SERVICES

Internal Medicine

Internal Medicine

Our internists or doctors have intensive training in prevention, diagnosing, and treating adult medical disorders, from the simplest to the most complex. This includes a broad spectrum of disorders including the heart and circulation, digestive, respiratory, arthritic, blood, infectious, diabetic, cancer, kidney, neurologic, skin, and hormonal. However, we also have a background and emphasis on disease prevention and the promotion of health, mental health and substance abuse. We do not deliver babies, treat children, or perform surgery.

Women's Health

The table below includes recommendations that are strictly suggestions. Please discuss with your doctor individually what screenings are best for you and your good health.

Screening	Ages 18 – 39	Ages 40 – 49	Ages 50 – 64	Ages 65 and Older
Blood Pressure Test	Get tested at least every 2 years if you have normal blood pressure (lower than 120/80). Get tested once a year if you have blood pressure between 120/80 and 139/89. Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if you have normal blood pressure (lower than 120/80). Get tested once a year if you have blood pressure between 120/80 and 139/89. Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if you have normal blood pressure (lower than 120/80). Get tested once a year if you have blood pressure between 120/80 and 139/89. Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if you have normal blood pressure (lower than 120/80). Get tested once a year if you have blood pressure between 120/80 and 139/89. Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.
Bone Mineral Density Test (osteoporosis screening)			Discuss with your doctor or nurse if you are at risk of osteoporosis.	Get this test at least once at age 65 or older. Talk to your doctor or nurse about repeat testing.
Breast Cancer Screening (mammogram)		Screen every 1 – 2 years based on recommendation from your doctor.	Screen every 1 – 2 years based on recommendation from your doctor.	Screen every 1 – 2 years based on recommendation from your doctor.
Cervical Cancer Screening (Pat test)	Get a Pap test every 3 years if you are 21 or older and have a cervix. If you are 30 or older, you can get a Pap test and HPV test together every 3 – 5 years. More frequent screenings may need to be done based on recommendation by your doctor.	You can get a Pap and HPV together every 3 – 5 years. More frequent screenings may need to be done based on recommendation by your doctor.	You can get a Pap and HPV together every 3 – 5 years. More frequent screenings may need to be done based on recommendation by your doctor.	Ask your doctor or nurse if you need to get a Pap test.
Chlamydia Test	Get tested for chlamydia yearly through age 24 if you are sexually active or pregnant. Age 25 and older, get tested for chlamydia if you are at increased risk.	Get tested for chlamydia if you are sexually active and at increased risk.	Get tested for chlamydia if you are sexually active and at increased risk.	Get tested for chlamydia if you are sexually active and at increased risk.
Cholesterol Test	Starting at age 20, get a cholesterol test regularly if you are at risk for heart disease. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly if you are at risk for heart disease. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly if you are at risk for heart disease. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly if you are at risk for heart disease. Ask your doctor or nurse how often you need your cholesterol tested
Colorectal Cancer Screening (using fecal occult blood testing, sigmoidoscopy, or colonoscopy)	Early screening may be recommended by your doctor based on individual risk and family history.	Early screening may be recommended by your doctor based on individual risk and family history.	Starting at age 50, get screened for colorectal cancer. Talk to your doctor or nurse about which screening test is best for you and how often you need it.	Get screened for colorectal cancer through age 75. Talk to your doctor or nurse about which screening test is best for you and how often you need it.
Diabetes Screening	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.
HIV Test	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests. All pregnant women need to be tested for HIV.	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests. All pregnant women need to be tested for HIV.	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests.	Get tested for HIV at least once if you are age 65 and have never been tested. Get tested if you are at increased risk for HIV. Discuss your risk with your doctor or nurse.
Syphilis Test	Get tested for syphilis if you are at increased risk or pregnant.	Get tested for syphilis if you are at increased risk or pregnant.	Get tested for syphilis if you are at increased risk or pregnant.	Get tested for syphilis if you are at increased risk or pregnant.

Men's Health

The table below includes recommendations that are strictly suggestions. Please discuss with your doctor individually what screenings are best for you and your good health.

Screening Tests	18 – 39	40 – 49	50 – 64	65 and older
Abdominal aortic aneurysm screening				Get this one-time screening if you are age 65 to 75 and have ever smoked.
Blood Pressure Test	Get tested at least every 2 years if yo have normal blood pressure (lower than 120/80) Get tested once a year if you have blood pressure between 120/80 and 139/89 Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if yo have normal blood pressure (lower than 120/80) Get tested once a year if you have blood pressure between 120/80 and 139/89 Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if yo have normal blood pressure (lower than 120/80) Get tested once a year if you have blood pressure between 120/80 and 139/89 Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.	Get tested at least every 2 years if yo have normal blood pressure (lower than 120/80) Get tested once a year if you have blood pressure between 120/80 and 139/89 Discuss treatment with your doctor or nurse if you have blood pressure 140/90 or higher.
Cholesterol Test	Starting at age 20 until age 35, get a cholesterol test if you are at increased risk for heart disease. Starting at age 35 and older, get a cholesterol test regularly. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly. Ask your doctor or nurse how often you need your cholesterol tested.	Get a cholesterol test regularly. Ask your doctor or nurse how often you need your cholesterol tested.
Colorectal Cancer Screening (using fecal occult blood testing, sigmoidoscopy, or colonoscopy)	Early screening may be recommended by your doctor based on individual risk and family history.	Early screening may be recommended by your doctor based on individual risk and family history.	Starting at age 50, get screened for colorectal cancer. Talk to your doctor or nurse about which screening test is best for you and how often you need it.	Get screened for colorectal cancer through age 75. Talk to your doctor or nurse about which screening test is best for you and how often you need it.
Diabetes Screening	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.	Get screened for diabetes if your blood pressure is higher than 135/80 or if you take medicine for high blood pressure.
HIV Testing	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests.	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests.	Get tested for HIV at least once. Discuss your risk with your doctor or nurse because you may need more frequent tests.	Get tested for HIV at least once if you are age 65 and have never been tested. Get tested if you are at increased risk for HIV. Discuss your risk with your doctor or nurse.
Syphilis Screening	Get tested for syphilis if you are at increased risk.	Get tested for syphilis if you are at increased risk.	Get tested for syphilis if you are at increased risk.	Get tested for syphilis if you are at increased risk.

Chronic Disease Management

Troy Internal Medicine wants to play an active role in helping patients manage their chronic diseases including, but not limited to diabetes, hypertension, hypercholesterolemia, COPD (chronic obstructive pulmonary disease) and obesity.

This includes working with patients regarding medication compliance, lab testing and steps you can take at home to help in this process. Your physician may contact you if you need to be seen or are due to get lab testing done. Managing chronic disease is crucial to keeping you healthy.

MC Wellness

Medicare covers an “Annual Wellness Visit” in addition to the one-time “Welcome to Medicare” exam. The “Welcome to Medicare” exam occurs only once during your first twelve months as a Medicare patient. You may receive your Annual Wellness visit after you have been with Medicare for more than one year, or it has been at least one year since your “Welcome to Medicare” exam.

Welcome to Medicare Exam: Only for new Medicare patients. This must be done in the 1^st year as a Medicare patient.

Annual Wellness Visit, Initial: At least 1 year after the “Welcome to Medicare” exam.

Annual Wellness Visit, Subsequent: Once a year (more than 1 year + 1 day after the last Wellness visit.)

The Annual Wellness Visit is not the same thing as what many people often refer to as their yearly physical exam. Medicare is very specific about the “Annual Wellness visit” includes and excludes:

At the Annual Wellness visit, you will talk about your medical history, review risk factors, and make a personalized prevention plan to keep you healthy. The visit does not include a hands-on exam or any testing that your Doctor may recommend, nor medications. You may schedule another visit to address those issues or your Doctor may charge the usual Medicare fees for such services that are beyond the scope of the Annual Wellness Visit.

If you would like to schedule an annual physical, including any lab work or other diagnostic testing, medication management, vaccinations, and other services, please understand that these services will be charged and covered according to Medicare’s usual coverage guidelines.

Immunizations

With assistance from the Center for Disease Control and World Health Organization, Troy Internal Medicine will continuously provide up-to-date vaccine therapy. Current vaccines available include:

Gardisil-9 (HPV)
Hepatitis A and B
Influenza
Japanese Encephalitis
Meningitis
MMR
Pneumonia, including Prevnar-13
Polio
Tetanus (TD)
Tetanus (DTAP)
Typhoid Fever
Varicella (Chicken Pox)
Yellow Fever
Zostavax (Shingles)
Other immunizations such as rabies, haemophilus, etc. are available through your local health department.

Please keep in mind that most vaccines are not a covered benefit under insurance. Please contact your insurance to find out if your vaccines will be covered.

Sick Visits

Please call the office to schedule an appointment if you are not feeling well. As always, if it is an emergency please call 911. We are typically able to accommodate same day appointments. If your doctor’s schedule is full for the day you may be offered another doctor or our physician’s assistant depending on the issue you are having.

Additional Procedures

Additional procedures Troy Internal Medicine offers include cryotherapy of skin lesions, joint injections including steroid and hyaluronic acid, wart removal, PFT (pulmonary function studies) and suture removal.