Plum Health Blog
Paul Thomas MD Interviewed on Model D Media
On April 7th, 2020, Dr. Paul Thomas was interviewed by Dorothy Hernandez during Model D Media’s Facebook Live stream. The topic was Coronavirus and how we are managing this pandemic in the Detroit community.
Here’s what Model D Media wrote about this:
Editor’s note: This guest column by Dr. Paul Thomas, a family medicine doctor and founder of Plum Health Direct Primary Care, has been adapted from this blog post on the health center's website. Click here for the full post published on April 4.
The COVID-19 pandemic has brought an overload of information — and there's a lot of misinformation out there. Do you have a question for Dr. Thomas about coronavirus? Join us on our Facebook page for a Facebook Live Q&A at 10 a.m. Wednesday, April 8, with Dr. Thomas.
Q: Which counties nationwide have been impacted the most by coronavirus?
A: From the perspective of the number of cases and the number of deaths, the following counties/areas have been impacted the most by the coronavirus:
New York City (Queens, Bronx, Manhattan, Brooklyn, Staten Island)
Wayne County, Michigan
King County, Washington
Orleans County, Louisiana
Cook County, Illinois
Oakland County, Michigan
Bergen County, New Jersey
This comes from the Johns Hopkins Coronavirus Resource Center and it's notable that Michigan has two neighboring counties in the top six hardest-hit counties: Wayne County and Oakland County.
Q: Why has Michigan and Southeast Michigan been hit so hard by the coronavirus?
A: Bridge Magazine wrote an excellent article on this and I agree with their assessment with one addition that we haven't been talking about.
In the article, Bridge Magazine talks about the following factors causing Michigan to be more susceptible to the virus:
Automotive trade with suppliers in Wuhan China
Detroit Metro Airport with Direct Flights to Wuhan, China
Michigan’s March 10th Presidential Primary
Ties between Detroit and Italy via Fiat Chrysler (FCA)
In addition to these factors, I would want to add a few others, including higher rates of overweight and obesity in Detroit and Michigan - rate of overweight is 47.5% in Detroit (34% in NYC) and rate of obesity is 34.6% in Detroit (22% in NYC).
All of these factors have led to a higher case fatality rate here in Detroit and Michigan than the national case fatality rate:
National case fatality rate is 2.47%
Michigan case fatality rate is 3.75%
Detroit case fatality rate is 3.29%
Q: What are the comorbid conditions increasing the risk of mortality in COVID-19 positive patients?
A: [Last] week, I spoke with a physician colleague at one of the nearby regional hospital systems and we discussed the conditions that lead to a higher mortality rate. These comorbid conditions are as follows:
Cardiovascular disease (High blood pressure)
Diabetes
Pulmonary Disease
Obesity
Cancer
These factors that we discussed were similar to those studied in Wuhan, China.
While it’s still too early to state exactly why this is the case, I have a few theories. First, African American folks have higher rates of diabetes, hypertension, and obesity than their white counterparts here in Detroit and in Michigan. As we stated above, these are risk factors for higher mortality from the coronavirus. Next, African American people may be more likely to depend on low and minimum wage jobs that put them at a higher risk of contracting the coronavirus.
Q: Should I wear a mask to prevent the spread of the coronavirus?
A: Yes, the CDC now recommends that all Americans wear a mask when in a place where they have a higher chance of contracting the Coronavirus, like grocery stores. This can be a cloth or fabric mask. Please wash these each day if you wear them. Please do not hoard surgical or N95 masks as these are needed at hospitals at this time.
Q: What can you do to slow down the coronavirus?
A:
Stay at home
Donate extra supplies to hospitals or your primary care doctor’s office
Unused N95 masks
Unused nitrile gloves
Donate blood
DO NOT congregate in large groups
DO NOT visit elderly or vulnerable relatives, even if you feel fine
Act as though you have the virus
Plum Health Featured in Model D Media
This week, the growth and expansion at Plum Health DPC was featured in Model D Media, under their Development News section. Here’s what they said:
Plum Health, the direct primary care practice founded in 2016 by Dr. Paul Thomas, has left its Southwest Detroit beginnings for one of the most high-profile developments in the city: The Corner mixed-use development located at the site of the old Tiger Stadium.
The move to the 1,700-square-foot space results from a significant increase in the amount of patients Thomas serves, from 8 in November 2016 to more than 550 active patients today.
Thomas hired Dr. Raquel Orlich this summer and, with the move, a third physician will be hired, meaning that Plum Health will eventually be able to serve more than 1,500 patients from their new Corktown offices.
"We believe that health care should be affordable and accessible for everyone, and this new office takes us one step closer to that goal," says Thomas.
"Our new family medicine office is warm and inviting, and we look forward to serving the medical needs of our community from this space for many years to come."
In June 2018, Model D wrote that Dr. Thomas "could disrupt the field of primary care" because Plum Health offers direct primary care services based on a subscription model. Rather than charge patients for each visit and service rendered, patients pay a set fee each month, gaining direct access to doctors as needed.
Patients also have access to wholesale medications, at-cost imaging services, and at-cost lab work.
No health insurance is required for Plum Health services.
Plum Health is located in Ste. 125 of 1620 Michigan Ave. in Corktown.
Got a development news story to share? Email MJ Galbraith here or send him a tweet @mikegalbraith.
We’re grateful to Model D Media for the continuing coverage and very excited to continue to serve people in this way. Thanks for reading and have a wonderful day.
Drs. Paul Thomas and Raquel Orlich
Plum Health Featured in Model D Media
Today I'm ecstatic to see Plum Health DPC mentioned by Model D Media. If you're unfamiliar, Model D Media is a relentlessly positive digital publication that focuses on art, architecture, business, and development in and around Detroit.
The article featuring Plum Health DPC was entitled "8 Detroit startups that could change the world." Here's their take on Plum Health:
Plum Health DPC
Your own personal doctor, on call and on demand. That’s what Dr. Paul Thomas is pitching with his Plum Health practice in Detroit. Rather than pay a doctor for each visit, Thomas is instead instituting a monthly subscription-style service for his patients. What’s more is that you don’t need health insurance for his services (though Thomas does encourage patients have health insurance as he doesn't offer hospital-type healthcare).
Dr. Thomas’s patients receive unlimited care for a monthly fee, which breaks down as follows: Ages 0 to 17, $10 per month; 18 to 39, $49 per month; 40 to 64, $69 per month; and ages 65 and up, $89 per month. The service results in significantly cheaper lab tests, prescriptions, and more.
Dr. Thomas could disrupt the field of primary care, right from his office in Detroit.
A tweet from @ModelD about Plum Health DPC, a startup in Detroit that could change the world.
Thanks for reading, and have a wonderful day,
- Dr. Paul Thomas with Plum Health DPC