Private MD

Private MD is the health care alternative focused on providing premium quality patient care with emphasis on personal attention and health. Private MDs get to know patients as people, not just as lists of symptoms. Fewer patients give the MD an opportunity to stay abreast of medical advances that will surely come to bear on the welfare of his patients. Advances in modern medicine have contributed to our growing population. On average, an internist in the US is responsible for 3,000 patients. Primary care providers find it, therefore, increasingly difficult to afford patients enough time to get to know them and to keep up with scientific progress. Increasing the patient-MD involvement improves the MD's familiarity with his patients. Having MDs to spend more time with each patient provides a higher level of care than is normally available. The Private MDs with Concierge Medicine deliver the highest standard of care. Concierge MDs care for fewer patients than in a conventional practice, ranging from 100 patients per MD to 1,000, instead of the 3,000 to 4,000 that the average MD now sees every year. All generally claim to be accessible via cell phone or email at any time of day or night or offer some other "special" service above and beyond the "normal" care provided. The annual fees vary widely, from $600 to $5,000 per year for an individual, with the lower annual fees being in addition to the usual fees for each service and the higher annual fees including most services.

Dermatology

Dermatology is the branch of medicine dealing with the skin and its diseases, a unique specialty with both medical and surgical aspects. A dermatologist takes care of diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails. Dermatologists have been leaders in the field of cosmetic surgery. Some dermatologists complete fellowships in surgical dermatology. Many train in their residency on the use of Botox, fillers, and laser surgery. Some dermatologists perform cosmetic procedures including liposuction, blepharoplasty, and face-lifts. Most dermatologists limit their cosmetic practice to minimally invasive procedures. Mohs surgery, developed in the 1930'a y Dr. Frederic E. Mohs, focuses on the excision of skin cancers using a tissue-sparing technique that allows intraoperative assessment of 100% of the peripheral and deep tumor margins . Physicians trained in this technique must be comfortable with both pathology and surgery, and dermatologists receive extensive training in both during their residency. Physicians who perform Mohs surgery can receive training in this specialized technique during their dermatology residency, but many will seek additional training either through preceptorships to join the American Society for Mohs Surgery or through formal one- to two-year Mohs surgery fellowship training programs administered by the American College of Mohs Surgery. Procedural Dermatology is concerned with the study, diagnosis, and surgical treatment of diseases of the skin and adjacent mucous membranes, cutaneous appendages, hair, nails, and subcutaneous tissue. Dermatologic surgical procedures are minimally invasive and may be performed safely in outpatient settings without general anesthesia or other intravascular physiologic alteration. An especially important technique is Mohs micrographic surgical excision, which treats cancers of the skin and incorporates training in clinical dermatology and dermatopathology as they apply to dermatologic surgery. Laser resurfacing is a technique used during laser surgery wherein dissolution of molecular bonds is by laser. It is for the treatment of wrinkles, solar lentigenes, sun damage, scars, stretch marks, actinic keratosis and telangiectasias or "spider veins". It can be with liposuction to remove excess fat from the chin and jaw area. Laser resurfacing can help tighten and smooth over the new contours.

Executive doctor and associated physician groups are coming together to customize health programs for groups of executives and independent businesses with an objective of reducing the lost productivity time. At the core of many executive healthcare packages is an executive physical. In many instances, the doctor will travel to company facilities in order to perform a basic physical for all executive members.

Hormonal Acne Treatments

In females, hormonal treatments can improve acne. The common combined oestrogen and progestogen methods of hormonal contraception have some effect, but the antiandrogen, Cyproterone, in combination with an oestrogen (Diane-35) is particularly effective at reducing androgenic hormone levels. Diane-35 is not available in the USA, but a newer oral contraceptive containing the progestin drospirenone is now available with fewer side effects than Diane-35 or Dianette. Diane-35 is effective where blood tests show abnormally high levels of androgens. Along with this, treatment with low dose spironolactone can have anti-androgenetic properties, especially in patients with polycystic ovarian syndrome.