For the unique needs of newborns and infants, I recommend the excellent care and experience of our local pediatricians at The OMC Children's Clinic.
What does your monthly fee cover?
Wellness and preventive care visits
Care for chronic conditions
Care for unplanned illnesses and injuries
Referral to appropriate specialists when indicated and coordination of your care when you see other health professionals
Access to your own electronic health record and ability to message me securely through your portal
Self-booking through your patient portal
Preconception and basic fertility care
Early prenatal care*
Postpartum care
*If you become pregnant I can facilitate your early pregnancy care and work up, including ordering labs and ultrasound for dating. If you wish to continue your pregnancy, I will help you find an OB provider team for your ongoing prenatal care and delivery. I will continue to be available for all other issues that may happen during your pregnancy (that are not directly related to your pregnancy), including guidance with nutrition and optimal health in pregnancy, evaluation for common infections, and I will certainly be available for your postpartum care.
Emotional and mental healthcare
Mind-Body Medicine skills
Ongoing care with palliative and/or hospice team
Pain management with a holistic approach
Medication Assisted Treatment with buprenorphine/suboxone
Functional Medicine approach to most problems
Nutrition / Movement / Lifestyle Medicine
Home visits are an option for an additional fee of $150 per home visit. This is a very fulfilling part of my practice.
Labs (rapid strep test, urinalysis, urine pregnancy test, urine drug screening when indicated, stool testing for colon cancer screening)
In office procedures:
ECG (Electrocardiogram)
Ear wax removal
Cryotherapy for warts and non-cancerous skin lesions
Skin biopsies (the cost of the pathology report is billed by OMC) processed at OMC for pathology report, which is billed to the patient by OMC)
Pap smears (processed at OMC for the pathology report, which is billed to the patient by OMC)
IUD placement and removal(patient is responsible only for the price of the IUD itself, which insurance typically covers)
Implantable contraceptive device placement and removal(patient is responsible only for the price of the implant itself, which insurance typically covers)
Simple laceration repair
Large joint injections (shoulders, knees, trochanteric bursa)
Note on Privacy: I follow all HIPAA laws. My electronic health record complies with all HIPAA laws. The electronic health record I use is not used by OMC or other major clinics/hospitals. Thus, your information will only be seen by other health professionals and their staff if their expertise and consultation is needed. I share your health record with other health professionals whenever it will improve your care, with your permission. And, when indicated, I will update your chart in Epic (the electronic health record used by OMC, Swedish, UW, VM Franciscan) so that your pertinent health information is up to date.
Educational Events Since 2018...and restarting Winter 2025!
Before the pandemic, we met quarterly to foster community among people while learning new skills and sharing experiences (might include cooking/nutrition classes, grocery store tour with your doctor, support groups, book discussion, or video viewings with discussion). Most of these ideas came straight from our community members!
In the coming year, we'll be focusing on mindfulness, living well, and exploring how to prepare for and face death, something we all experience in our lifetime.
Unbeatable Out-of-Pocket Lab Prices!
How is this possible? I've developed a relationship with Quest Diagnosticsto arrange for what's called client-based pricing for labs ordered outside my clinic. The idea is to have a list of transparent, affordable prices for those needing or choosing to pay out-of-pocket for labs. If you are an active patient, I will always share the most updated price list with you. This is service is for patients of my practice only.
Imaging Options
For anyone with insurance that covers most of the cost of things like x-rays, CT scans, MRIs, and ultrasounds, the Olympic Medical Center is the most convenient option. Unfortunately, for those of us with high deductible plans or no insurance, we have to pay for most of our testing out of pocket (even though we pay unfairly high premiums to the insurance companies for that coverage). A more transparent and affordable option is RAYUS Radiology (formerly InHealth Imaging). They have several locations, their closest being Poulsbo. While the drive may be less convenient, the service is very personal and professional. The radiologist actually meets personally with most patients after their imaging study, and their prices cannot be beat (and are not hidden). They negotiate lower prices with insurance AND typically offer a 40% discount for anyone paying out of pocket!
For example, a typical 2-view chest x-ray locally might cost a little over $200 (and maybe less depending on your insurance plan). The same x-ray at RAYUS Radiology would be billed to your insurance at closer $104 and if you decided to pay out of pocket instead of using insurance, it might only cost around $70!
A wonderful and affordable local option for imaging of a person's blood vessels is Pacific Vascular, located in both Port Angeles and Sequim. For anyone needing to see a vascular surgeon, this is the imaging facility that will likely be used.