SERVICES.

DMV Medical Concierge is a physician-based organization providing health care exclusively to patients in their homes and other outpatient settings.
As experts in meeting the needs of the homebound patient, we have the knowledge and expertise to manage both routine and complex medical problems. With advanced technologies available right at our fingertips, we’re able to provide the most comprehensive approach to both diagnosis and treatment. In addition, we perform complete physical examinations.

Our Specialties:

Alzheimer’s Disease
Competency Examinations
Geriatric Medicine
Parkinson’s Disease
Cardiovascular Conditions
Osteoporosis
Urinary Incontinence
Chronic Obstructive Pulmonary Disease
Diabetes
Pain Management/Palliative care
Wound Care
Click on a Specialty above to learn more below

WHAT WE DO?.

House Call Services:

Complete History & Physical Examinations,
Routine Visits & Sick Calls,
Decubitus Ulcer Care & Debridement,
Nursing Home Facility Visits,
Care Plan oversight of Home Health Nurses & Hospice,
Joint and trigger point Injections,
Chronic Disease Management, Immunizations,
Flu Shots,
Prescription Renewals,
Referral to Specialists

In-Home Diagnostic Testing

Urine Analysis
Blood Tests
Anti-coagulation Management
Anemia and Iron Deficiencies
Spirometry & Pulse Oximetry
Cholesterol
Diabetes and Blood Sugar
Liver Testing
Thyroid function test
Skin Biopsies
Electrocardiogram (EKG)

OUR SPECIALTIES.

Alzheimer’s Disease

Alzheimer’s disease accounts for half to two thirds of all dementia cases. Other causes of dementia include: Vascular disease, Brain injury, Parkinson’s disease, Vitamin B deficiencies, Drug or alcohol abuse
Alzheimer’s disease is a degenerative disease of the brain from which there is no recovery. The disease attacks nerve cells in all parts of the cortex of the brain, impairing a person’s ability to govern emotions, coordinate their movements, and remember things.
Alzheimer’s disease is common in older individuals with over 50% of all 95 year olds reporting some type of impairment. Alzheimer’s in now the fourth leading cause of death in adults.
DMV Medical Concierge Physicians has extensive experience in treating Alzheimer’s disease. Fortunately, as more is known about the pathology of the disease, new treatment options will become available, in addition to the symptomatic therapy now offered by a variety of cholinesterase inhibitor drugs.

Parkinson’s Disease

Parkinson’s disease is a slow progressive disorder that occurs when cells are destroyed in certain parts of the brainstem. This destruction appears to have an impact on the release of dopamine, a major neurotransmitter. A loss in dopamine negatively affects the nerves and muscles controlling movement and coordination. There is probably no single cause for Parkinson’s disease, but rather it is a combination of genetic susceptibility and environmental factors.

Cardiovascular Conditions

Arteriosclerosis or “hardening of the arteries” occurs when the inside walls of an artery become thicker and less elastic. The thickening reduces the area available for blood flow. Although arteriosclerosis reveals few symptoms at first, the damaged artery eventually cannot carry enough blood to supply the necessary amount of oxygen. Cholesterol and similar substances attach themselves to the inside linings of the arteries. There they gradually thicken into a substance called plaque. As plaque grows, it narrows the artery and in some cases blocks it entirely. This can lead to angina and heart attacks.
Hypertension, or high blood pressure, usually has no symptoms, and is often called the “silent killer.” High blood pressure occurs when the body’s smaller blood vessels narrow, which causes the blood to exert excessive pressure against the vessel walls. Two numbers are used to describe blood pressure: systolic and diastolic. Systolic pressure refers to the pressure the blood exerts on the artery walls as the heart pumps blood, and diastolic refers to the force as the heart relaxes to allow the blood to flow back to the heart.
Congestive Heart Failure, commonly referred to as CHF, occurs when the heart cannot pump out enough blood to meet the needs of the body. All forms of heart disease may eventually lead to CHF. CHF is the most common cause of death for people over the age of 65.
Since 85% of our patients are over the age of 75, we have extensive experience in the detection and treatment of all forms of heart disease. We carry mobile EKG devices that allow us to monitor the performance of the heart. We can also perform on-site x-rays when necessary. With the use of proper medications and ongoing care by a medical professional, DMV Medical Concierge Physician is able to help many patients with heart ailments.

Osteoporosis

There are currently 10 million Americans suffering from osteoporosis, as well as another 18 million who have low bone mass. Osteoporosis occurs when the body fails to form enough new bone, or when the body reabsorbs too much old bone. Calcium and phosphate are two minerals that are essential for normal bone formation. As people age, calcium and phosphate may be reabsorbed back into the body from the bones, which makes the bone tissue weaker. Women over the age of 60 are the most frequent sufferers of the disease.
Conducting a thorough physical examination, performing x-rays, and bone density testing can all detect this “silent disease.”

Urinary Incontinence

Urinary incontinence (UI) is a common but poorly understood problem in the elderly population. It is estimated that approximately one in five persons living in a community dwelling have significant urinary incontinence. Although the changes in urinary anatomy that result from normal aging do not cause urinary incontinence, they do create a situation that allows incontinence to occur more easily. Aging does result in a reduced size of the urinary bladder producing a decreased bladder volume and a need for more frequent bladder emptying. Additionally, many diseases and medications can contribute to the problem of urinary incontinence.
By reviewing past medical histories, performing a complete physical examination, and conducting blood and urine analyses, Visiting Physicians are able to diagnose and treat the majority of UI cases. For most patients diagnosis and treatment options are inexpensive, non-invasive, and successful.

Diabetes

Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.
There are 20.8 million people in the United States, or 7% of the population, who have diabetes. While an estimated 14.6 million have been diagnosed with diabetes, unfortunately, 6.2 million people (or nearly one-third) are unaware that they have the disease. In order to determine whether or not a patient has pre-diabetes or diabetes, health care providers conduct a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT). The American Diabetes Association recommends the FPG because it is easier, faster, and less expensive to perform.

Palliative Care/Pain Management

Palliative care is a form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure. The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex illness. Non-hospice palliative care is not dependent on prognosis and is offered in conjunction with curative and all other appropriate forms of medical treatment.

Palliative Care Involves interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain from various disease condition including Cancer and diseases other than cancer such as chronic, progressive pulmonary disorders, renal disease, chronic heart failure, HIV/AIDS, and progressive neurological conditions.

DMV Medical Concierge’s Board Certified Palliative care doctor is a specialists in pain management who can address Patients various Painful conditions.

Wound Care By wound Care Specialist Physician

Given the aging population and the prevalence of conditions such as diabetes and obesity, there has been an increase in the number of people being treated for chronic wounds. There is a need in the medical community for physicians that are specialized in wound care. DMV Medical Concierge has a board certified Wound Care Specialist.

Competency Examinations

If you have a family member or client that can no longer manage his or her own affairs; it might be time for our House Call Physician to evaluate their mental capacity. Before a power of attorney or guardianship is signed it may be necessary for a physician to perform a complete physical and mental assessment. Visiting Physicians work closely with a variety of Elder Care Attorneys so legal and proper steps are taken. Since we are able to meet with the elderly individual right in their home and perform a full competency exam, it minimizes the stress on the individual and their family. After we complete our thorough evaluation, we compile a full report that is certified by a Board Accredited Physician.

Geriatric Medicine

DMV Medical Concierge is an exclusive home based health care for the elderly. Eighty-five percent of our patients are over the age of 75, allowing us to become specialists in the treatment of elderly individuals. We focus on providing a holistic approach to medical care that includes a comprehensive evaluation of a complete physical examination, an evaluation of all medications, and lab tests. We then address the opportunities to improve physical and mental functions rather than simply diagnosing and treating diseases. Our highly experienced staff has a high degree of interaction, allowing us to share observations and ideas in the ever-changing world of home health care.

Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease (COPD), is an umbrella term used to describe progressive lung diseases, encompassing emphysema, chronic bronchitis and chronic asthma. In COPD, the airways — tubes that carry air in and out of your lungs — are partly obstructed, making it difficult to breathe. COPD is the 4th leading cause of death in the U.S. and the world.
Emphysema and chronic bronchitis are closely related and persons with COPD may have both, which impair lung function, preventing the lungs from doing their job of bringing oxygen to the body and getting rid of carbon dioxide.
Smoking is the main cause of COPD, but other environmental and industrial pollutants can also result in COPD in someone who has never smoked. COPD develops slowly, and it may be many years before you notice symptoms like feeling short of breath. Most of the time, COPD is diagnosed in middle-aged or older people.
Quitting smoking is the single most important thing you can do to reduce your risk of developing COPD and slow the progress of the disease. Although COPD cannot be cured, your doctor will recommend treatments that help relieve your symptoms and help you breathe easier.