Plum Health Blog
Dr. Paul Thomas is a Proud Graduate of Wayne State University School of Medicine Class of 2013
This month, Dr. Paul Thomas attended the Class of 2013 Alumni Reunion Weekend. Dr. Thomas graduated from Wayne State University School of Medicine in 2013 - thereafter, he completed his residence at Oakwood/Beaumont Family Medicine Residency Program, and then started Plum Health DPC in November 2016.
Time flies when you’re practicing medicine - the days are long but the years are short. As physicians, we put our all into taking care of other people and making sure people in our community stay healthy. The School of Medicine’s Mission is as follows:
We will educate a diverse student body in an urban setting and within a culture of inclusion, through high-quality education, clinical excellence, pioneering research, local investment in our community and innovative technology, to prepare physician and biomedical scientific leaders to achieve health and wellness for our society.
It’s refreshing to connect with a group of doctors who share these values - all striving to improve the health and wellness of our community. I’m forever grateful to have been immersed in the culture of WSU SOM and my experiences there informed how I practice today and in the future at my practice, Plum Health DPC.
Plum Health DPC Featured on CBS Detroit
Plum Health DPC: A New Era of Healthcare Delivery
Recently, Plum Health DPC, a direct primary care practice in Corktown, was featured on CBS Detroit, showcasing its innovative approach to healthcare delivery. The segment highlighted the many benefits of this new model, which is quickly gaining popularity among patients who are seeking a more personalized and cost-effective alternative to traditional insurance-based healthcare.
What is Direct Primary Care?
Direct primary care is a model of healthcare delivery that eliminates the middleman, i.e., insurance companies, and provides patients with direct access to their primary care physicians. In this model, patients pay a monthly membership fee to receive comprehensive, preventive care and access to their physician whenever they need it, without the need for insurance.
Benefits of Direct Primary Care
The benefits of direct primary care are numerous, including lower costs, improved access to care, and more personalized attention from physicians. With direct primary care, patients can see their physician at any time, without the need for appointments or copays, and receive the care they need, when they need it. Additionally, direct primary care physicians are incentivized to keep their patients healthy, rather than to perform tests and procedures, as is often the case in insurance-based healthcare.
Plum Health DPC: A Leader in Direct Primary Care
Plum Health DPC is a leader in the direct primary care movement, offering its patients a unique, affordable, and personalized approach to healthcare. With its state-of-the-art facilities and experienced physicians, Plum Health DPC is dedicated to providing its patients with the care they need to stay healthy and thrive.
Conclusion
In conclusion, the recent feature on CBS Detroit highlights the many benefits of direct primary care and the innovative approach of Plum Health DPC. With its cost-effective and personalized approach to healthcare, direct primary care is poised to become the new standard in healthcare delivery. If you're looking for a more affordable, accessible, and personalized alternative to traditional insurance-based healthcare, consider joining Plum Health DPC today!
Thanks for reading,
-Dr. Paul Thomas with Plum Health DPC
Paul Thomas MD Featured in Michigan Academy of Family Physicians Magazine
Paul Thomas MD Featured in Michigan Academy of Family Physicians Magazine
A big thank you to the Michigan Academy of Family Physicians for featuring me and our family medicine colleagues with their recent cover story!
I love being a family medicine doctor - I get to take care of patients of all ages and stages, I get to manage a broad spectrum of medical conditions, and I get to build long-lasting relationships with amazing people in my community.
Family medicine is a medical speciality that requires 4 years of college, 4 years of medical school, and 3 years of residency training. With this 11 years of training, we're Family Medicine specialists!
Here's my quote from the recent publication:
“Starting and growing a direct primary care practice has changed my life. I’ve been able to serve people in my community with a high value family medicine service, advocate for causes that I feel passionate about, and be creative in my approach to solving people’s healthcare challenges.
"In short, I’ve been able to become the doctor I’m meant to be. The direct primary care model simplifies healthcare delivery in that our patients are able to text, email, or call us anytime.
"This takes a lot of the anxiety and stress out of the healthcare experience and our patients can seamlessly access the care that they need, when they need it.” - Paul Thomas, MD (Detroit)
#PlumHealth #DirectPrimaryCare #FamilyMedicine #HealthCare #Detroit #PrimaryCare #FamilyMedicineSpecialty #MAFP #AAFP #Corktown
What kind of medical conditions do Family Medicine Doctors take care of?
Family medicine doctors are primary care physicians who treat a wide range of medical conditions in patients of all ages. This can include common conditions such as the flu, colds, and injuries, as well as chronic conditions like diabetes, high blood pressure, and asthma.
Family doctors also provide preventive care, including routine check-ups, immunizations, and screenings for conditions such as cancer and heart disease. In addition to treating physical health conditions, family medicine doctors may also provide care for mental health conditions and may coordinate care with specialists as needed.
Can Family Doctors take care of Mental Health Concerns?
Yes, family medicine doctors can treat mental health conditions. While they may not have the same level of training as a psychiatrist or psychologist, they are often the first point of contact for patients seeking help for mental health concerns. They can provide a range of services, including counseling, medication management, and referrals to specialists as needed. It is important to note that the specific mental health services provided by a family medicine doctor may vary depending on their training and experience.
Fortunately, our family medicine doctors at Plum Health DPC have robust training in primary care mental health concerns, like depression, anxiety, ADD, ADHD, bipolar disorder, eating disorders, and others.
If you’d like this type of Family medicine service for yourself or for your family, you can sign up here:
A Brief History of Plum Health DPC
A Brief History of Plum Health DPC in Detroit
Plum Health DPC is a Family Medicine practice based in Detroit, Michigan that is dedicated to providing high-quality, affordable primary care to its patients. But where did it all begin? Here is a brief history of Plum Health DPC:
Plum Health DPC was founded in 2016 by Dr. Paul Thomas, a board-certified family medicine physician with a passion for improving healthcare for his patients. Dr. Thomas saw firsthand the challenges that patients faced when trying to navigate the traditional fee-for-service healthcare system, and he knew there had to be a better way.
That's when he discovered the direct primary care (DPC) model. In a DPC model, patients pay a monthly or annual fee for access to primary care services. This allows patients to have a close relationship with their primary care doctor and receive a wide range of medical services, including preventative care, chronic disease management, and acute care.
Dr. Thomas was convinced that the DPC model was the future of healthcare, and he set out to create Plum Health DPC to bring this model to his patients in Detroit. Since its founding, Plum Health DPC has grown to serve thousands of patients in the Detroit area and has become a leader in the DPC movement.
Today, Plum Health DPC is committed to providing high-quality, affordable primary care to its patients and improving the healthcare system in Detroit and beyond. We are proud of our history and look forward to continuing to serve our community for years to come.
Bring Your Pup to Plum Health DPC in Corktown!
Bring Your Pup to Plum Health DPC in Corktown!
If you're a dog owner living in the Corktown neighborhood of Detroit, you'll be happy to hear that your furry friend is welcome at Plum Health DPC! We love when people bring their dogs by for a visit, and we even keep treats on the front desk for them.
We understand that pets are an important part of many people's lives, and we want to make our practice as welcoming and inclusive as possible. That's why we're happy to accommodate dogs (and other pets) at our office.
In addition to the joy and companionship that pets bring, there is also evidence to suggest that interacting with animals can have numerous health benefits. For example, pets can reduce stress and anxiety, lower blood pressure, and improve overall mental well-being.
So next time you're coming to see us at Plum Health DPC in Corktown, feel free to bring your furry friend along! We'll be sure to have some treats ready for them, and we'll do our best to make them feel at home.
Special Botox Promotion at Plum Health DPC in Detroit
Special Botox Promotion at Plum Health DPC in Detroit
Are you interested in reducing the appearance of fine lines and wrinkles? At Plum Health DPC in Detroit, Dr. Raquel Orlich offers a range of injectable treatments, including Botox, to help patients achieve a more youthful and rejuvenated appearance.
But what exactly is Botox and how does it work? Botox is a prescription medication that is injected into the muscles in the face to temporarily paralyze them and reduce the appearance of wrinkles. It is most commonly used to treat wrinkles on the forehead, around the eyes (crow's feet), and between the eyebrows (frown lines).
One of the benefits of Botox is that it is a non-surgical treatment with minimal downtime. Most patients are able to return to their normal activities immediately after the procedure. Botox results typically last for three to four months, at which point the treatment can be repeated to maintain the desired results.
In addition to its cosmetic benefits, Botox can also be used to treat a number of medical conditions, including chronic migraines, excessive sweating, and muscle spasms. Dr. Orlich will work with you to determine the best treatment plan based on your individual needs and goals.
At Plum Health DPC, we prioritize personalized care and strive to make our treatments as convenient and affordable as possible. If you are interested in learning more about Botox and other injectable treatments at our practice in Detroit, contact us to schedule a consultation with Dr. Orlich. She will be happy to answer any questions you may have and help you determine if Botox is the right treatment option for you.
Additionally, we’re running a special reduced rate for Botox at our Plum Health DPC - the Botox medication is usually $12.50 per unit, and from January 15th to February 15th, 2023, we are offering the Botox at $11.00 per unit!
Interested in taking the next step? Fill out this form!
The Benefits of Primary Care at Plum Health DPC
As a patient at Plum Health DPC, you have access to high-quality primary care that is focused on you and your specific health needs. But what exactly does primary care at Plum Health DPC entail, and how can it benefit you?
First and foremost, primary care at Plum Health DPC is personalized. Your primary care doctor gets to know you, your medical history, and your health goals, and works with you to develop a treatment plan that is tailored to your needs. This level of individualized care is especially important for managing chronic conditions and promoting overall health and wellness.
Another benefit of primary care at Plum Health DPC is the convenience factor. With same-day appointments available, you can easily schedule a visit to see your primary care doctor when it is most convenient for you. In addition, our telemedicine services allow you to have virtual visits with your doctor from the comfort of your own home.
At Plum Health DPC, we also prioritize preventative care. Your primary care doctor can help you identify potential health risks and work with you to implement strategies to prevent them. This can include screenings, immunizations, and lifestyle modifications to improve your overall health and reduce your risk of developing chronic conditions.
Finally, primary care at Plum Health DPC is more affordable than traditional fee-for-service models. With a membership-based model, you pay a monthly fee for access to primary care and other services, rather than paying for each individual visit or procedure. This can save you money in the long run, especially if you require frequent medical attention.
Overall, primary care at Plum Health DPC is an effective and convenient way to manage your health and prevent potential problems. If you are looking for a primary care doctor who truly cares about your well-being, consider becoming a member at Plum Health DPC.
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 is Committed to Corktown for the Long Term
Plum Health is Committed to Corktown for the Long Term
This week, there was an attempted smash-and-grab at a neighboring business.
Fortunately, no one was harmed, nothing appears to have been taken, and there are neighbors who live upstairs who reported the incident.
Our Plum Health clinic next door was not affected.
All that being said, we are committed to delivering affordable and accessible health care services in Corktown and Detroit for the long-term. We know that smash-and-grab incidents can happen anywhere, and this does not deter us from being present and delivering the health care services that our community needs.
We are operating a business in Corktown during good times, and we are looking forward to an even brighter future. There are new development projects throughout greater Corktown as Ford Motor Company completes its $1 billion investment into the Michigan Central Station.
For us, this attempted smash-and-grab is a bump in the road towards a more prosperous future.
- Dr. Paul Thomas with Plum Health DPC in Detroit, MI
Addendum from October 12th, 2022
On October 11th, the smash-and-grab attempt happened to one of our neighboring businesses. During the day, Sarah Grimmer, a reporter from Channel 7 Action News aka WXYZ Channel 7 stopped by our office to ask a few questions. Here’s the full story and interview that aired on the 11th:
In the evening, I took some time to reflect on what had happened. Here are my thoughts:
Last night, there was a smash-and-grab attempt at an AT&T store next door to our Plum Health DPC clinic.
Fortunately, no one was harmed, nothing appears to have been taken, and the police are working to resolve the case.
Today, a reporter from WXYZ/WMYD stopped by to ask some questions. I felt like I couldn't clearly articulate what this means, so here's how I think/feel after some reflection.
It's sad and frustrating to see this kind of senseless damage to a neighboring business in Corktown.
We know that smash-and-grab incidents can happen anywhere, and this does not deter us from being present and delivering the health care services that our community needs.
We are committed to delivering affordable and accessible health care services in Corktown and Detroit for the long-term.
We are operating a business in Corktown during good times, and we are looking forward to an even brighter future.
There are new development projects throughout greater Corktown - a new apartment complex is being built across the street from us, a new hotel is going up 1 block away, and Ford Motor Company is completing its $1 billion investment into the Michigan Central Station.
Further, several other small and medium investors continue to improve the neighborhood brick by brick.
Finally, TV crews tend to show up when things are at their worst - hopefully they report that the facade got fixed within hours of the incident.
For us, this attempted smash-and-grab is a bump in the road towards a healthier and more prosperous future.
As a final note, the AT&T store repaired their facade and is back open for business as of the 11th. I stopped in after 5 pm to chat with them, wish them well, and they were already taking care of their customers and helping with new phones, supplies, and tech support. It’s great to see them bounce back like that!
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
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.
New ICD 10 Codes for Long Haul Covid in Detroit
Different Types of long-haul covid syndromes that we see in our Plum Health clinic in Detroit
Many patients have been dealing with the fallout from their previous COVID 19 infections. Many of us know the symptoms of Coronavirus or COVID 19 infection - muscle aches, weakness, loss of taste, loss of smell, headaches, difficulty breathing, nasal congestion, and more.
However, not that many people know that COVID 19 can cause residual symptoms or lingering symptoms that can lasts for weeks, months, or even years after the initial COVID 19 infection. Patients can experience long-haul covid as residual covid symptoms like fatigue, muscle aches, muscle weakness, brain fog, etc..
Some patients can experience long-haul covid as POTS or Postural tachycardia syndrome (PoTS). With POTS, patients can have heart palpitations or rapid heart beats, they can become easily fatigued even after doing low or moderate intensity tasks, fainting or losing consciousness, or shaking and sweating. We’ve seen a handful of patients in our Plum Health DPC clinic with long-haul covid that presents as POTS.
Finally, we have had a few patients in our Plum Health clinic here in Detroit present with long-haul covid that presents as ME/CFS or Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. First, myalgic encephalomyelitis and chronic fatigue syndrome are commonly used labels for the same condition, so the names can be used interchangeably. I think these disease labels are combined with a slash to avoid confusion. Either way, ME/CFS is a condition that presents with a lot of fatigue or tiredness, difficulty sleeping or sleeping too much, pain, and often times brain fog. Symptoms are worsened when patients exert themselves - even a task like folding laundry can trigger profound fatigue.
ICD-10 codes for different long-haul covid syndromes
That being said, the ICD 10 or International Classification of Diseases, Tenth Revision, just released disease classifications for long-haul covid. See below, a tweet from Alexis N. Misko or @turnoftheshrew on Twitter:
Here’s a tweet from Alexis N. Misko or @turnoftheshrew on Twitter that shows the ICD 10 codes for different long-haul covid syndromes.
Those ICD-10 Codes are as follows:
U09.9 - Post-covid conditions unspecified
G90.A - POTS
G93.32 - ME/CFS
We take care of People with COVID 19 at Plum Health DPC
At Plum Health DPC, we take care of patients of all ages and stages. We also take care of patients who have Covid 19 or Coronavirus. We offer curb-side COVID 19 PCR testing and we also have antibody testing in the office. We have taken care of several patients with long-haul covid symptoms and as discussed above, we take care of patients with COVID who have POTS and ME/CFS presentations. We know that the mental, physical, emotional, and psychological strain of COVID 19 can be difficult to handle, so we pride ourselves on offering comprehensive care and timely referrals for folks who are struggling with long-haul COVID syndrome.
-Paul Thomas, MD with Plum Health DPC
Plum Health DPC accepts patients from across Michigan
Plum Health DPC Accepts Patients From Across Michigan
At Plum Health DPC, we take care of patients of all ages and stages from across the Metro Detroit region.
Our office is in Corktown, Detroit, which is designated as a health-professional shortage area, meaning that there are not enough primary care doctors in this neighborhood.
We are proud to serve people here in Corktown and across Detroit.
In addition, our office is a destination for health care services - our patients travel from across the Metro Detroit region to seek out care from our team of excellent physicians.
Most patients live in Detroit, but we have many patients from Dearborn, Ferndale, Hamtramck, Highland Park, Livonia, Royal Oak, Southfield, Sterling Heights, Warren, Wyandotte, and many other communities.
This pie chart shows where most of our patients at Plum Health DPC reside. Most of our patients at Plum Health come from Detroit, Dearborn, Ferndale, Grosse Pointe, Hamtramck, Highland Park, Livonia, Royal Oak, Southfield, and other southeast Michigan communities.
Here’s a map from DETROITography about health professional shortage areas in Detroit.
A health professional shortage area (HPSA) does not have enough primary care doctors for the population in the community. Unfortunately, much of Detroit is considered an HPSA.
The work that we do at Plum Health helps to address the HPSA designation in Corktown and Southwest Detroit. But there is so much more work to be done.
This is a map from DETROITography about health professional shortage areas in Detroit. A health professional shortage area (HPSA) does not have enough primary care doctors for the population in the community. Unfortunately, much of Detroit is considered an HPSA.
Plum Health DPC Started in 2016
Plum Health DPC Started in 2016
We started Plum Health DPC in November, 2016. We started by making house calls for our patients. We recognized a need for excellent primary care services in Detroit, and we strive every day to meet that demand. We have had great growth over the last 5 and a half years, and we’ve needed to grow and add more doctors.
Plum Health Grew into a Larger Office on Michigan Avenue in 2019
We decided to build out a new space in Corktown, Detroit’s oldest neighborhood, on Michigan Avenue near Trumbull. We’re at “The Corner” or the property where the old Tiger Stadium used to sit. When Tiger Stadium was torn down, the ball field/baseball diamond was perserved as a field for Detroit youth sports via Detroit PAL or Police Athletic Field. The properties around the perimeter of the park became the building where our office is, which has 3 floors of apartments above 1 floor of retail. There are also condos on the perimeter of the old Tiger Stadium site going up on Trumbull avenue.
Anyways, here’s some old pictures from about October 2018 when we leased out our new space and it started construction to eventually become our office.
The construction finished in October 2019! Boy did we have to be patient, but once it was complete, we were ready to serve the community with an amazing primary care and health care experience.
We love practicing in this space, and now we’re coming up on 6 years in practice as Plum Health DPC and 3 years in practice at the Michigan and Trumbull or “The Corner” location.
This is such an amazing place to work and to serve patients and we get to fulfill our mission of delivering affordable and accessible health care services in Detroit and beyond!
Plum Health Continues to Thrive into 2022
Now, we have three amazing doctors - Dr. Raquel Orlich, Dr. Leslie Rabaut, and Dr. Paul Thomas - serving patients in Corktown, Detroit, and beyond. We take care of about 1,150 patients at this point. Our patients are of all ages and stages - pediatric patients, young adults, older adults, and geriatric patients. We take care of a variety of health care conditions - high blood pressure, diabetes, gout, asthma, physical exams for work, and so much more, too many conditions to list.
To celebrate and to say thank you, we are having a thank you party at the Congregation Detroit tonight at 5:30 pm. Join us!
-Paul Thomas, MD with Plum Health DPC
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:
Plum Health Featured on Fox 2 News Detroit for Lowering the Cost of Insulin
Plum Health Featured on Fox 2 News Detroit for Lowering the Cost of Insulin
Yesterday, Plum Health DPC was featured on Fox 2 News Detroit for lowering the cost of insulin in Detroit and beyond.
MANAGING DIABETES IN DETROIT
Diabetes care can be difficult and expensive, especially if you’re uninsured. If you’re uninsured and trying to access diabetes care, patients can face the following costs:
$150 for a primary care visit
$150 to check hemoglobin a1c
$150 to check blood sugar via a comprehensive metabolic panel
$300 for insulin at the pharmacy
$10 for Metformin (Glucophage) at the pharmacy
At our Plum Health office, we dramatically lower the cost of these vital services to help our diabetic patients manage their blood sugar.
$55 to $75 monthly for as many primary care visits as it takes to manage your diabetes
$6 to check hemoglobin a1c
$6 to check blood sugar via a comprehensive metabolic panel
$0 for insulin at our Plum Health clinic as we get several free samples from industry
$0.30 to $0.60 for Metformin (Glucophage) at our Plum Health clinic
What makes this pricing difference even more important is that folks with diabetes need to check their hemoglobin a1c every 3 to 6 months to ensure that they are managing their diabetes effectively.
Dr. Paul Thomas of Plum Health DPC being interviewed by Fox 2 News about the high cost of insulin in Detroit and beyond. People routinely pay $125 for 1 pen of long-acting insulin like Tresiba. At our Plum Health DPC office, we are able to get free samples so that the cost is $0 for our members at Plum Health. Our mission is to make health care affordable and accessible, and lowering the cost of insulin is just one way that we achieve that mission.
Here’s our social media post about Insulin Costs in Detroit:
These insulin pens are $125 a piece at your local pharmacy. 🤑 💰
They should be capped at $35 a piece, but that protection was removed by Congress this week. 🤯😭🤢🤮
Fortunately, we get free samples from industry to help our patients at Plum Health DPC ✅
Tune in to Fox 2 News at 6 pm with Veronica Meadows as we talk about what’s broken in our healthcare system and what we’re doing to fix it 💯
#PlumHealth #DirectPrimaryCare #FamilyMedicine #insulin #drugprices #healthcare
Here’s what Fox 2 News Detroit wrote on their webpage about the story:
FOX 2 - For those who have diabetes, many know the struggle of paying for insulin.
"This can be $125 per pen at the pharmacy," said Dr. Paul Thomas. "In the United States there’s seven million people who need to take insulin and 25 percent of those cannot afford the insulin, they need to manage their diabetes."
For Raphael Wright, that stress hits close to home. A Detroit entrepreneur — Wright says at first he didn't have health insurance. He says his out-of-pocket cost for insulin used to be around $300 a month.
"It was a punch in the gut, I did not feel good," he said. "I am on the fringe because now I'm worried about getting my lights cut out. You need electricity to keep insulin cold."
Senator Debbie Stabenow (D) says starting in January the inflation reduction act will help more than three million in the US afford insulin.
"If you receive your health care through Medicare your insulin medicine will be capped your cost at $35 a month," she said.
But Senate Republicans stripped a provision that would have capped the price of insulin in the private marketplace. That cap also doesn't apply to people who don't have insurance.
"I think we should have a $35 cap for all Americans because there are a lot of people who are uninsured - they make too much money to qualify for Medicaid and not enough money to buy private insurance," said Dr. Thomas. "And even if you have private insurance your deductible could be $7,000."
Thomas is the founder of Plum Health Direct Primary Care in Corktown. He says thanks to free samples, his patients don't pay for insulin.
Thomas says his mission is to make healthcare accessible to everyone — especially diabetes patients. He says the results are devastating for those who are priced out of insulin.
"They’re going without, because of that high cost, and essentially this leads to really bad outcomes: Diabetic retinopathy which can cause blindness, diabetes does damage to your blood vessels, which can lead to early heart attacks and strokes," he said.
Thomas says diabetes is the number one cause of amputations and blindness in the United States. He says that is one more reason why insulin needs to be affordable for everyone.
Affordable and Accessible Health Care in Detroit
Affordable and Accessible Health Care in Detroit
At Plum Health, our goal is to make health care affordable and accessible in Detroit and beyond. We have a membership model for health care and our patients about $55 each month to $75 each month. Children pay $15 per month with an enrolled adult. When you’re a member of Plum Health, you can call, text, or email your doctor any time. You can come in for a visit anytime without a co-pay. Visits to Plum Health are included as a part of the membership. We also save people money on their medications and lab work. We buy medications at wholesale prices from AndaMeds, and then we sell these medications to our patients with little to no markup. This makes the medications that we dispense out of our practice much less expensive - sometimes 50% to 90% less expensive - than medications at the retail pharmacy.
Another way that we make health care more affordable and accessible is via house calls. As a physician, I make house calls for my patients. If our patients are in Detroit, we charge $100 per house call. If they live outside of the city, we may charge more to cover gas prices and time spent driving to the home that may be further away.
Dr. Paul Thomas with Plum Health DPC makes a house call for one of his members at Plum Health. Dr. Paul drove out to their home on the West Side of the City to make the house call.
Dr. Paul Thomas Releases His New Book Dressing Well in Medicine
Dr. Paul Thomas Releases His New Book Dressing Well in Medicine
This month, Dr. Paul Thomas released his new book, Dressing Well in Medicine. It’s a short guide to help doctors look and feel their best, so that they can best serve their patients and the broader community.
The book cover for Dressing Well in Medicine, which is available on Amazon.
I wrote this book to help doctors and medical students to look and feel their best, so that they can uplift the doctor-patient relationship. For medical students, they are typically transitioning from college or undergraduate studies, to the professional environment of medical school and rotations through outpatient clinics and hospital settings. But, these medical students are not often given guidance on what to wear and what not to wear. There’s little to no discussion on what doctors wear and why it matters in the medical school curriculum!
My goal with this book is to help medical students look and feel mature and confident as they step into their new clinical roles and as they navigate professionalism and wearing professional attire as a physician. Ultimately, this will enhance students’ abilities to build trusting, healing relationships with their patients.
For practicing doctors, Dressing Well in Medicine serves as a reminder or a refresher on how to look and feel your best when taking care of patients, all while taking into account the latest evidence on this subject from peer-reviewed journals. Again, the goal is to foster trusting and healing relationships with doctors and their patients.
Recently, Dr. Thomas was interviewed by Drs. Melissa Cady and Kevin Cuccaro on their show The Changed Physician. The discussion was wide ranging and at some points, intense! Let’s face it - doctors don’t often discuss what doctors wear and why it matters, and there are so many challenging parts of physician attire and appearance that make for great discussion points, and sometimes, flash points. You can catch the full interview, here:
Finally, here’s a robust description of the Dressing Well in Medicine book:
Dressing Well in Medicine is a short guide for dressing well in medical school and beyond. You will need to look like a professional from the beginning of your medical school interview trail, to the whirlwind of clerkships and rotations, through your residency interviews and residency training, and eventually through your day-to-day clinical practice.
Dressing professionally is important because the trust and confidence of your patients depends in large part on your appearance, and professional attire greatly improves your appearance. A smartly-dressed, polished, and tasteful physician inspires confidence - the rumpled, disheveled, or schlubby doctor does not inspire that same confidence.
Therefore, I have written this book to give general guidelines for what to wear in the clinical setting and I believe that you will find it useful no matter where you are in your career.
As a medical student, there was no clear guidance on how to dress for a successful career in medicine. There’s no course in the medical school curriculum dedicated to appearance and demeanor. There’s no opportunity to discuss how our physical presentation as physicians can help us have better interactions with our patients or how our wardrobe choices can improve our chances of landing the residency program of our choice. There’s often not even a lecture on this topic.
I firmly believe that when we physicians dress intentionally, we can uplift the doctor-patient relationship and create the practice environments that enhance this sacred relationship at the level of the clinic, the hospital, and across the healthcare system.
I wanted to start a dialogue with aspiring doctors and practicing physicians about what we wear and why it matters. I truly believe that by dressing well in medicine, we can be our best selves as physicians, community leaders, and as leaders in the healthcare space.
Let this book serve as that missing piece of the curriculum, that crucial conversation on clothing choices and their impact on our patients, colleagues, and broader community.
Thank you for reading and watching!
-Dr. Paul Thomas with Plum Health DPC
Dr. Leslie Rabaut is a Family Medicine Doctor in Detroit Michigan
Dr. Leslie Rabaut is a Family Medicine Doctor in Detroit Michigan
Dr. Leslie Rabaut is a Family Medicine Doctor in Detroit Michigan and she is accepting new patients at our Plum Health DPC office in Corktown, at the corner of Michigan and Trumbull. Here’s her most recent review from one of our patients in our Plum Health practice:
I am fairly certain Dr. Leslie Rabaut is a literal genius. At the very least she is incredibly well-versed in medical knowledge and unbelievably sharp in her ability to recall unusual causation and find correlative patterns. She deserves an actual prize. She is "the Doctor's doctor". If you're smart and tired of poor medical care, or work in the field, pick her. Pick her brilliant brain.
To become a patient of Dr. Leslie Rabaut, you can enroll in our service, here.
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.