- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments / initial therapy: 8 weeks
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ADHD
- We treat ADHD with nonstimulant medications. We do not prescribe amphetamines or methylphenidate.
- See ADHD treatment for more
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Alcohol use disorder
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Annual physical exam / Screening
- Screening test cost
- Mammogram - $300 (some women may qualify for cheaper or free screening)
- Bone mineral density - $200 to $300
- Colonoscopy - $1075 (through ColonoscopyAssist)
- Cholesterol - $14
- Diabetes (A1C) - $14
- Hepatitis C - $17
- Hypothyroidism (TSH) - $14
- Prostate cancer (PSA) - $18
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Anxiety
- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments / initial therapy: 6 weeks
- See antidepressants for medication information. Please note that we do not
prescribe benzodiazepines (e.g. Xanax, alprazolam, diazepam).
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- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments: 4 weeks
- If you are having an acute asthma exacerbation (attack), you should seek immediate, in-person medical attention
- If you have not been formally diagnosed with asthma, you should be evaluated in person
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- Prescription length and follow-up:
- Stable patients will be prescribed enough for a year
- New treatments may require follow-up
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- Prescription length and follow-up:
- Established diagnosis / controlled: 1 year
- Patients taking warfarin may require periodic lab work
- Patients who have unstable atrial fibrillation (e.g. heart failure) should see a physician in person
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Bacterial vaginosis (BV) | learn more
- We treat bacterial vaginosis in women
- Follow-up is not typically required
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Back pain | learn more
- We are happy to evaluate and discuss your back pain
- Follow-up will depend on the individual situation
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Bipolar disorder
- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments / initial therapy: 6 weeks
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Birth control / contraception | learn more
- All birth control methods will be prescribed for one year
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Bronchitis | learn more
- We are happy to see you for bronchitis, but we do not prescribe antibiotics for bronchitis. The CDC, ACP, and ACCP all state that antibiotics are not useful for acute bronchitis
and should not be offered.
- If you have shortness of breath, a rapid heart rate, or an underlying lung condition like asthma or COPD, you should be evaluated in person. See
pneumonia vs bronchitis for more
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Boils / cellulitis / MRSA (cellulitis, boils)
- We can evaluate and treat skin infections such as boils and cellulitis which may be caused by MRSA and other bacteria
- Follow-up and labs are not typically required
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Chlamydia | learn more
- Only one appointment is necessary for chlamydia evaluation and/or treatment
- If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
- In some cases, treatment without lab testing may be appropriate
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Conjunctivitis / pink eye | learn more
- We can evaluate and treat conjunctivitis
- Follow-up and labs are not typically required
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- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments: 4 weeks
- If you are having an acute COPD exacerbation (attack), you should seek immediate, in-person medical attention
- If you have not been formally diagnosed with COPD, you should be evaluated in person
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Crohn's disease | learn more | Crohn's disease medication help
- If you have been diagnosed with Crohn's disease and have lost access to your medications and/or gastroenterologist (e.g. no health insurance), I may be able to help you. Adalimumab (Humira®), certolizumab pegol (Cimzia®), and ustekinumab (Stelara®) are available for free to qualified patients through patient assistance programs (see Crohn's disease medication help). Other drugs like azathioprine, mercaptopurine, and methotrexate have cheap generics.
- The recommendations and information I use to treat Crohn's disease are outlined here - Crohn's disease review
- If you have any questions about your Crohn's treatment, please email me, and I will let you know if I can help you.
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- Prescription length and follow-up:
- Patients taking direct oral anticoagulants for preventive therapy will be given prescriptions for a year
- Patients taking warfarin will require periodic lab work
- Patients being treated for a DVT will require follow-up at 3 - 6 months
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Depression
- Prescription length and follow-up:
- Controlled: 1 year
- Uncontrolled / med adjustments / initial therapy: 4 weeks
- See antidepressants for medication information
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- See diabetes treatment for a step-by-step guide on my approach to medication management. See diabetes management for a review of other aspects of diabetes care (e.g. glucose meters, comorbidities).
- Prescription length and follow-up: depends on hemoglobin A1C value | learn more
- A1C < 7% and not using insulin: 1 year
- A1C 7 - 8% and/or using any type of insulin: 6 months
- A1C > 8%: 3 months
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- Prescription length and follow-up: depends on hemoglobin A1C value | learn more
- A1C < 8%: 6 months
- A1C > 8%: 3 months
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- Prescription length and follow-up:
- Controlled (no recent seizures): 1 year
- Uncontrolled / med adjustments:depends on individual situation
- If you have had a new-onset seizure, you should be evaluated in person
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Erectile dysfunction (ED) / impotence | learn more
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Fever blisters / cold sores / herpes labialis | learn more
- We can evaluate and treat fever blisters
- Prescriptions for suppressive (daily) therapy will be written for a year
- Prescriptions for acute outbreaks will be written with enough refills for a year
- Patients may follow-up for issues
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GERD / acid reflux
- Prescriptions will be written for a year
- Patient may follow-up for issues
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Gonorrhea | learn more
- Only one appointment is necessary for gonorrhea evaluation and/or treatment
- If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
- In some cases, treatment without lab testing may be appropriate
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- Prescription length and follow-up:
- Controlled on current meds: 1 year
- Uncontrolled / med adjustments / initial therapy: 1 month
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Hair loss / balding
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- Prescription length and follow-up:
- Controlled: prescriptions are written for a year, follow-up as needed
- Uncontrolled / med adjustments: 4 weeks
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Herpes, genital | learn more
- We can evaluate and treat genital herpes
- Prescriptions for suppressive (daily) therapy will be written for a year
- Prescriptions for acute outbreaks will be written with enough refills for a year
- Patients may follow-up for issues
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- We can evaluate and treat H. Pylori
- If H. Pylori testing is positive, we will send treatment to your pharmacy
- Follow-up is not typically necessary
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- Prescription length and follow-up:
- Prescription will be written for entire course of treatment which is typically 8 - 16 weeks
- Only one appointment is needed, but periodic lab monitoring is required
- See hepatitis C treatment for a review of medications that treat hepatitis C
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- Prescription length and follow-up:
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- Prescription length and follow-up:
- Controlled on current meds: 1 year
- Uncontrolled / med adjustments / initial therapy: 1 month
- See hypertension guidelines
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- Prescription length and follow-up:
- Dose stable (TSH normal): 1 year
- Dose adjustments required: I will adjustment the dose without requiring a follow-up appointment
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Infertility testing
- I offer infertility testing, but I do not offer infertility treatment
- Available testing includes semen analysis, sperm count, anti-Mullerian hormone, progesterone, estradiol, and FSH
- Patients may choose which infertility tests they would like to do
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Insomnia / sleep issues
- Prescriptions will be written for one year unless it is for a controlled substance in which case, by law, it can only be written for 6 months
- See insomnia medications for more
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Joint pain (shoulder, knee, foot, hand, etc.) | learn more
- We can evaluate and treat joint pain
- Follow-up will depend on the individual situation
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Lice | learn more
- We can treat lice infections
- Follow-up and labs are not typically required
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Menopause / hormone replacement therapy | learn more
- Prescription length and follow-up:
- Controlled on current meds: 1 year
- Uncontrolled / med adjustments / initial therapy: 1 month
- See female hormone medications for more
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Obesity / overweight
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Osteoporosis | learn more
- We treat osteoporosis
- Prescriptions are written for a year
- Follow-up is yearly
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Poison ivy (contact dermatitis)
- We can treat bouts of poison ivy and other forms of contact dermatitis with oral and topical steroids
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- There are 2 medications available for HIV prophylaxis - Truvada® and Descovy®
- Prescription length and follow-up:
- The manufacturer of Truvada® and Descovy® recommends assessing kidney function and testing for hepatitis B and HIV before starting PreP. They also recommend HIV testing every 3 months while on therapy and periodic kidney function testing.
- I do the initial testing followed by HIV and kidney function testing every 3 months for 6 months. If those labs are stable, I go to every 6 month testing. I only require that the patient see me once a year, but they must maintain the appropriate lab testing.
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- If you have psoriasis or psoriatic arthritis, I may be able to help you get expensive medications for free. See psoriasis/psoriatic arthritis medication help for information on approved treatments and patient assistance program requirements. Information on Otezla® is also included. If you have psoriasis and only require topical treatments, I can help you find an affordable topical regimen.
- The recommendations and information I use to treat psoriasis and psoriatic arthritis are outlined here - Psoriasis and psoriatic arthritis review
- If you have any questions about your treatment, please email me, and I will let you know if I can help you.
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Pulmonary embolism (PE) | learn more | PE medication help
- Prescription length and follow-up:
- Patients taking direct oral anticoagulants for preventive therapy will be given prescriptions for a year
- Patients taking warfarin will require periodic lab work
- Patients being treated for a PE will require follow-up at 3 - 6 months
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Rash
- We are happy to evaluate your rash
- Follow-up and labs will depend on the individual situation
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Scabies | learn more
- We can treat scabies infections
- Follow-up and labs are not typically necessary
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Sexually transmitted diseases | learn more
- Only one appointment is necessary for STD evaluation and/or treatment
- If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
- In some cases, treatment without lab testing may be appropriate
- Lab prices are listed below. The doctor can offer recommendations on which testing is indicated, but the patient will ultimately decide which labs to order.
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Sinusitis | learn more
- We are happy to see you for sinusitis, but we DO NOT prescribe antibiotics for sinusitis. Every randomized, placebo-controlled trial that has compared antibiotics to placebo in
patients with sinusitis has found they make no difference (see antibiotic studies in sinusitis for more).
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Smoking cessation / tobacco use
- We can treat smoking / tobacco use with medications like Chantix and Wellbutrin
- Prescriptions are written for a year
- Patients may follow-up as needed
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Sore throat / pharyngitis | learn more
- Most throat infections are caused by viruses. Antibiotics are only indicated if strep testing is positive.
- We prescribe antibiotics for throat infections if home strep testing is positive or if testing done at a laboratory is positive
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- Prescription length and follow-up:
- Prescriptions are written for a full course of therapy
- Follow-up is not typically needed
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Urinary tract infection (UTI) | learn more
- We treat urinary tract infections. In some cases, it may be necessary to order a urinalysis and/or urine culture to be done at Quest or CPL. We can also review results from a home test.
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Weight loss
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Yeast infection / candidiasis / tinea / intertrigo | learn more
- We treat yeast infections in women and men
- Follow-up is not typically required
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