abetted by spirometry, followed by the careful selection of maintenance medications, enables us to appropriately provide the right treatments of acute exacerbations as well as chronic pulmonary diseases makes us very effective at the management of all aspects of airway problems. We’re able to do on the spot oximetry, nebulization, spirometry as well as other physical diagnostic maneuvers to isolate a full spectrum of pulmonary problems: from pneumonias to emphysemas and back to tuberculosis.
Andropause is real and represents a huge challenge to the taking good care of men, as they age. Without attention to male hormone status, premature aging, fatigue, tiredness and loss of muscle mass result. That leads to getting old fast. We’re keen on all the details of what makes men feel vital, and energized, employing a spectrum of pharmacotherapies, hormones replacement and real answers for solving erectile dysfunction issues. We reject the notion of being done when no more symptoms are left; for us, your wellness and vigor are goals we can reach together.
Al the Wallstreet Journal has extolled on two separate occasions in the past five years, “the key to aging well is in the hands of a good internist”. Their advice to aging seniors is: “find and get to know well a good internist”. The reason of course stems from our command of the “big picture”. For decades, Internal Medicine Physicians were called “generalists”. No one faces more constantly the challenge of integrating all organ system diseases into a holograph of understanding, in order to answer the hardest question of all: “Dr.,….why don’t I feel good??”
Routinely, we have patients bounced back to us from the care of specialists with the admonishment: “don’t know what he’s/she’s got…but it’s not their gut/heart/kidney/etc.” Thrust back into the diagnostic dilemma over and over, we’re the ones to re-visit, reassess and take definitive measures in order to make a definitive diagnosis (Greek; dia gnosis: to see through). We love the challenge; it’s why we’re here.
In specific terms, “working-up” a patient means methodically performing all the requirements of age-specific health care maintenance requirements. Screening for the early detection of deadly diseases makes our approach thorough and incisive. Doing it every day means we can get it done right, in short order and with just the right amount of diagnostic testing, imaging, and surveillance. The only disease states we can’t find are the ones patients haven’t been willing to let us look for.
The goal of diabetes management is to keep blood glucose levels as close to normal as safely possible. Since diabetes may greatly increase risk for heart disease and peripheral artery disease, measures to control blood pressure and cholesterol levels are an essential part of diabetes treatment as well.
People with diabetes must take responsibility for their day-to-day care. This includes monitoring blood glucose levels, dietary management, maintaining physical activity, keeping weight and stress under control, monitoring oral medications and, if required, insulin use via injections or pump.
Hypertension is already a highly prevalent cardiovascular risk factor worldwide because of increasing longevity and prevalence of contributing factors such as obesity. Whereas the treatment of hypertension has been shown to prevent cardiovascular diseases and to extend and enhance life, hypertension remains inadequately managed everywhere.
Internists are “Doctors for Adults”. But, we’re sensitive to our sense of community. School physicals and the paperwork needed for sports participation keep us in touch with our future. We’re happy to offer quick and easy, in and out sports physicals for adolescents and up.
Women’s health accounts for nearly sixty percent (60%) of what we do. Besides age-appropriate screening of women for at-risk diseases, we get great satisfaction out of caring for women’s overall health, wellness and vitality. We provide the care of women from the perspective of screening for age-specific diseases, in conjunction with implementing adjunctive therapy and the treatment of the aging female body. Sensitive to hormonal changes as well as skeletal health considerations, we’re attuned to doing everything scientifically warranted to attenuate the aging process. “Age management medicine”, a buzz word in the alternative medicine community, is something we don’t manage with “maybe helpful” supplements. We understand the facts and options on a biomedical scientific basis. Our female patients come to know their options. Just what can be done to keep her young, and at what associated risk, is information we love to make crystal clear. We’re assertive about hormone supplementation, but only as warranted and substantiated by a favorable risk-benefit ratio. From bio-identical hormones to phyto(plant) estrogens, we can make the transition from peri-menopause to post-menopause smooth and safe.
No one ever goes into Internal Medicine wanting to actually be a Psychiatrist: neither did we. According to the National Institute of Health, over sixty (60%) of why patients seek the care of a primary care internist has a psychological basis. In other words, many real and legitimate diseases causing bodily symptoms such as headache, insomnia, indigestion, fatigue, tiredness, lack of concentration, memory problems, muscle aches, palpitations, and soreness (to name just a few) are greatly aggravated or even rooted in undiagnosed psychological issues.
While alleviating symptoms is a first priority, often the proper treatment and cure of a patient’s physical problems requires identifying its relationship to unresolved conflicts, and emotional challenges within a patient’s mindset or consciousness. We’re keen on helping patients not only feel better, but get better when signs and symptoms go beyond a bodily framework. Diagnosing and treating these kinds of problems is what we do every day; and we are equipped to sort out complex cognitive and mood associated disorders to get patients the help they need: under specialty care or within our ongoing oversight.
With a nationally recognized, on-sight, phlebotomy lab, draw station, the mainstay of internal medicine requires the comprehensive and broad-based application of blood and body-fluid analysis under the auspices of a national analytical laboratory. We offer our patients just that.
We’re equipped to apply general standards of care regarding laboratory evaluation of acute and chronic diseases. For any given clinical problem a patient may incur, we know how to corroborate those syndromes with analytical laboratory findings as part of objectifying clinical problems in order to guide treatment and gauge the effects of clinical treatments.
Your customized plan is created around the choices that work best for you. For your food plan, you pick the ingredients, cuisines, and recipes you like. Your activity plan is based on your favorite activities and your activity level. Your plan will give you things like the “trade-off” between activity needed and the calories in what you’re planning to eat. It’s all stored in your personal “file” to access any time. And whether you prefer a printout or viewing on your mobile or tablet device, you can hold your plan in your hand.
The term laceration implies a torn or jagged wound. Lacerations tend to be caused by blunt trauma (such as a blow, fall, or collision). Cuts and lacerations are terms for the same condition. After you suffer a cut or laceration, you often bleed. Other concerns with a cut include infection, pain, damage to structures beneath the skin, and future scars.
Call your doctor if your wound is deep, if you can't get the edges to stay together or if the edges are jagged. Your doctor may want to close your wound with stitches or skin adhesive.
Skin lesions are lumps or bumps such as moles, cysts, warts or skin tags. They can be removed from the skin using chemical and surgical procedures.
Different methods of removal are used depending on what type of skin lesion you have. Some, such as benign (non-cancerous) warts, can be treated with non-surgical procedures. Larger skin lesions or ones that needs a precise removal may need to be surgically removed.
Your doctor may advise you to have surgery if you have a skin lesion that shows any sign of turning cancerous (for example, a mole that has changed shape or color). The removed tissue will be sent to a laboratory to examine the type of cells and determine whether the lesion is benign or cancerous.
A joint injection (intra-articular injection) is a procedure used in the treatment of inflammatory joint conditions, such as rheumatoid arthritis, psoriatic arthritis, gout, tendinitis, bursitis and occasionally osteoarthritis. A hypodermic needle is injected into the affected joint where it delivers a dose of any one of many anti-inflammatory agents, the most common of which are corticosteroids.
Electrocardiograph (EKG) is a transthoracic interpretation of the electrical activity of the heart over time captured and externally recorded by skin electrodes. It is a noninvasive recording produced by an electrocardiographic device. It is the best way to measure and diagnose abnormal rhythms of the heart particularly abnormal rhythms caused by damage to the conductive tissue that carries electrical signals, or abnormal rhythms caused by electrolyte imbalances.
We perform the allergy test in our office which takes 15 minutes and you will have the results before you leave. Most insurance plans pay for the testing at 100% (patient responsible for co-pay, co-insurance & deductible if applied).
There is a long-term allergy solution!
Immunotherapy desensitizes your body to these normally harmless environmental particles called antigens. Very small doses are introduced to your system via serum. As treatment progresses, the concentration of antigens in the serum increases so your immune system learns to ignore them, making you a much happier person during allergy season!
There are two types of immunotherapy: shots and sublingual (under the tongue) drops. Both are effective. Shots have been used in the U.S. for decades. They require you to visit an allergy specialist's office up to twice a week for 3-5 years of injections. Each visit usually requires you to miss work or school, spend money on co-payments and gas and adjust your busy schedule. Fortunately, there is a better, easier, more convenient way to receive immunotherapy...
Easy and painless is the way to go!
Sublingual immunotherapy has been popular throughout the world for over 60 years. In the comfort of your home, you simply place a few drops of serum (the same serum used in allergy shots) under your tongue every day. You only need to visit your healthcare provider every 12 weeks for a refill and a quick follow-up. By your first follow-up, you'll likely notice a marked improvement. Within a few months, you should realize a significant reduction in the need for allergy medications. And, in three years, if you're like most patients, your environmental allergies will go into remission!