Why should I get a physical?
Answer: A review of you medical history and a physical examination is most important to insure a quality and long and healthy life.
Most diseases that cause premature death (Diabetes, Heart Disease, Hypertension, High Cholesterol and Cancer) are
silent in their early stages. The best time to cure, slow, or change the course of a disease process is when you
feel well. Do not wait for a crisis to seek medical care. My objective is to try to diagnose silent medical conditions
early and treat them when you are well, thus enhancing quality and years to your life.
How often should I get a physical?
Each patient that is new to my practice is requested to have an initial comprehensive examination. Once established with this exam the frequency of complete physical exams is advised based on your age, medical problems, family history and other medical circumstances. In general, I make the following suggestions for comprehensive examinations
- 18 to 35 -- every 3 to 5 years
- 36 to 50 -- every 3 years
- 51 to 65 -- every 2 to 3 years
- 65 and older -- every 1 to 2 years
For patients without special risk factors other routine exams are suggested as well. Such exams would be yearly prostate exams & PSA (blood test for prostate cancer) for men, mammograms for women, yearly skin exams for fair skinned individuals, and flexible colonoscopic examinations for colon cancer screening for patients over 50.
Will you remind me when I need another physical?
What is Internal Medicine?
No. Each patient is given a recommendation when they should have another physical at the end of their physical examination. This time interval between physical examinations can be between one to five years. No one should let more than five years go by without scheduling a physical.
Answer:I offer you the succinct definition of a patient of mine that said after some thought,
"I guess an Internist is to adults as a Pediatrician is to children."
Internal Medicine is the primary care of adults and medical problems that adults have. Internists are specialists in adults. We are
specialists and we are primary care providers. Areas of expertise are in the management of Hypertension (High Blood Pressure), Diabetes,
High Cholesterol, Coronary Artery Disease, Cancer Screening, Depression, Anxiety, Asthma, and Strokes.
An Internist is your primary care doctor and your ombudsman to the medical community. He or she will manage 80 to 90 % of your medical needs and refer to appropriate specialists usually for testing or specialist consultations the
rest of the time.
Can a woman give up her gynecologic care?
No. I personally do no gynecologic care in my practice. Most all of my female patients have a gynecologist and if not, I recommend they have one. I feel that there are many excellent gynecologists in our community and my time and training is best spent
practicing Internal Medicine only.
Do you see children?
Answer: No. I will see adults above the age of 18. I leave the under 18 age group to the
care of the pediatrician.
Is there an age limit?
Answer:No, In fact, because I care for adults exclusively, my training and experience as an Internist makes me highly qualified to care for
the elderly (Gerontology).
What hospital do you admit your patients?
I admit my patients to Crouse Hospital (www.crouse.org) exclusively. Because I make rounds at the hospital
regularly (when I do have patients admitted), I need to have patients at one hospital so I can get to my
office at a reasonable time each morning to begin my office patient care. I am one of a few internists
that still do this.
Many times an ER visit will prompt a hospital admission and a hospital employed physician may admit you
after hours, but I will assume your care soon after that, if I am not out of town for a medical meeting or
for some other reason (like a vacation!). After discharge, I will see patients for a post hospital visit.
This continuity of care is a professional philosophy of mine and of the few internist colleagues that
cover for me. One of them may admit my patient and care for them until I am available to make my own hospital rounds.
What do I do if I have a medical emergency?
If your emergency that is clearly life threatening, call 911 and request transportation to Crouse Hospital
if possible. If you are not sure of the significance of the medical problem then call my office at 315.682.6600
and I will advise you. If you call after hours my answering
service will contact me or a covering physician
with your information and a doctor
will call you back in a reasonable period of time.
How do I get my prescriptions renewed?