Plum Health Blog

Detroit, Education, Family Medicine Paul Thomas Detroit, Education, Family Medicine Paul Thomas

What is Osteopathic Medicine?

What is a Doctor of Osteopathic Medicine or “DO”? 

The best way to define an Osteopathic Physician is by what they believe. They follow the four tenets or principles of Osteopathic Medicine. They are as follows:

  1. The body is a unit; the person is a unit of body, mind, and spirit.

  2. The body is capable of self-regulation, self-healing, and health maintenance.

  3. Structure and function are reciprocally interrelated.

  4. Rational treatment is based upon an understanding of the basic principles of body unity, self-regulation, and the interrelationship of structure and function. 

In short, an osteopathic physician is trained to treat the person as a whole as every body system can relate to one another. Because of this holistic approach, not surprisingly many DOs have a strong interest in preventative health and primary care.

Osteopathic physicians complete four years of medical school and at least three years of residency, just like their Allopathic or MD counterparts. However, in addition to their stethoscopes and medical exam equipment, DOs have special training to use their hands as diagnostic and therapeutic tools with a treatment called Osteopathic Manipulative Medicine.

Dr. Raquel Orlich uses her hands to treat a patient at the Plum Health DPC; this is known as Osteopathic Manipulative Medicine.

Dr. Raquel Orlich uses her hands to treat a patient at the Plum Health DPC; this is known as Osteopathic Manipulative Medicine.

What is Osteopathic Manipulative Medicine?

A DO or Doctor of Osteopathic Medicine is trained in Osteopathic Manipulative Medicine also known as “OMM or OMT” during medical school and residency. It is a hands-on technique used to help diagnose, treat, and prevent illness or injury.  

During an osteopathic exam, a head to toe assessment will be performed to evaluate for abnormalities that the Doctor can feel with their hands called somatic dysfunctions. These abnormalities may have an effect on your activities of daily living, like dressing, eating, and bathing. They may also disrupt the way you walk and the way you move because they may be painful, and this can impact your overall quality of life. 

Somatic dysfunctions can be defined as impaired or altered function of the somatic (body framework) system: skeleton, joints, and myofascial structures (muscles, ligaments, tendons) and their relation to the blood vessels, lymphatic system, and nerves. 

A Doctor of Osteopathic Medicine or DO employs treatments that restore and improve range of motion, by focusing on realigning trouble spots. Treatment modalities are patient specific and can include myofascial release (soft tissue work), muscle energy, high velocity low amplitude (traditional chiropractic work), counterstrain, and Still technique. During the visit, time will be set aside to discuss home stretches, exercises, and injury prevention.

What conditions can an Osteopathic Physician Treat with Osteopathic Manipulative Medicine?

Dr. Raquel Orlich uses the Osteopathic Manipulative Medicine technique to diagnose and treat a patient with a musculoskeletal health problem at the Plum Health DPC clinic in Detroit, Michigan.

Dr. Raquel Orlich uses the Osteopathic Manipulative Medicine technique to diagnose and treat a patient with a musculoskeletal health problem at the Plum Health DPC clinic in Detroit, Michigan.

Here is a list of common issues that can be treated and improved with OMM

  • Pain related to improper alignment in the back, hips, shoulders, and neck (chronic and acute)

  • Musculoskeletal pain of the arm and leg

  • Nerve impingement (sciatica, radiculopathy)

  • Range of motion of tissues and joints

  • Headache (tension, migraine, and sinus)

  • Constipation

If you are dealing with some of the issues listed above, you may be a good candidate for OMM as a safe and effective form of therapy. Getting an appointment is easy, just click this link.

-Dr. Raquel

Doctor of Osteopathic Medicine 


Read More
Detroit, Family Medicine Paul Thomas Detroit, Family Medicine Paul Thomas

Plum Health to increase access to primary care in Detroit

Plum Health Direct Primary Care adds a second family medicine physician due to an overwhelming demand for a new style of health care.

Dr. Raquel Orlich, DO will join Plum Health DPC, starting July 1st, 2019.

Dr. Raquel Orlich, DO will join Plum Health DPC, starting July 1st, 2019.

Detroit, Michigan, May 15th, 2019 - Plum Health Direct Primary Care (DPC) is pleased to announce that Raquel Orlich, DO will be joining Plum Health starting July 1st, 2019. Dr. Orlich is a board-certified family physician, with a passion for osteopathic manipulative medicine, women’s health, and preventive medicine. 

She is a graduate of Michigan State University College of Osteopathic Medicine and completed her residency training at Ascension Macomb-Oakland Hospital, where she is currently Chief Resident. 

"I'm excited to help make health care more affordable, accessible and human in Detroit. I am joining the Plum Health team because I believe in the mission, and I'm looking forward to establishing strong relationships with my patients", noted Dr. Orlich when asked why she chose to join a direct primary care practice over a traditional fee for service model.

"We've had an overwhelming response to our style of healthcare, so we need to add a team member to meet the demand," says Dr. Paul Thomas, who for the last two-and-a-half years, has been serving residents in Detroit and beyond from Plum Health's office in Southwest Detroit. There are currently 500 members in the practice who are cared for by Dr. Paul Thomas. Dr. Orlich's arrival will allow Plum Health to care for an additional 500 patients.

Direct Primary Care (DPC) physicians do not bill or use insurance, which means they can provide their patients with steeply discounted medications, labs, imaging services, and procedures. This practice model allows patients to have a direct relationship with their primary care physician by enrolling in an affordable subscription-based service. A Plum Health subscription is between $10 and $89 per month.

What's more is DPC doctors like Dr. Orlich make themselves available by phone, text message, or video call. This connectivity makes getting care even more convenient for their patients.

Media Contact

Dr. Paul Thomas, MD

Founder & Physician, Plum Health DPC

p | (313) 444 - 5630

e | paul@plumhealthdpc.com

w | plumhealthdpc.com


More about Plum Health DPC

At Plum Health, we believe that health care should be affordable and accessible to everyone. Members of the practice can call, text, or email the doctor anytime they need health care services. We guarantee same-day/next-day appointments. Additionally, patients have access to wholesale medications, at-cost imaging services, and at-cost lab work. Plum Health began in November 2016 with eight patients and now has 500 active patients, spanning in age from 4 months to 101 years of age. Our vision is to provide the best healthcare experience in Detroit and beyond.

More about Dr. Paul Thomas

Dr. Paul Thomas is a board-certified family medicine physician practicing in Southwest Detroit. His practice is Plum Health DPC, a Direct Primary Care service that is the first of its kind in Detroit and Wayne County. His mission is to deliver affordable, accessible health care services in Detroit and beyond. He is a Clinical Assistant Professor at Wayne State University School of Medicine. He served as Chief Resident at Oakwood Family Medicine Residency Program. Thomas is also the author of the book Direct Primary Care: The Cure for Our Broken Healthcare System.

More about Direct Primary Care

The direct primary care (DPC) model gives family physicians a meaningful alternative to fee-for-service insurance billing, typically by charging patients a monthly, quarterly, or annual fee (i.e., a retainer) that covers all or most primary care services including clinical, laboratory, and consultative services, and care coordination and comprehensive care management. Because a retainer does not include some services, DPC practices often suggest that patients acquire a high-deductible wraparound policy to cover emergencies.

Direct primary care benefits patients by providing substantial savings and a higher degree of access to, and time with, physicians. Taken from the American Academy of Family Physicians website: https://www.aafp.org/practice-management/payment/dpc.html

To download the full press release, click here: Word Document, PDF.


To enroll with Dr. Raquel Orlich, go to our Schedule page and start the enrollment process. Select Dr. Raquel Orlich as your “Preferred Provider” in that section. Once you complete the enrollment, you will be contacted on having an appointment with Dr. Orlich on or after July 1st, 2019. If you have a more immediate concern, Dr. Paul Thomas has availability at this time to accommodate urgent needs.

Read More