Comprehensive Medical Care for Adults
A significant part of our time is spent in preventive care. We recommend regular comprehensive physical exams for our patients, with yearly exams advisable especially for those over age 50. A longer session is scheduled so that we have sufficient time to review your medical history, current concerns, and issues from your family background. This exam also includes complete laboratory testing aimed at any special problem you might have, as well as screening for many diseases.
Based on your history or personal preference, you may also choose to pursue more extensive screening studies such as CT imaging or more complete cardiovascular risk assessment. We routinely assist our patients with obtaining these studies, both in our laboratory and with the assistance of local specialists. We review results of all tests with you personally, and prepare a plan for your future care. If necessary, we provide followup in our office for your continuing care, or assist with arranging further evaluation by an appropriate specialist.
We prefer providing continuity in the care of our patients, including evaluation of acute issues, rather than limiting our practice to performing physical examinations. Our schedules are arranged to enable availability for urgent care visits, usually with your doctor or a member of our group on the same day. We also benefit from the convenience of having multiple specialists and medical services in our office building. Most specialties are well represented, and expeditious appointment scheduling is usually possible when medically necessary. We also routinely utilize on-site radiology services, provided by Georgetown Radiology and Foxhall MRI.
Most of our diagnostic testing is performed using our on-site clinical laboratory, which is open for all studies from 8:30 AM until 5:00 PM on weekdays. The lab is also open from 8:00 AM to 8:30 AM for blood drawing only.
Here we perform blood tests, urinalysis, electrocardiograms, chest X-rays, and strep throat tests, generally on a “walk-in” basis. If any additional imaging studies are necessary, such as other types of X-rays, ultrasound, CT, or MRI exams, we generally utilize providers of these services in the Foxhall Square building, or at one of the local hospitals.
Most tests do not require any specific preparation. However, if you have been asked to fast prior to your test, such as for a check of your cholesterol or as part of a routine physical examination, please do not eat for eight to twelve hours prior to arriving. It is advisable to drink water on the morning of any blood testing, since drawing blood can be more difficult if you are dehydrated. You may take your medicines according to their usual schedule, unless you have been advised otherwise.
In addition to the above tests, we also offer:
Ambulatory Blood Pressure Monitoring
This is done either to ensure that patients with hypertension have satisfactory control of their blood pressure with medication, or to determine if patients have “white coat hypertension,” in which blood pressure is high in our office but otherwise normal. A small monitor records blood pressure readings for 24 hours, and the data are then analyzed by your physician.
Bone densitometry (DEXA scan)
Screening for osteoporosis is now routinely performed in our office, with the goal of detecting a decrease in bone density before there is a fracture. If your bone density is found to be lower than it should be, a number of medications are available which either reduce the chance of further bone loss, or in some cases help to rebuild bone. Further details on this test can be found on this site by clicking here.
Often patients who experience palpitations (sensations of an irregular heart rhythm) have no unusual findings when their heart is examined, and have a normal electrocardiogram. A Holter monitor is used in this situation to determine why the palpitations are occurring. Every heartbeat is recorded for 24 hours, and the information is then used to determine what is causing the palpitations, and whether any further treatment is necessary. Holter monitoring can also be used for evaluation of recurrent dizziness if a heart problem is suspected, and for assessing how well medication is working to control abnormal heart rhythms.