Prevention:
Vaccinations, Cardiovascular Prevention, Lifestyle Counseling, Cancer Screening, Nutrition and Nutritional Supplement Counseling, Exercise Prescriptions.

Diagnosis:
Because internists are broadly trained, they are often seen first for symptoms that require diagnosis. For example, chest pain may be caused by cardiac disease but is often caused by stomach or esophageal conditions, muscular problems, stress or even infections. Therefore, a good place to start diagnosis is with an internist who has a broad perspective and an open mindset. Internists often can get to the root of the problem without exhausting every diagnostic test in a particular subspecialty.

Management:
Acute problems- such as colds, bronchitis, headache, diarrhea, abdominal pain, rashes, urinary infection Episodic problems-asthma, back pain, seasonal allergies, pre-menstrual syndrome, heartburn, gout Chronic illness or risk factors- hypertension, diabetes, cholesterol, fibromyalgia, irritable bowel syndrome, congestive heart failure, emphysema, peripheral vascular disease, angina, chronic kidney disease, thyroid disease, osteoarthritis.

Procedures:

• In Office Blood Drawing and Lab Processing for all Insurance Plans.
• Electrocardiograms.
• Body Mass Index calculations .
• Treadmill cardiac stress testing.
• Lung function testing (spirometry).
• Fingerstick blood glucose testing.
• Fingerstick INR/Prothrombin Time testing for patients on warfarin (Coumadin) anticoagulation.
• Noninvasive blood oxygen determination.
• Inhaler (breathing) treatments.
• Peripheral Vascular Disease Screening with Doppler ankle-brachial index determination
• Suture removal.
• Wound Care (simple wounds).
• Ear wax removal.
• Rapid strep throat testing.
• Stool testing for hidden blood.
• 24 Hour Ambulatory Blood Pressure Monitoring.
• 24 Hour EKG Monitoring (Holter Monitor).
• Cardiac Event Recorders.

Visits:

• Acute and Urgent Care
• Chronic Illness Management
• Yearly Preventative History and Physical
• Risk Counseling and Management
• Health Forms (life insurance, college or camp forms; may not require a visit)
• Vaccination only visit
• Anticoagulation Management Visit