Plum Health Blog
Dr. Paul Thomas Gives the Welcome to Detroit Lecture for Incoming Class of 2027 at WSU SOM
Dr. Paul Thomas Gives the Welcome to Detroit Lecture for Incoming Class of 2027 at WSU SOM
This year, Dr. Paul Thomas was invited to give a “Welcome to Detroit” lecture for the Wayne State University School of Medicine Class of 2027. These medical students will be immersed in the Detroit community over the next 4 years, and upon graduation, many of them will continue to serve the Detroit and Metro Detroit community.
WSU SOM’s incoming class of 2026 had 300 Students, with 192 in-state and 108 out-of-state students. That class had 22 birth countries and 94 different colleges represented. The 2027 class is likely similar but their demographic data isn’t readily available online.
That being said, the vast majority of these students are experiencing Detroit for the first time. The lecture given by Dr. Paul Thomas highlights important moments in Detroit history, from its founding through the Arsenal of Democracy, through 1967, municipal bankruptcy, and today. It also discusses cultural events, the best coffee shops to study, the best parks to relax and unwind, and the best restaurants for a student budget and for when parents or loved ones come to town for a special occasion.
A short guide for new visitors to Detroit and also for new professional students in Detroit, like medical students or law students at institutions like Wayne State University or the University of Detroit.
So here are the best coffee shops in Detroit for 2023:
Lucky Detroit in Corktown
Momento Gelato in Corktown (great coffee and paninis and gelato)
James Oliver in Corktown (amazing bagel sandwiches and great coffee selection)
Dessert Oasis in Capitol Park
Rosa in Grandmont Rosedale
Oloman Café in Hamtramck
Cafe 1923 in Hamtramck
MadCap in Downtown
The Congregation in New Center/Virginia Park
Milwaukee Caffe in New Center
Anthology Coffee in Eastern Market
Detroit Air Quality Update June 29th 2023
Detroit Air Quality Update June 29th 2023
Unfortunately, today the air quality is 157 - 184, which is unhealthy.
What is the typical air quality?
The typical air quality index is closer to 30. This is an acceptable level of air quality where the air feels good, with no smoke, smog, or haze in the air. Visibility is good and asthma exacerbations happen with fewer frequency.
what is the air quality like today?
With a level of 150 to 200, like today, the air quality is unhealthy. Everyone may begin to experience health effects. Members of sensitive groups may experience more serious health effects. This poor air quality index is due to smoke particular matter wafting down from wildfires in Canada.
What you should do
Today, and on unhealthy air quality days, limit your outdoor activities and wear an N95 mask so that you don't breathe in the particulate matter. Unfortunately, these small particles can get into our lungs, into our blood stream, and can cross our blood brain barrier.
There are several ill health effects that can happen with prolonged exposure to poor air quality. Cities like Mumbai (formerly called Bombay), India have poor, unhealthy, and hazardous air quality on a regular basis, so there is more research in cities like this. From that data, the UN Environmental Programme released a compelling report. You can read the whole report, but the key health info starts on page 55, don’t miss page 61, 62, 63. Here are some of the key findings:
A wildfire event can cause feelings of confusion, anger, fear, and loss, all of which can have long-term impacts on the people and communities that experience them.
There are indications that people can also suffer psychological distress from losing a valued landscape due to a wildfire or as a result of long periods of smoke exposure
Particles (from wildfire smoke) may cause oxidative stress in brain cells
Particles can cross from the circulatory system to the central nervous system (into the brain) and impair it
Particles can cross the gas-blood barrier in the lung and reach the circulatory system
Particles can deliver harmful chemicals into the blood (Carbon monoxide, polycyclic aromatic hydrocarbon)
Fine particles can penetrate deep into the lungs causing an impact on the respiratory system (e.g., asthma, COPD*)
Particles can induce oxidative stress response in lung cells
I spoke to the media about this two weeks ago via Daily Detroit This is a podcast and my interview is in the second half of the podcast.
💨 Keep doors and windows closed on unhealthy air quality days
💨 Use a HEPA filter at your home or work place
💨 Plan on indoor activities
💨 Limit strenuous activities out doors when there are unhealthy air quality days - the more vigorous your exercise intensity out doors, the more particulate matter you breathe in, and therefore the more oxidate stress in your lungs, brain, and body
💨 Indoor vacuuming can stir up dust in your home, so limit vacuuming on days like these.
💨 Avoid activities that increase indoor pollution, such as burning candles, using gas stoves, and vacuuming.
The California Air Resource Board has more great tips, here.
Vulnerable groups
If you have a cardiac or pulmonary condition (asthma, COPD, heart disease) or if you are immunocompromised (receiving cancer treatments, pregnant), then I strongly recommend limiting any time outside today.
If you do go outside, I recommend wearing a mask, ideally an N95.
In general, for all patients, I recommend limiting the amount of time outside today or wearing a mask if outside, ideally an N95. As in the figure below, an N95 is recommended when the air quality is unhealthy (red).
Stay safe, and have a great weekend,
- Paul
Direct Primary Care Doctor in Detroit with Concierge Service
Direct Primary Care Doctor in Detroit with Concierge Service
Over the weekend, I made a house call to Ford Field.
Most of our house calls are to help regular Detroiters with the type of affordable and accessible health care services that we are known for at Plum Health.
If you don’t know about our direct primary care service, we offer excellent medical services at a monthly membership. We have an in-house pharmacy and we dispense medications, we offer a wide variety of procedures (biopsies, pap smears, toe nail removal, BOTOX), and we are able to draw labs and have the lab results back for our patients next day.
Most people use our Plum Health service because we can cut out the middle man and deliver a seamless primary care experience for an affordable price.
Every once in a while, we help a visiting executive, athlete, artist, or performer who needs our medical care and attention.
We have taken care of CEOs who require PCR testing with a rapid turnaround, we have taken care of artists who are visiting and who need help before an important gallery opening, and we’ve taken care of performers who need treatment before their big show here in Detroit.
These VIPs use our Plum Health service because we have the time in our schedule to accommodate their needs, we bring our medical care to them, and we give them a seamless experience without hassles. They might call it concierge medicine, but we prefer Direct Primary Care!
Happy Thanksgiving and thank you for considering Plum Health DPC for your health care needs!
-Dr. Paul Thomas with Plum Health DPC
Plum Health DPC at Men's Health Event at Ford Field in Detroit, Michigan
Plum Health DPC at Men's Health Event at Ford Field in Detroit, Michigan
On Saturday October 8th, we were out at Ford Field for the Men’s Health event - we had a booth and we talked with men of all ages and backgrounds about the affordable and accessible health care services that we offer at Plum Health DPC.
We know that men face many health challenges - mental health concerns, high blood pressure, diabetes, colon health, prostate health, obesity, and so much more
We also know that having an excellent primary care doctor to help you navigate these issues can be transformative. That’s where we come in - to help, serve, and guide our patients through their health challenges so that they can live their best life.
Further, we had a lot of fun at the event! It’s great meeting up with other health care professionals, and it was even cooler meeting up with health care professionals at Ford Field! We were mostly on the concourse, be we were able to go down to the Detroit Lion’s field of play and kick a few field goals. Here’s one:
Corktown Detroit Walking Tour with Dr. Paul Thomas of Plum Health DPC
Corktown Detroit Walking Tour with Dr. Paul Thomas of Plum Health DPC
Today, we decided to do a walking tour of Corktown.
There's a few big developments on Michigan Avenue - the Godfrey Hotel/boutique hotel and the Perennial Apartments/luxury apartment building with a rooftop pool. https://detroit.eater.com/2021/9/29/22700588/corktown-detroit-opening-the-godfrey-hotel-rooftop-lounge-restaurant
Michigan Avenue is set to be replaced with an road surface that will charge electric vehicles as they drive. https://www.freep.com/story/money/cars/mark-phelan/2020/08/13/michigan-avenue-most-advanced-road/3364328001/
As we walk, we pass Momento Gelato, Ottava Via, Brooklyn Street Local, and Detroit Institute of Bagels on the way to Mudgie's Deli. http://www.mudgiesdeli.com/wp/
Importantly, Mudgie's Deli owner Greg Mudge recently passed away and there is an ongoing effort to rename the street in the honor of Greg Mudge. It's heading to Detroit's City Council this week: https://detroitmi.gov/government/city-council
From a medical perspective, you should aim for 30 minutes of vigorous activity each day - cardiovascular exercise like walking, running, biking, swimming, or other aerobic activities. The goal is to get 30 minutes each day for 5 days each week, or 150 minutes in total of vigorous, aerobic exercise.
The new COVID booster is a bivalent booster, meaning that it has the original vaccine PLUS the omicron-specific vaccine. Bivalent just means that the vaccine protects you from TWO strains of virus.
In comparison, the Fluarix Flu shot is a Quadrivalent vaccine, which protects against four strains of flu viruses. This year the Fluarix quadrivalent flu shot protects against the Victoria 2019, Darwin 2021, Austria 2021, and Phuket 2013 flu strains. We have the Fluarix flu shots at our Plum Health DPC office for $24.
We also carry the Fluzone Quadrivalent Flu Vaccine, which again protects against four strains of flu viruses. This year the Fluzone quadrivalent flu shot protects against the Victoria 2019, Darwin 2021, Phuket 2013, and Michigan 2021 flu strains. This Fluzone vaccine is $23 at our Plum Health DPC office.
The Bivalent Covid vaccine is free at most pharmacies and health departments. We will have free doses at Plum Health starting next week on Wednesday (09/28/2022).
Covid Bivalent Booster Vaccine side effects are similar to previous vaccines - arm soreness, it could cause malaise (not feeling well) for 1 to 2 days, it could cause a low-grade temperature increase to 99 to 100 degrees Fahrenheit.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Paul Thomas MD in the USA Today
Back in 2013, Dr. Paul Thomas helped start an organization called Street Medicine Detroit.
Street Medicine Detroit is a student-run organization that delivers primary care medical services to homeless and uninsured people on the streets of Detroit, in parks and in church basements, warming centers and homeless shelters. Street Medicine Detroit is a lifeline for folks who are living on the streets.
Medical Students from Wayne State University School of Medicine run the Street Medicine Detroit program and deliver medical care and compassion to people who are homeless, unsheltered, or without permanent housing.
When I was a fourth year medical student at Wayne State University School of Medicine in 2013, I helped a second year medical student named Johnny Wong start the organization. We went on "street runs" to deliver medical care to homeless people.
During one of those runs, a journalist named John Wisely followed our work and wrote about it in the USA Today.
I've been reflecting about the meaning of our work at Plum Health DPC and it has deep roots in the advocacy and volunteering that I engaged in before, during, and after medical school.
I turned the newspaper article from the USA Today into a plaque that I hang in my office as a reminder to keep meeting people where they are at, to keep delivering compassionate care, and to keep striving to make health care affordable and accessible for everyone.
Thanks for reading and have a wonderful day.
- Paul Thomas, MD with Plum Health DPC
Ganglion Cyst Drainage in Detroit
Ganglion Cyst Drainage at Plum Health DPC in Detroit
At Plum Health DPC in Detroit, we take care of a variety of health concerns. We are Family Medicine Specialists and we help our patients with a variety of health problems.
At Plum Health, we perform many procedures. One of those is a Ganglion Cyst Removal. This procedure takes a few minutes but it can be a tremendous relief.
A ganglion cyst is a pocket of fluid that builds up adjacent to a tendon. The Fluid inside the cyst is viscous and clear. The ganglion cysts are usually not painful, but they can be irritating if you wear a watch. They can also cause people to be self conscious or to wear long sleeves to cover them up.
At our clinic, we clean off the skin overlying the ganglion cyst and we use an 18 gauge needle to draw out the cystic fluid. This helps to relieve the symptoms for the patient.
After this procedure, there is a 50% chance that the ganglion cyst will resolve. For the other 50% of patients, the ganglion cyst will refill. Usually the ganglion cyst will refill slowly over time.
What to Know About Monkeypox in Detroit
How to get the Monkeypox vaccine in Detroit
At Plum Health, we've had a lot of questions about Monkeypox from our patients and from the community.
If you are at a higher risk or in a higher risk group, please reach out to the City of Detroit Health Department or the Wayne County Health Department. or the Oakland County Health Department to get the two dose Monkeypox vaccine series.
We've had a few of our patients with potential exposures/higher risk get the vaccine via the Detroit Health Department. Usually, there's a pre-vaccination phone call and then they will schedule you for the two dose series. Here’s the contact info for the Detroit Health Department:
Detroit Health Department, 100 Mack Ave, Detroit, MI 48201 | (313) 876-4000
Here’s what the City of Detroit has written on their website:
The City of Detroit has begun providing doses of the Jynneos vaccines to Detroiters who have been exposed to the Monkeypox virus or who suspect they have been exposed, made available through the Michigan Department of Health and Human Services (MDHHS).
Background Information on Monkeypox
Monkeypox was first seen in 1958 in monkeys kept for research.
The first human case of monkeypox was recorded in 1970.
Prior to the 2022 outbreak, monkeypox had been reported in several central and western African countries.
Select cases have also been seen over the years in other countries due to international travel.
Now, in a world already changed by Covid-19 pandemic, we are seeing this worrisome visitor in our backyard. So, it’s best to get to know what monkeypox is, even if it isn’t here to stay.
A person infected with monkeypox will most likely have a mix of some of the following: fever, headache, muscle ache, chills, exhaustion, sore throat, cough, and/or nasal congestion.
Monkeypox also often presents with a rash that may be located on or near the genitals or anus but could also be on other areas like the hands, feet, chest, face, or mouth.
This rash can look like pimples or blisters and may be painful or itchy. It also goes through several stages, including forming a scab, before ultimately healing.
Monkeypox spreads through close contact and touch. This includes direct contact with a rash, scab, saliva, and/or bodily fluids of someone infected with monkeypox. Touching surfaces, clothes, or any fabrics used by someone with monkeypox can also lead to spread.
Sexual contact with someone who has monkeypox is a major source of spread, and pregnant mothers with monkeypox can spread the virus to their fetus through the placenta.
According to the CDC there are no treatments specifically for monkeypox virus infections. However, monkeypox and smallpox viruses are genetically similar, which means that antiviral drugs and vaccines developed to protect against smallpox may be used to prevent and treat monkeypox virus infections.
Antivirals, such as tecovirimat, may be recommended for people who are more likely to get severely ill, like patients with weakened immune systems.
In Michigan, as of August 4th, there were a total of 71 cases that have been reported. The City of Detroit has had the most outbreaks (19 cases), followed by Oakland County (13 cases) and Macomb County (10 cases). The rest of Wayne County comes in with 9 additional cases.
If you find yourself experiencing any of the symptoms of monkeypox that we have reviewed above, please contact your primary care provider and make an appointment to get tested.
Rest assured that your doctors and healthcare teams across the nation will continue to be diligent as we get more information. Research is ongoing regarding modes of spread and additional treatments. We will continue to serve you with up to date, well-informed guidelines.
Resources:
Reproductive Health Care in Detroit
Reproductive Health Care in Detroit
Abortion is a component of comprehensive medical care.
Healthcare decisions, including whether to have an abortion, are deeply personal and should be made between a patient and their physician.
The implications of today's Supreme Court decision are profound and will disrupt, and in some states, eliminate equitable and safe access to medical care for women and families in the United States.
This Supreme Court decision further threatens to exacerbate already unacceptably high maternal morbidity and mortality rates in the United States. (In 2018, there were 17 maternal deaths for every 100,000 live births in the U.S. — a ratio more than double that of most other high-income countries. In contrast, the maternal mortality ratio was 3 per 100,000 or fewer in the Netherlands, Norway, and New Zealand.)
In Michigan, abortion rights are in question due to a 1913 law that prohibits abortion unless the procedure is "necessary to preserve the life of such woman.” Michigan Attorney General Dana Nessel has made clear that she does not plan to charge anyone under the 1913 law, but County Prosecutors could potentially charge doctors and/or patients under the existing Michigan Law.
This is truly an unprecedented change that has created a lot of chaos and confusion for both patients and their doctors.
At Plum Health, we are committed to upholding the sanctity of the patient-physician relationship and to protecting women's reproductive rights by delivering evidence-based healthcare services.
Pragmatically, we will continue to offer oral contraceptive pills, birth control implants, IUDs, STD testing, Pap testing, HPV testing, beta HCG or pregnancy testing, Levonorgestrel (Plan B One Step or the morning after pill), referrals to doctors who prescribe mifepristone and misoprostol, and referrals to local abortion providers like Planned Parenthood and other board-certified obstetricians and gynecologists.
Additionally, we will continue to provide the high-quality psychiatric health care resources, referrals for behavioral health, a listening ear, and the emotional support that is needed as our patients and members of our community navigate these difficult decisions.
When women have the right to choose, they build healthier families and healthier communities.
The real-world impact of making abortion illegal
According to data from the World Health Organization (WHO), the legality of abortion across the world actually has little to no effect on abortion rates throughout the world.
Legal or not, abortions can, will, and do take place. The legality of abortion, however, does affect how safe those abortions are.
Women who do not have access to a legal abortion frequently turn to illegal or "homemade" abortion options, which are typically much riskier, more dangerous, and less effective than legal options conducted by professional doctors in a clinical setting would be.
Leading Causes of Death Among Children
Leading Causes of Death Among Children
I know that this isn’t the most uplifting topic, but it’s worth talking about. Children ages 1 to 19 years of age are most likely to die from Firearms, motor vehicle accidents, and drug overdoses and poisonings. What’s disconcerting is that the three leading causes of death among children are preventable.
We can prevent gun-related deaths, motor vehicle accidents, and drug overdoses/poisonings by change our local, State, and National policies to protect our most vulnerable members of society - children.
Here’s a graph from the New England Journal of Medicine that visualizes this information:
What you may notice is that firearm-related injury and death overtook motor vehicle crashes over the last few years. The authors of the NEJM article discuss this:
new data show a sharp 13.5% increase in the crude rate of firearm-related death from 2019 to 2020. This change was driven largely by firearm homicides, which saw a 33.4% increase in the crude rate from 2019 to 2020, whereas the crude rate of firearm suicides increased by 1.1%
This week, I took action on an issue that I care about, as I can see it every day. People in our neighborhood often drive 45 or 50 miles per hour in 35 mile per hour speed zone, and 35 miles per hour in a 25 mile per hour speed zone.
There’s compelling evidence/information from the AAA that examines your likelihood of being injured and dying when you’re a pedestrian who is hit by a motor vehicle. Here’s what they found:
Results show that the average risk of severe injury for a pedestrian struck by a vehicle reaches 10% at an impact speed of 16 mph, 25% at 23 mph, 50% at 31 mph, 75% at 39 mph, and 90% at 46 mph.
The average risk of death for a pedestrian reaches 10% at an impact speed of 23 mph, 25% at 32 mph, 50% at 42 mph, 75% at 50 mph, and 90% at 58 mph.
25 miles per hour to 35 miles per hour doesn’t sound like much, but your likelihood of injury moves from 25% around 25 mph to over 50% at 35 mph, and your likelihood of dying moves from 10% at 25 mph to over 25% at about 35 mph.
Because of this, I put up some signs in my neighborhood with the help of my United States Representative, Rashida Tlaib. It was affirming and empowering to talk about this and put up these signs, as people speeding through our neighborhood is an issue that is really bothersome.
Additionally, few cities in Metro Detroit design their communities for pedestrians first. The car/vehicle/automobile is prioritized. Often times, crosswalks are too wide to be safe for kids or elderly people to cross within the allotted time. Cross walks are often not present where pedestrians may want to cross. Sidewalks sometimes are not present where they should be.
All of this leads to people/pedestrians crossing where they can or walking in the street where there isn't a sidewalk, which can lead to accidents, injuries, and deaths.
Other communities in Metro Detroit do well with this, implementing road diets to reduce the number of traffic lanes, adding in bike lanes, slowing down speeds, adding curb bump outs to shorten the distance for pedestrians to cross the street.
If we want to become a region that attracts more people, we need to make our cities more live-able, more walkable, and safer for kids, bicyclists, older adults, and everyone.
All of that is to say, please drive safely, please drive at or under the speed LIMIT, and please look both ways for pedestrians, bikers, kids playing ball near the street, and kids in strollers. Thank you,
-Paul Thomas, MD
Daily Detroit Podcast hits 1,000 Episodes
Daily Detroit Podcast hits 1,000 Episodes
This week, the Daily Detroit Podcast hits 1,000 episodes! That’s a lot of content! The team of Jer Staes, Randy Walker, and Shianne Nocerini are diligent and talented, and they put together insightful, informative, and entertaining shows each week day.
Over the years, I’ve been a guest a handful of times to discuss medical care issues, mostly relating to coronavirus and the COVID 19 pandemic.
Episode from April 5th 2021 on the big coronavirus spike in the spring
Episode from April 15th 2018 about our Plum Health DPC practice
I’m happy to contribute and very proud of what this podcast has accomplished!
Plum Health DPC is a Family Medicine Practice in Detroit that is Accepting New Patients
Plum Health DPC is a family medicine practice in Detroit that is accepting new patients.
We have a family medicine clinic with three family medicine doctors and we are all accepting new patients into our practice. We see patients of all ages and stages and help our patients with a variety of medical concerns, like asthma, allergies, sleep apnea, depression, anxiety, diabetes, high blood pressure, hypertension, anemia, acid reflux, obesity, and so much more.
Leadership at Plum Health DPC
I have this grainy copy of a photo of a document above my desk that serves as a reminder about leadership and how I operate my business at Plum Health DPC. I look at it every day, and it helps me focus on how I conduct myself to create a successful organization. I thought I’d share it with you today!
Notes on Leadership, a reminder to myself:
1. Lead by example.
2. Lead by principles.
3. Surround yourself with great people.
4. Set clear goals and communicate them well.
5. Actions speak louder than words.
6. Know your business from the ground up.
7. Understand the business cycles of your industry.
8. Be entrepreneurial and nimble.
9. Don't be afraid to take risks.
10. Think long-term, despite short-term pressures.
11. Listen and respond to employees, customers, and stakeholders.
12. Learn from your mistakes.
13. Be an optimist.
14. Find balance.
Notes on Leadership at Plum Health DPC
Blood Lead Level Testing for Children and Adults in Detroit
Blood Lead Level Testing for Children and Adults in Detroit
If you live an older home in Detroit, it’s a good idea to have yourself and your child tested for blood lead levels.
In 1978, the federal government banned consumer uses of lead-based paint, but some states banned it even earlier. Lead paint is still present in millions of homes, sometimes under layers of newer paint. If the paint is in good shape, the lead paint is usually not a problem. If you live in an older home and you’ve had your home undergo renovations where lead dust may have been in the air, it’s reasonable to have yourself and your child tested for lead levels in the blood.
Generally speaking, it's recommended that all children be tested for high lead levels by ages 1 or 2, and children at higher risk for lead toxicity should get tested whenever there’s a suspicion for lead exposure.
All children covered by Medicaid are considered high risk for lead exposure (that’s why all children are tested at 12 and 24 mo).
In Michigan, deteriorated lead paint is the #1 source of lead exposure.
If a person has lead exposure during pregnancy or while breast feeding, lead can also enter their baby’s blood
Homes built before 1978 or having renovations, repair work, or remodeling in the last 12 months confers a higher risk of lead exposure.
How to Deal with Neck Pain in Detroit Michigan
How to Deal with Neck Pain in Detroit Michigan
A common musculoskeletal issue is “text neck” where we look down at our devices like tablets, phones, and computers throughout the day. This can stretch the muscles at the base of your skull and cause those muscles to spasm when they get over stretched.
My favorite modality for treating text neck is about repositioning our bodies and stretching our neck muscles gently twice daily. These twice daily stretches will keep your neck muscles loose and diminish spasming over time. The more consistent you can be with stretching, the better your improvement.
If your symptoms persist - if you have continued neck muscle spasming, you can try medications like NSAIDS or muscle relaxants. Of course, talk to your doctor before you use these medications to make sure that they don’t cause any stomach irritation or kidney damage.
It would be reasonable to try Ibuprofen 600 mg if you experience neck muscle spasms that cannot be controlled or that cause pain. Ibuprofen is an NSAID.
An alternative would be to take Flexeril (Cyclobenzaprine) 10 mg 1 hour prior to bed time - this is a prescription medication so please consult with your physician before using a medication like this. Cyclobenzaprine is a muscle relaxant and patients get relief when they use this medication as it relaxes skeletal muscles. But it cannot be taken within 8 hours of driving or operating heavy machinery as it causes drowsiness in some patients, so we have our patients take the medication 1 hour prior to bedtime.
Another alternative to neck pain treatment is osteopathic manual therapy (OMT) that would be given by an osteopathic doctor (a D.O.). These treatments take 15 minutes to 30 minutes and they can focus on relaxing/manually stretching the muscles in the neck. Our physician at our office, Dr. Raquel Orlich specializes in this type of therapy.
A combination of the above modalities would reduce the muscle spasms that you’re experiencing in your neck.
Thanks for reading and watching,
-Dr. Paul Thomas
Pricing Changes for 2022
Plum Pack!
At this time, we are raising our prices for most of our membership tiers. These pricing changes will go into effect on March 1st, 2022. Our new pricing sets are as follows:
Children, 0 to 17 years of age: $15 per month (an increase of $5/month)
Adults, 18 to 39 years of age: $55 per month (an increase of $6/month)
Older Adults 40 to 64 years of age: $75 per month (an increase of $6/month)
Senior Adults 65 and up: $89 per month (no change)
We had to make this difficult decision because of several factors including the increasing complexity of the services that we deliver at our clinic and the rising costs of necessary supplies and equipment for our business.
For example, pre-pandemic, a box of 200 latex gloves would cost $9.95, now it costs $24.95 for that same box of gloves.
We remain committed to delivering affordable and accessible health care services. These price increases will allow us to continue to deliver excellent care and service.
We appreciate you for being a part of the service, and our unending thanks for being a part of the Plum Pack.
Sincerely,
Drs. Paul Thomas, MD Raquel Orlich, DO and Leslie Rabaut DO
Should you have questions, do not hesitate to call our office at 313.444.5630)
How to Save Money on Albuterol in Detroit Michigan
How to Save Money on Albuterol in Detroit Michigan
I saw a tweet by Senator Bernie Sanders this week where he says that “An asthma inhaler that is sold to the Canadian people for just $27 should not cost the American people $242 for the EXACT SAME inhaler.”
Fortunatel, at Plum Health, we are able to wholesale medications and we’re able to get Albuterol for our patients for about $38.50, an 84% savings from the $242 quoted by Senator Sanders in the above tweet.
This holds for a broad range of medications here at Plum Health, from blood pressure medications, to antidepressants, to acid reflux meds, and mediations to control diabetes.
As we all know, medication prices are higher in the United States than in many other developed nations.
Insulin in the United States costs 14x what it costs in England.
Insulin in the United States costs 11x what it costs in France.
Insulin in the United States costs 9x what it costs in Germany.
Insulin in the United States costs 7x what it costs in Japan.
Again, at Plum Health, we are able to wholesale insulin for our patients, and get it for them for free in some cases. This goes a long way towards empowering our patients to take great care of themselves, as we take the high cost out of their life-saving medications.
Thanks for reading,
-Dr. Paul Thomas with Plum Health DPC
Plum Health DPC Highlighted in the Detroit Free Press
Plum Health DPC Highlighted in the Detroit Free Press
Today, Plum Health DPC was highlighted in an article by the Detroit Free Press. in 2017, we won $50,000 from the Motor City Match program and we used those funds to build out a beautiful, community-facing office in Detroit’s Corktown neighborhood. This clinic helps us deliver affordable and accessible healthcare services in Detroit and beyond.
It’s hard to measure the impact that we’ve had in the community beyond patients served, money saved on labs, money saved on medications, COVID test run, and COVID vaccines given. But, this article examines economic data and tries to discern if programs that support businesses like ours are worth it. You can read the full article, here.
Special thanks to Chanel Stitt on Twitter: @ByChanelStitt and photographs by Eric Seals with the Detroit Free Press.
-Dr. Paul Thomas with Plum Health DPC
Dr. Paul Thomas at Plum Health in Detroit on Friday, August 27, 2021. Plum Health was a Motor City Match winner of $50,000 in March of 2017 and the direct primary care office located at the new row of businesses at The Corner where Tiger Stadium was and is rapidly growing with over 1,000 patients.
Photo credit to ERIC SEALS, DETROIT FREE PRESS
Paul Thomas MD Presents at the AAFP DPC Summit 2021
Paul Thomas MD Presents at the AAFP DPC Summit 2021
Today I'm presenting at a national conference about Direct Primary Care.
I'll be at the AAFP DPC Summit 2021 talking about how doctors can connect with their patients and communities to grow their practices.
It's an honor to be selected as a thought leader in this space, and my aim is to help doctors start and grow successful direct primary care practices!
Learn more at about the DPC Summit, here.
If you’re a doctor wanting to start your own DPC practice, read more here.
If you’re a patient, and you would like excellent primary care services for yourself, your family, or your business, you can enroll here.
#StartupDPC #PlumHealth #DirectPrimaryCare #FamilyMedicine #Detroit #AAFP #DPCSummit2021 #PaulThomasMD #PlumHealthDPC #DirectCare #PrimaryCare
Detroit Demo Day - Plum Health DPC Two Years Later
Back in 2021, we won Detroit Demo Day - we competed with several other businesses and we won $50,000 to help us get to the next level.
Since then, we've:
Tripled the number of patients served
Built out a brand new office in Detroit's Corktown Neighborhood
Opened up a second office in Farmington Hills
Created a more sustainable business
If you want to accelerate the growth of your business, apply for Demo Day pitch competition as it can be rocket fuel for your next big move! More details, here.