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Private Physician Services

How to Get the Most Out of Your Concierge Internist

How to Get the Most Out of Your Concierge Internist

· Getting Started with a Private Physician · Comments Off on How to Get the Most Out of Your Concierge Internist

An appointment with a concierge internist is an opportunity to get truly personalized healthcare. Unlike the rushed visits typical in conventional healthcare settings, concierge medicine offers more time, attention, and a deeper understanding of your health. At Private Physician Services, our concierge doctors, Dr. Jose R Santana Jr M.D. M.P.H. F.A.C.P. and Dr. Carlos F. Caballero, M.D., F.A.C.P., are dedicated to helping you make the most of every appointment.

What to Expect from a Concierge internist Appointment

A concierge internist appointment is much more than a typical medical check-up. Because concierge doctors like Dr. Santana and Dr. Caballero offer longer appointments and have fewer patients, they can take the time to get to know you and understand your specific health needs. This means more comprehensive assessments, proactive health strategies, and personalized treatment plans.

To truly get the most out of your appointment, it’s important to come prepared. Here’s how you can maximize the value of your time with your concierge doctor.

1. Prepare a List of Questions and Concerns for Your Concierge Doctor

With a concierge doctor, you have the benefit of a more personalized conversation, so it’s a great opportunity to address all your health concerns. Write down any symptoms, questions, or concerns before your appointment. This ensures you won’t forget important topics and helps your doctor, such as Dr. Santana or Dr. Caballero, provide thorough guidance tailored to your needs.

2. Update Your Health Information

To help your concierge doctor give you the best care possible, make sure to update your health records. Bring a list of any medications you are taking, including supplements, as well as any recent test results. Dr. Santana and Dr. Caballero use this information to create a holistic understanding of your health, allowing them to recommend personalized preventive measures.

3. Be Open About Lifestyle Factors with Your Concierge Doctor

One of the key benefits of working with a concierge doctor is that they take the time to understand your lifestyle and its impact on your health. Discuss your diet, exercise routine, stress levels, and sleep habits openly. Concierge doctors like Dr. Santana and Dr. Caballero will use this information to provide customized lifestyle recommendations that align with your health goals.

4. Set Health Goals Together

Concierge medicine is all about proactive health management. During your concierge doctor appointment, you can work with your physician to set achievable health goals. Whether your goal is to improve your diet, manage stress, or increase physical activity, Dr. Santana and Dr. Caballero are here to help you develop a realistic and effective plan to reach those goals.

5. Take Notes During Your Appointment

Appointments with concierge doctors are often rich in information. It’s helpful to take notes during your appointment to ensure you remember your doctor’s advice and recommendations. Dr. Santana and Dr. Caballero are always available to answer follow-up questions, but having notes can help you apply their advice right away.

6. Utilize Your Direct Access

One of the unique benefits of having a concierge doctor is the access you have outside of regular appointments. Don’t hesitate to reach out to Dr. Santana or Dr. Caballero with follow-up questions or concerns via cellphone or email. This ongoing communication is a key part of concierge medicine and ensures your healthcare is always aligned with your needs.

Building a Strong Relationship with Your Concierge Doctor

The relationship you build with your concierge doctor is central to your health journey. By maximizing each appointment, you not only receive better care but also deepen the partnership with your physician. Dr. Santana and Dr. Caballero are dedicated to providing care that extends beyond the clinic walls—offering guidance, support, and personalized recommendations for every aspect of your well-being.

Your Health, Personalized

Concierge medicine is about more than treating illnesses; it’s about preventing them and optimizing your quality of life. A successful concierge doctor appointment involves active participation from both you and your physician. By preparing ahead of time and being open about your health and lifestyle, you can ensure you’re getting the most from your concierge doctor.

Ready to Schedule Your Concierge Doctor Appointment?

If you’re ready to take control of your health with the personalized approach of a concierge doctor, Dr. Jose R Santana Jr M.D. M.P.H. F.A.C.P. and Dr. Carlos F. Caballero, M.D., F.A.C.P. at Private Physician Services are here to help. Visit Private Physician Services to learn more or to schedule your appointment today.

Sarasota Concierge Doctors: Health Screenings Are the Key to Longevity

· Illness Prevention · Comments Off on Sarasota Concierge Doctors: Health Screenings Are the Key to Longevity

Living a long, healthy life is a goal for many of us. But achieving that goal often requires more than just eating well and staying active. Regular health screenings are an essential component of preventive healthcare and play a crucial role in promoting longevity. At Private Physician Services, our Sarasota concierge doctors, Dr. Jose R Santana Jr M.D. M.P.H. F.A.C.P. and Dr. Carlos F. Caballero, M.D., F.A.C.P., dedicate their lives to helping you live a longer, healthier life through proactive, personalized medical care.

Sarasota Concierge Doctors and Importance of Regular Health Screenings

Health screenings are vital for detecting potential health issues before they become serious. For instance, they allow us to catch diseases like cancer, diabetes, and heart disease early. This is important, because it’s the most advantageous time to catch diseases, since they are easier to manage. It’s also important to note, that by partnering with Sarasota concierge doctors, you receive the personalized attention needed to understand your unique health risks. Our concierge doctors create tailored plans for regular health screenings.

Health Screenings and the Sarasota Concierge Doctor Difference

Health screenings are tests or evaluations designed to assess your overall health and detect specific health issues. For example, these can include blood pressure checks, cholesterol tests, cancer screenings, and more. Dr. Santana and Dr. Caballero focus on providing a comprehensive health evaluation, ensuring that no aspect of your wellness is overlooked.

Regular screenings are not just for those already facing health concerns. Even if you feel perfectly healthy, screenings are crucial to maintaining your well-being and catching any silent conditions before they progress. To that end, Sarasota concierge doctors like Dr. Santana and Dr. Caballero provide a proactive approach that helps ensure your long-term health is in good hands.

How Sarasota Concierge Doctors Make a Difference

At Private Physician Services, our concierge model gives us the time and flexibility to prioritize your health. Our concierge doctors, Dr. Santana and Dr. Caballero, prefer longer, more personalized appointments with their patients. Therefore, allowing them to dive deeper into your medical history and health concerns. This individualized approach is particularly beneficial for identifying potential risk factors and creating a plan that promotes longevity.

Through a combination of regular health screenings, lifestyle assessments, and ongoing consultations, Dr. Santana and Dr. Caballero commit to providing care that extends beyond simple symptom management. Above all, their goal is to help you achieve optimal health and well-being.

Key Health Screenings for Longevity

Sarasota concierge doctors recommend a variety of health screenings based on age, gender, and personal risk factors. Some key screenings include:

  • Blood Pressure and Cholesterol Checks: High blood pressure and cholesterol are leading risk factors for heart disease. Regular monitoring helps us manage these conditions before they cause serious complications.
  • Cancer Screenings: Early detection is crucial in treating many forms of cancer. Screenings such as mammograms, colonoscopies, and skin checks can help catch cancer at an early, more treatable stage.
  • Diabetes Screening: Detecting elevated blood sugar levels early allows for lifestyle adjustments or medical interventions that can prevent or delay the onset of diabetes.
  • Bone Density Testing: As we age, our bones can become weaker. Bone density tests help identify osteoporosis or other bone conditions that may need treatment to reduce the risk of fractures.

By working closely with Sarasota concierge doctors like Dr. Santana and Dr. Caballero, you will receive a comprehensive, customized screening schedule designed to address your specific needs.

Proactive Concierge Medicine and Longevity

The key to longevity is prevention. Sarasota concierge doctors prioritize preventive healthcare by providing personalized guidance that extends beyond the examination room. From nutrition and exercise recommendations to stress management strategies, Dr. Santana and Dr. Caballero strive to support every aspect of your well-being.

Their holistic approach is what sets concierge medicine apart. Rather than waiting for health issues to arise, concierge doctors proactively help you stay on top of your health, ensuring that you have the tools and support needed to enjoy a long and vibrant life.

Your Partners in Longevity

Choosing a Sarasota concierge doctor means choosing a partner in your health journey. Dr. Jose R Santana Jr M.D. M.P.H. F.A.C.P. and Dr. Carlos F. Caballero, M.D., F.A.C.P., are committed to helping their patients live longer, healthier lives by focusing on prevention and personalized care.

Health screenings are a critical part of staying healthy, and our team is here to ensure you have the individualized attention you deserve. With proactive health screenings and the guidance of Sarasota concierge doctors, you can take meaningful steps toward a healthier future.

Ready to Prioritize Your Health?

If you’re ready to take control of your health and embrace proactive, personalized care, Private Physician Services is here to help. Our Sarasota concierge doctors are dedicated to guiding you on the path to longevity. Visit us at Private Physician Services today or call (941) 917-8365 to schedule your comprehensive health screening.

How a Concierge Doctor Can Support Your Mental Wellness

· Stress Management · Comments Off on How a Concierge Doctor Can Support Your Mental Wellness

In today’s fast-paced world, stress is an all-too-common companion. Whether it’s work pressures, family responsibilities, or unexpected challenges, stress affects not only our mental health but also our physical well-being. At Private Physician Services in Sarasota, Florida, we believe that managing stress is crucial to living a healthy and fulfilling life—and our concierge medicine approach can make all the difference.

The Connection Between Stress and Physical Health

Stress isn’t just in your mind; it’s in your body too. Chronic stress can lead to increased blood pressure, weakened immunity, and higher risks of developing serious conditions like heart disease and diabetes. Beyond physical health, stress can also affect your sleep, mood, and overall quality of life. That’s why a holistic approach to stress management is essential—and your concierge doctor is here to help.

Personalized Stress Management With Concierge Medicine

At Private Physician Services, our concierge medicine model allows us to take a proactive, personalized approach to your health. Unlike traditional healthcare settings, where time with your physician can feel rushed, our patients benefit from longer, more in-depth appointments. This extra time gives us the opportunity to explore the sources of your stress and help you develop individualized strategies to manage it.

Our concierge doctor team understands that stress is not a one-size-fits-all issue. We work closely with you to create a personalized plan that fits your lifestyle, which may include:

  • Mindfulness and Relaxation Techniques: Guided mindfulness exercises and meditation can play a powerful role in managing stress. We help you incorporate these practices into your daily routine to cultivate calmness and resilience.
  • Nutrition and Physical Activity: Eating well and staying active are essential to keeping stress levels in check. We provide tailored nutritional guidance and physical activity recommendations that support both your body and mind.
  • Sleep Support: Poor sleep is both a symptom and a cause of stress. Our team helps you develop better sleep hygiene habits and offers solutions that ensure you get the restorative sleep your body needs.

Direct Access to your Concierge Doctor

Stress doesn’t always happen during office hours. With concierge medicine, you have direct physician access by cell phone and email, so whenever life throws you a curveball, you can reach out for support. This kind of immediate, responsive care provides the peace of mind that many people need to effectively manage their stress.

Building a Wellness Partnership with your Concierge Doctor

At Private Physician Services, we see ourselves as partners in your health journey. By focusing on stress management, we aim to not only prevent chronic health conditions but also help you lead a happier, more balanced life. Our goal is to empower you with the tools and support you need to handle whatever comes your way—all within the personalized, caring environment that concierge medicine provides.

Ready to Take Charge of Your Stress?

If you’re ready to manage stress and take control of your health, Private Physician Services is here to help. Our personalized approach puts your wellness first, offering you the care, time, and resources you deserve.

Learn more about how we can support your mental wellness by booking an appointment on Private Physician Services or give us a call today at (941) 917-8365 to schedule your consultation.

What Sets Concierge Medical Doctors Apart?

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Introduction

In today’s fast-paced world, the demand for personalized and high-quality healthcare is increasing. As patients seek more attentive and customized medical care, concierge medicine is emerging as a preferred choice. But what exactly sets concierge medical doctors apart from traditional healthcare providers? In this article, we delve into the unique attributes and benefits of concierge medicine, emphasizing the personal attention and customized care that defines our innovative approach to healthcare.

Concierge Medical Doctors Provide Personalized Attention

One of the most significant advantages of concierge medicine is the level of personalized attention that patients receive. Unlike traditional healthcare practices where doctors often manage a large number of patients, concierge medical doctors limit their patient load. At Private Physician Services, this allows us to spend more time with each patient, ensuring that every concern is thoroughly addressed.

Benefits of Personalized Attention:

  • Extended Consultation Times: Patients benefit from longer appointment times, allowing for a more comprehensive evaluation and discussion of their health concerns.
  • Direct Communication: Concierge patients often have direct access to their doctors via phone, email, or text, ensuring timely responses to their questions and needs.

Concierge Medical Doctors Provide Customized Care Plans

Concierge medical doctors tailor their care plans to fit the unique needs of each patient. At Private Physician Services, our customized approach ensures that treatment plans are not only effective but also align with our patient’s lifestyle and preferences.

Key Aspects of Customized Care:

  • Individual Health Assessments: Comprehensive health assessments and personalized wellness plans are designed to meet the specific needs of each patient.
  • Proactive Health Management: With a focus on preventive care, concierge doctors help patients manage chronic conditions and avoid potential health issues through regular monitoring and early intervention.

Concierge Medical Doctors Provide Enhanced Accessibility

One of the hallmark features of concierge medicine is enhanced accessibility. Our patients can schedule same-day or next-day appointments, and waiting times are significantly reduced compared to traditional practices. This ensures that patients receive timely care when they need it most.

Advantages of Enhanced Accessibility:

  • Convenience: The ability to secure quick appointments and avoid long wait times makes healthcare more convenient and less stressful for patients.
  • Timely Interventions: Prompt access to medical care can lead to better health outcomes, especially in situations requiring immediate attention.

Concierge Medical Doctors Provide Comprehensive Care Coordination

Concierge medical doctors often provide a higher level of care coordination. At Private Physician Services, we manage all aspects of their patients’ healthcare, from specialist referrals to hospital visits, ensuring a seamless and integrated healthcare experience.

Benefits of Comprehensive Care Coordination:

  • Streamlined Healthcare: By overseeing and coordinating various aspects of care, concierge doctors ensure that patients receive consistent and well-organized medical attention.
  • Patient Advocacy: Concierge doctors act as advocates for their patients, navigating the healthcare system and ensuring that their patients receive the best possible care.

Concierge medicine is transforming the healthcare landscape by prioritizing personalized attention, customized care, enhanced accessibility, and comprehensive care coordination. These unique attributes set the concierge medical doctors at Private Physician Services apart from traditional healthcare providers, offering patients a superior and more tailored healthcare experience. As more people seek healthcare that aligns with their individual needs and preferences, Private Physician Services stands out as a compelling option.

By choosing a concierge medical doctor at Private Physician Services, patients can enjoy the peace of mind that comes with knowing they have a dedicated healthcare partner committed to their well-being. Discover the benefits of concierge medicine today and experience a new standard of care that truly puts the patient first.

The Growing Trend of Concierge Medicine in Internal Medicine

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In recent years, the healthcare landscape has witnessed a significant transformation with the rise of concierge medicine, particularly within the field of internal medicine. This model of healthcare is rapidly gaining popularity among patients and healthcare providers alike, as it promises a more personalized and accessible healthcare experience. In this article, we explore how concierge medicine is meeting the complex needs of patients today and why it’s becoming an increasingly preferred choice in internal medicine.

What is Concierge Medicine?

Concierge medicine is a healthcare model that emphasizes personalized care, extended consultations, and readily available access to healthcare providers. Patients pay an annual fee or retainer, which affords them on-demand access to their physicians, often including same-day appointments, direct phone or email access, and consultations that last as long as necessary to address their concerns fully.

The Appeal in Internal Medicine

Internal medicine, with its focus on adult medicine and the treatment of a wide range of illnesses affecting various organ systems, is particularly well-suited to the concierge model. Internal medicine practitioners often manage complex chronic diseases that require frequent monitoring and an ongoing, in-depth understanding of the patient’s health status. The concierge model allows internists to provide this high level of care without the constraints imposed by traditional practice models.

Concierge Medical Doctors Meeting Complex Needs

  1. Enhanced Access and Communication: One of the fundamental benefits of concierge medicine is the enhanced doctor-patient communication it facilitates. At Private Physician Service, patients can reach their concierge doctor quickly and discuss their issues without the usual delays seen in conventional settings.
  2. Personalized Care Plans: With more time to spend with each patient, concierge doctors can develop more detailed and personalized care plans. This is particularly beneficial for patients with multiple health issues, as it allows for a holistic approach to treatment.
  3. Proactive Health Management: Concierge medicine’s proactive approach is a game-changer in managing chronic diseases. Regular and thorough check-ups help in early detection and management of potential health issues before they develop into serious problems.
  4. Continuity of Care: Patients enjoy a continuity of care that is often missing in traditional practice. Seeing the same doctor consistently builds a trusting relationship, crucial for effective healthcare delivery.

Why is having a Private Physician Growing in Popularity?

The growth in popularity of concierge medicine within internal medicine can be attributed to several factors:

  • Dissatisfaction with Traditional Healthcare: Increasing dissatisfaction with the rushed interactions and administrative burdens of traditional healthcare models is leading patients and doctors alike to look for alternatives.
  • Aging Population: As the population ages, the demand for intensive and personalized healthcare increases. The concierge model is ideally suited to meet these demands.
  • Technological Advancements: Technology in healthcare has made it easier for concierge medicine practices to maintain continuous communication with their patients through apps and other online tools.

The shift towards concierge medicine in internal medicine reflects a broader move towards more patient-centered, responsive healthcare. As this trend continues, it holds the promise of transforming the practice of medicine by aligning more closely with the needs and preferences of patients. For those seeking a deeper, more connected relationship with their internal medicine provider, Private Physician Services offers a compelling alternative to the status quo.

Spring Into Health: The Concierge Medical Practice Advantage

· Illness Prevention · Comments Off on Spring Into Health: The Concierge Medical Practice Advantage

As the days grow longer and the world around us blossoms into the vibrant colors of Spring, it’s a perfect time to rejuvenate our health and wellness routines. This season of renewal offers an excellent opportunity to focus on preventive care and wellness, and there’s no better way to do 

this than with the personalized attention of a concierge medical practice like Private Physician Services. Let’s explore how this healthcare model can help you spring into your healthiest self. 

Embracing Spring with a Health Focus

Spring is not just a time for cleaning out our homes but also an ideal moment to refresh our health goals. As we shed the layers of winter, or as we here at Private Physician Services in Sarasota, FL like to call it, cooler summer, it’s an opportunity to assess our health and set new objectives. Whether it’s improving nutrition, increasing physical activity, or managing stress, the personalized care provided by a concierge medical practice can guide you through these transitions smoothly. 

The Concierge Medical Practice Difference

  • Personalized Care Plans: Every individual’s health journey is unique, especially as we transition from the colder months into Spring. A concierge medical practice like Private Physician Services offers tailored health plans that consider your personal health history, current health status, and future wellness goals. 
  • Preventive Health Focus: Spring is an excellent time for preventive measures, such as health screenings and vaccinations, to ensure you’re protected throughout the year. Meeting with your concierge doctor at Private Physician Services can allow you to emphasize preventive care, helping you stay ahead of potential health issues. 
  • Accessibility and Convenience: With direct access to your physician, you can address health concerns as they arise without the wait. This immediate access is particularly beneficial in Spring, a common time for allergies and other seasonal health issues. 
  • Comprehensive Support: Beyond immediate health concerns, concierge medical practices offer comprehensive support for lifestyle changes, including nutrition counseling, fitness plans, and stress management strategies. This holistic approach ensures that you’re not just healthy but thriving. 

Spring Health Tips from Your Concierge Medical Practice

  • Allergy Management: With the arrival of Spring comes allergy season. Private Physician Services can provide personalized strategies for managing allergies, from medication to lifestyle adjustments. 
  • Outdoor Activity: Take advantage of the warmer weather to boost your physical activity. Whether it’s walking, cycling, or gardening, your concierge doctor at Private Physician Services can recommend activities suited to your health status and goals. 
  • Nutrition for Wellness: Spring brings a bounty of fresh fruits and vegetables. A concierge medical practice like Private Physician Services can offer nutrition counseling to help you incorporate these seasonal foods into your diet for optimal health.
  • Mental Health and Well-being: The transition into Spring can be an excellent time to focus on mental health. Private Physician Services can provide resources for managing stress, anxiety, and other mental health concerns, ensuring a holistic approach to your well-being. 

As we welcome the Spring season, it’s the perfect time to prioritize our health and wellness. With the personalized, patient-centered care of a concierge medical practice, you have a partner in health who can provide the support, guidance, and care you need to achieve your wellness goals. At Private Physician Services, we’re dedicated to helping you embrace the season of renewal with health and happiness at the forefront.

Navigating Health as a Snowbird: Deep Dive into Seasonal Well-being

· Illness Prevention · Comments Off on Navigating Health as a Snowbird: Deep Dive into Seasonal Well-being

As the gentle breezes of Fall grace Sarasota, our “snowbird” friends begin their annual migration, seeking refuge from the chilly northern winters. While the sun-kissed shores of Sarasota offer a warm embrace, transitioning between two distinct climates can have nuanced effects on one’s health. Let’s explore these effects and understand how to maintain optimal well-being.

The Snowbird Lifestyle: Deep Health Insights

Climate Adjustments: Transitioning from a cold to a mild climate can affect blood pressure, skin health, and even sleep patterns. It’s essential to acclimatize by gradually increasing outdoor activities and staying hydrated.

Seasonal Affective Disorder (SAD): Reduced exposure to sunlight in the North can lead to a drop in serotonin, a brain chemical (neurotransmitter) that affects mood. While Sarasota offers more sunlight, maintaining a routine that includes outdoor activities can help balance serotonin levels and improve mood.

Dietary Changes: Different locations mean a change in available foods. Sarasota’s rich produce can provide essential vitamins and minerals. For instance, citrus fruits, abundant in Florida, are packed with Vitamin C, a potent antioxidant that supports the immune system and skin health.

Activity Levels: Consistent exercise is vital for cardiovascular health, muscle strength, and mental well-being. While your activities might differ between the North and Sarasota, maintaining a routine ensures you reap the benefits of physical activity year-round.

Why Immune-Boosting and Stress Management Matter

Immune-Boosting Foods: Foods like ginger and garlic contain bioactive compounds that have anti-inflammatory and antimicrobial properties. Inflammation is the body’s natural response to invaders, but chronic inflammation can lead to health issues. Anti-inflammatory foods help modulate this response, ensuring a balanced immune system.

Managing Stress: Stress releases cortisol, a hormone that, in high levels, can suppress the immune system, increase blood pressure, and lead to weight gain. Techniques like meditation and deep breathing exercises can reduce cortisol levels, promoting better mental and physical health.

Regular Check-ups: Bi-annual migrations can mean exposure to different allergens, environmental factors, and even changes in air and water quality. Regular check-ups allow for early detection and management of any health concerns, ensuring you enjoy your time in both locales. Whether you’ve made the migration from up north, or are here year-round, schedule your concierge health check-up online or by giving us a call.

Conclusion

Being a snowbird offers the unique experience of enjoying the best of both worlds. At Private Physician Services in Sarasota, Florida, we delve deep into the intricacies of your health, ensuring you transition seamlessly between your northern and southern homes. Embrace the beauty of Sarasota with the confidence of comprehensive, personalized healthcare by your side.

Understanding Concierge Medicine: A Personalized Approach to Healthcare

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Concierge medicine is a healthcare model emphasizing a personalized and direct relationship between patients and physicians. Unlike traditional healthcare settings, concierge medicine offers patients immediate access to their doctors, extended appointment times, and a focus on preventive care. But what exactly is concierge medicine, and why might it be the right choice for you? Let’s explore.

What is Concierge Medicine?

Concierge medicine, boutique medicine, or retainer medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. This fee allows for enhanced care, including:

  • Immediate Access to Physicians: No more waiting weeks for an appointment.
  • Extended Appointment Times: More time to discuss your health concerns.
  • Personalized Care Plans: Tailored to your unique health needs.
  • Preventive Focus: Emphasis on keeping you healthy, not just treating illness.

Why Choose Concierge Medicine?

  • Quality Time with Your Doctor: The extended appointment times allow for a thorough examination and understanding of your health.
  • Accessibility: Reach your doctor via phone, email, or video chat.
  • Holistic Approach: Focus on overall well-being, nutrition, exercise, and mental health.
  • No Surprise Bills: The annual fee covers most services, providing complete cost transparency.

Conclusion

Concierge medicine offers a refreshing and personalized approach to healthcare. At Private Physician Services in Sarasota, Florida, we believe in providing premium quality patient care with a focus on personal attention and prevention. If you value your health and time and seek individualized attention in a private and unhurried environment, concierge medicine may be the perfect fit.

COVID-19 Emerging Data & Treatments

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Our politicians and scientists rely on models that predict a surge in patient volumes in our region in the third or fourth week of April. Despite news reports about reaching the so-called “plateau” in New York City, in Florida, we likely lag by a couple of weeks. We must not be lulled into complacency by a premature sense of security. This is the calm before the hurricane heading towards us. Many of us have experienced that sense of calm, during which we prepare, get supplies, fortify our homes, and hope that instead of making landfall, the storm redirects sparing us the brunt of overwhelming our healthcare system. How much that storm redirects results from the steps we are taking now to protect ourselves and to ensure our healthcare system’s ability to care for those who need it the most. We are hopeful that the anticipated surge in Florida will be lower than what was previously predicted.

STATISTICS (according to Johns Hopkins, CDC and Fl Dept of Health as of 4/10/20 8am)

  • Total confirmed cases (worldwide): 1,612,646
  • Total worldwide deaths: 96,786
  • Total confirmed cases (US): 466,299
  • Total deaths (U.S.): 16,676
  • Total confirmed cases (Florida): 16,323
  • Total deaths (Florida residents): 371
  • Total cases Sarasota/Manatee counties: 380
  • Total deaths Sarasota/Manatee counties: 21
Total number of COVID-19 United States cases

As Dr. Caballero has pointed out, we need a validated point-of-care to expedite engaging and socializing once again. For now, continue social distancing. Just when we need each more in America, we are forced apart. Former U.S. Surgeon General Dr. Vivek Murthy states “we find ourselves with a silent but common challenge of loneliness that people are struggling with all over the country.” Take at least 15 minutes daily to talk with or write a loved one. Helping others may be as simple as a phone call. Allow others to help you as well, mindful of the social distance constraints to keep them and yourselves safe.

COVID-19 Emerging Treatments

There is hope for multiple emerging treatment possibilities for COVID-19 patients. There has been much discussion regarding hydroxychloroquine and azithromycin. Baycare health systems in the Tampa Bay area are participating in studies on remdesivir and sarilumab. Sarasota Memorial Hospital has joined studies using plasma as well as remdesivir. Dr. Caballero and I review these options daily, relying on each of our over 25 years of experience as internists as we evaluate guidelines from CDC, FDA, our professional associations and journals to remain abreast of the latest developments. We seek to treat based on science that supports proven benefits.

We are engaged in your health. Stay safe.
Jose R Santana Jr MD MPH FACP

COVID-19 Projections

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It’s my hope that this blog finds you restful.

We are familiar with projection models in Florida. We’ve all been glued to the Weather Channel starring at “spaghetti” strands representing hurricane projection models. A lot of science goes into generating those models, including measurements from the eye of the hurricane. Rarely are they right. That’s typical of projection models, whether for COVID-19 or hurricanes.

The best data right now has the mortality of COVID-19 around 1%. This puts it somewhere between the 1957 influenza pandemic 0.6% and the Pandemic of 1918 at 2%. This is about ten-fold the rate for seasonal influenza which accounts for approximately 50,000 US deaths per year; so, it’s tracking to kill 500,000 Americans. Another projection, and we know about projections.

A fundamental problem with COVID is how easily it spreads. The average infected person spreads it to 2.2 others. Mildly symptomatic and even asymptomatic people can spread this virus adding to the challenge of containment.

Fortunately, the vast majority of infected patients overcome this virus without the need for hospital-based care. There are millions of Americans who have had this and gotten over it. As antibody testing expands, we will be able to identify naturally immunized people and let them out of isolation, returning to the community and economy.

Following guidelines and stay-at-home orders is what you do for your fellow man. “Bending the curve” doesn’t reduce the area under the curve. In other words, it doesn’t reduce the number of deaths that COVID-19 will cause; effective therapy and vaccines reduce mortality. What isolation orders do is protect our community resources from being overwhelmed. When you stay at home, you’re helping Sarasota Memorial and all health care workers.

Because SMH is not overwhelmed I was able to admit a patient for non-COVID-19 reasons Saturday night, using ER resources and available hospital beds. This is the capacity that is under threat and the one we are trying to prevent in the collective.

It’s the same thing homemade masks do. THEY DO NOT PROTECT YOU. But they help reduce viral spread from asymptomatic shedding in our community. That, in turn, modulates the stress on our health-care resources.

Dr. Birx and Admiral Polowczk presented data tracking cases at the county level. Admiral Polowczk said he was using this information to move supplies to areas of need. After hearing that vendors were holding up supplies, Admiral Polowczk said vendors would be delivering to the front door based on his order. Public hospitals like ours receive top priority, then VA hospitals, then nursing homes. An agile and prudent use of supplies saves lives in pandemics and this was great news.

It is also good that vaccines studies are currently in animal safety trials. Scientists were able to sequence the entire genome of this virus and develop vaccine prospects. Factory construction has received Federal approval and funding for mass production the moment a vaccine proves safe and successful. A vaccine stops the spread of the virus and allows broad relief of public health restrictions.

Anti-viral medications are undergoing clinical trials. Anti-viral medications transformed the treatment of HIV and today millions can expect to live full lives despite infection. Several drugs are in effectiveness trials for COVID-19. They may become available within months decreasing mortality among the infected.

At long last, the President of the AMA has answered the President’s question: What you have to lose is your life unnecessarily. I exchanged e-mails with Thomas File MD MACP over the weekend. He is the President of the Infectious Disease Society of America (IDSA). He said he understood how I felt about the lack of leadership and guidance by the IDSA and said I’d be happy to know that the Society would be putting out evidence-based guidelines next week and asked that I follow up with him after they are issued. If they’re evidence-based, they will not endorse the use of hydroxychloroquine and azithromycin.

I just finished exchanging e-mails with Lindsey Baden MD. He’s leading COVID for The New England Journal of Medicine along with Dr. Eric Rubin, the editor. Lindsey was one of my professors. I pointed out my concern that no “Position Statements” had been written against the use of dangerous, unproven medications without informed consent. I drew attention to a nationally well-known hospital’s behavior.  This was not a Florida hospital.

This hospital has actually instituted a protocol for hydroxychloroquine and azithromycin to be used outside of clinical trials. In what will live as one of the most regrettable statements in the history of the institution, they report a favorable risk/benefit analysis and worse yet a good cost:benefit analysis too. They have no evidence of benefit to make an analysis. Success in the lab leads to clinical promise. Clinical promise presupposes that benefit is still to be determined. You can’t use clinical promise in a benefit analysis- by definition. This hospital’s protocol is indefensible.

Lindsey says he appreciated my points and assured me ‘comments addressing these issues are underway.’ We should see something in the NEJM shortly.

American organized medicine has been slow and stumbling, while the rank and file medical personnel are in their “finest hour” and in greatest need of leadership. Toni Morrison said times of dread are “precisely the time when artists go to work. There is no time for despair, no place for self-pity, no need for silence, no room for fear..” That’s good advice for artists, but it’s also good advice for medical leaders and frankly, all Americans.

The coming week will be hard to experience. An exponential rise in deaths will begin sweeping across the country. Please know that we need kindness now, more than ever. Help yourself, help your community, help your hospital and its workers by staying home and using up your supply of compassion and empathy. If you go out wear a mask and be kind.

Exercise caution and kindness,

Carlos