Primary Care

For those who are unable to easily get out of the house, we do offer primary care services on a case by case basis.  These services typically include medication management, oversight of home health services including physical and occupational therapy, coordination with specialty services and management of acute conditions as they arise.

For patients who are mobile and able to visit their primary care physicians in an office setting, we’re happy to assist with management of chronic conditions as needed.  Listed below are a few of the primary care conditions we treat frequently.

Unrestful sleep is one of the most common complaints and sleep apnea is one of the most overlooked diagnoses today.  Sleep apnea is a slowly progressive illness that evolves over decades and affects a myriad of human systems including mood, weight, cognition, cardiovascular and respiratory function, and overall energy.  Evaluation for sleep apnea is available with a home sleep study and/or referral to a certified sleep center as needed.  Follow up is offered along with the appropriate support needed to maintain treatment compliance and symptom improvement.

Anxiety is overwhelming and an acute anxiety attack (panic attack) can be debilitating.  Under most circumstances, treatment in the home is more effective than in a clinic or emergency department.  Therapy may include medication, supplements, emotional counseling, nutritional counseling and general education.  All aspects of the anxiety treatment plan work in concert to control acute anxiety, reduce the baseline of anxiety and prevent future attacks.

Nutritional counseling is available for patients to achieve weight loss, improvements in overall energy, optimize immunity, reduction in cardiovascular risks, and control of diabetes. Food is medicine and health is directly related to nutrition.  We’ll advise you on how to eat better so that you’ll feel better.

Health optimization is a part of all recommendations and treatment plans.  Consultations are available for maintaining and optimizing health.  An integrative approach is often employed in an effort to avoid commonly used medications, both over-the-counter and prescription. Throughout the course of counseling, attention is generally focused on supporting long term behavioral change to last a lifetime.

Alcoholism plagues millions of people every year contributing to unnecessary illness and injury.  Acute alcohol withdrawal is a life threatening emergency that can be treated outside of the hospital or clinic.  By offering care for this widespread condition in the privacy of one’s home, treatment of acute alcohol withdrawal and chronic alcoholism allows for a safe and comfortable recovery.  Patients often receive IV fluids, IV vitamins, and IV medication for anxiety as needed.  Regular follow up visits occur through the acute phase of recovery and patients are transitioned to oral vitamins and anxiety medication as indicated.  Continuous support occurs with less frequency as patients successfully adopt an alcohol free lifestyle.

Quitting smoking and overcoming nicotine addiction is an endeavor that often fails due to lack of proper counseling and support.  Routine follow-up visits allow patients to recognize success in breaking the addiction to nicotine.  Medication and nicotine replacement are made available as needed, but a mainstay of treatment involves frequent counseling and the necessary support.