What is Functional and Integrative Medicine?
Functional Medicine addresses the underlying causes of disease and engages both patient and practitioner in a therapeutic partnership. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, Functional Medicine addresses the whole person, not just an isolated set of symptoms.
Integrative Medicine is healing-oriented medicine that takes account of the whole person (body-mind-spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.
The principles of integrative medicine include:
- A partnership between patient and practitioner in the healing process
- Appropriate use of conventional and alternative methods to facilitate the body’s innate healing response
- Consideration of all factors that influence health, wellness and disease, including mind, spirit and community, as well as body
- A philosophy that neither rejects conventional medicine nor accepts alternative therapies uncritically
- Recognition that good medicine should be based in good science, be inquiry driven, and be open to new paradigms
- Use of natural, effective, less-invasive interventions whenever possible
- Use of the broader concepts of promotion of health and the prevention of illness as well as the treatment of disease
- Training of practitioners to be models of health and healing, committed to the process of self-exploration and self-development
What is Osteopathic Medicine?
Osteopathic medicine is a branch of the medical profession in the United States. Osteopathic doctors (D.O.s) can become fully licensed physicians able to practice medicine and surgery in all 50 states and are recognized to varying degrees in 65 other countries.
Frontier physician Andrew Taylor Still founded the profession as a rejection of the prevailing system of medical thought of the 19th century. Still's techniques relied on manipulation of joints and bones, to diagnose and treat illness, and he called his practices "osteopathy". By the middle of the 20th century, the profession had moved closer to mainstream medicine, adopting modern public health and biomedical principles. American "osteopaths" became "osteopathic medical doctors", ultimately achieving full practice rights as medical doctors in all 50 states, including serving in the U.S. armed forces as physicians.
DOs receive special training in the musculoskeletal system, your body's interconnected system of nerves, muscles and bones. By combining this knowledge with the latest advances in medical technology, they offer patients the most comprehensive care available in medicine today.
Osteopathic physicians focus on prevention, tuning into how a patient's lifestyle and environment can impact their well being. DOs strive to help you be truly healthy in mind, body and spirit -- not just free of symptoms.
What should I expect for my first appointment?
Our thorough, initial intake lasts up to 75 minutes. It is a chance to tell your story and be listened to. Our goal is to create a road map to address your concerns. Please sign up for our portal before coming in and fill out the necessary paperwork electronically. This saves valuable time so that we can focus our appointment on a solid plan.
How often should I come in for visits?
This is up to each individual patient, depending on the complexity and severity of your health concerns, your own readiness for change, and your goals. When treating chronic health problems, our visits may initially be more frequent so that we can work on peeling away the layers that get us to the deeper root causes of dis-ease, and so that our team can provide close support as we provide coaching and advocacy for our patients.
The following is a general guide for frequency of visits:
Come in ONCE A YEAR if you are:
- In good health
- Take no medications
- Experiencing no change in health over the last year
Typical Annual visit includes: physical exam, yearly labs, preventative screening needs, lifestyle evaluation and program
Come in EVERY 6 MONTHS if you have:
- Chronic medical conditions that are stable and controlled
- Prescription medications
Bi-annual visit includes: refill prescription(s), assess effectiveness, follow up labs (if needed), assess any potential changes in health, fine tune lifestyle program as needed
Come in EVERY 3-4 MONTHS if you have:
- Chronic medical conditions that are not controlled or are worsening
- Prescription medications
- Had changes in your health
Visits include: change doses or medications, follow up labs, change lifestyle program as needed, renew coaching or advocacy contracts
If you are starting a new medication for a new problem, we suggest appointments at 2-4 weeks, then 3 - 6 months, or until stable, and then for maintenance.
For women starting (sex and/or thyroid) hormone therapy, you should notice changes in symptoms within 2-4 weeks. These therapies may require frequent dose adjustments, repeat labs to assess hormone levels, and follow-ups to help you get the full benefit of therapy.
For men starting testosterone replacement, the first year of therapy involves the most monitoring for safety and effectiveness. Labs are checked at baseline, 6-12 weeks, 6, 9 & 12 months. Once a therapeutic dose is established, we can lengthen visit intervals to 6-12 months.
How do I make an appointment?
- Call the office to make your initial visit appointment
- If you get the "check in" email before your visit, please fill this out so that your chart is updated. The emails will come from Patient Fusion, our electronic medical records partner, and we have no control of when these emails are generated, but they generally come at 8 days and one day before your appointment.
- Check out with the front desk before you leave, especially if we know you already need a follow-up or lab draw appointment
- Log on to the portal and schedule online or call for appointments as needed
If I have to cancel, what do I do?
Please do this as early as possible. We respectfully ask for at least 24 hours to avoid fees.
What happens if I no-show?
I want to see you, but I understand that life happens. I forgive once. The second time, I will charge $25. The third time, I will feel that you are not invested in the healing partnership that we have the opportunity to create and will say goodbye. The open spaces also mean that someone else won't have the chance to get in who wants to be seen.
Do you accept insurance?
No. At this time, we do not accept insurance. However, we will give you a superbill (a medical statement) that you can personally submit the claim on your behalf to your insurer. We do expect payment at the time of your visits.
What if I have Medicare?
I am not a Medicare provider. I can still see you, but the visit is charged to you directly. Medicare patients are required (by Medicare) to sign a private contract with me acknowledging that they understand they cannot bill Medicare for my visits. We can however bill Medicare for any labs, medications, or other testing.
How do we review labs?
In person! Labs provide us crucial biochemical information about your health. I want my patients to be informed and to understand what these lab results are saying. I use biochemical data to create a treatment plan and want to be able to create this plan with each person as a collaborative team, keeping each person's unique goals and needs in mind.
What is the patient portal?
The portal provides open access to some of your health data. I review labs, imaging results and other medical reports and post them to your portal, whenever possible. These results are printable and are always available, in case you need to share the info with someone else.
The portal is also used for scheduling, and secure messaging
All you need to create an account is an email address that we can send an invitation to and your mobile phone number. The invitation will happen automatically when you make a new patient appointment, but can also be done again by request.
How do I get refills?
All prescriptions need monitoring for therapeutic effectiveness and potential side effects. This is part of treatment. If you don’t have refills, you most likely need your follow-up appointment. This is purposeful to prompt you to review our treatment goals. Please make an appointment before you run out. Refills require time, evaluation and management, so please respect the process. I will review my notes and deny scripts because of lack of follow up. I will not refill medications if you have not been seen in the past year.
Monitoring controlled substances
These medications require more monitoring. The goal is to use this sparingly. If they expire you need to come in, I will not automatically refill.
Narcotics, ADD medications, testosterone for men and women, and certain sleep aids are controlled. They are classified by the DEA and there are rules to dispensing. Some are mandated to be hand carried. Testosterone always expires in 6 months. Narcotics and stimulants are only good for 30 days.
I need a referral. How do I obtain one?
Referrals require that I assess you and document why I think a certain therapy is necessary for your health condition. I need to evaluate you in person in order to send a proper referral. Referrals often expire, while PT and medical massage need to be reevaluated for necessity and this needs to be documented. Please make an appointment.
Do you do acute visits?
Please feel free to call and see if there are any openings in the schedule. Sometimes people call and cancel same-day, leaving last-minute openings.
Typical acute cases that we see include: sore throat, cold symptoms, UTI, yeast infections, need letter due to missed work.
I have paper work I need you to fill out (i.e. FMLA, biometrics for my work)
Schedule an office visit. Paperwork is cumbersome and I need your help with the answers. Often it requires exams, labs, vitals etc. as well as my time.
I want you to be my health care provider but I love my other doctor—can I see you both?
Of course! I can send notes as you request and try and collaborate your care.
What are your charges?
Visit Charges and Current Packages – 11/1/2017
Regular Office and OMT Visits
Length of visit
|Insurance Price – (for comparison sake)||Cash Price|
|5-10 min urgent care only|
|25-30 min regular office f/u||170.00||85.00|
|35-45 min extended lab f/u||240.00||120.00|
|50-60 min advanced lab f/u||320.00||160.00|
|60+ min NEW patient visit||400.00||190.00|
Osteopathic Manipulative Therapy (OMT) – Packages
For patients who desire regular Osteopathic Manipulative Therapy sessions, packages can be purchased in advance. If you want to get insurance reimbursement, a superbill will be given at the time of each visit. Cash or check only for payment (or you can add in the CC fee if you want to use this form of payment). All visits must be used within 24 months of purchase.
|Number of 30 min visits||Discount %||Price per visit||Total Price of Pkg|
|Package of 4||10% off||76.00||306.00|
|Package of 6||15% off||72.25||433.50|
|Package of 8||20% off||68.00||544.00|
|Package of 10||25% off||63.75||637.50|
|Package of 12||30% off||59.00||714.00|
Concierge Medicine Package
- $900 per calendar year
- Twelve 30 min appointments @ $75 a visit (or any increment up to 6 hours of total visit time); access to weekend phone call assistance; + 2 additional urgent care visits; any unused visits are lost after the end of the calendar year
- Cash or check only for payment (or you can add in the CC fee if you want to use this form of payment)
- If paid in one lump sum - 5% discount/otherwise payable in 2 $450 payments - Jan and July
- If you want to get insurance reimbursement, a superbill will be given at the time of each visit.
- Available to couples or single adults
- Limited availability and only on physician approval