Plum Health Blog
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.
Welcome Dr. Leslie Rabaut to Plum Health DPC!
Join us as we WElcome Dr. Leslie Rabaut
Join us as we celebrate Dr. Rabaut, as she is an integral part of our Plum Health team!
She joined us in February 2021, but we couldn't have a proper celebration due to the pandemic.
Come out to The Congregation on Thursday as we welcome her to our practice! Our celebration will start at 5:30 pm and go until 7:30 pm. The Congregation is located at 9321 Rosa Parks Blvd, Detroit, MI 48206. There are plenty of food and beverage options - coffee, water, sodas, tea, wine, beer, cocktails, etc… as well as sandwiches, salads, and snacks. Full menu is here.
No need to RSVP, we’ll see you there!
-Dr. Paul Thomas with Plum Health DPC
More about dr. Leslie Rabaut
Leslie Rabaut, DO, is a board certified family medicine physician in Detroit. She practices high quality care that is individualized to each patient. Her interests include functional medicine, preventative medicine, and integrative therapies that work with a patient’s natural physiology to encourage healing. She enjoys working with patients on lifestyle factors that impact health and disease, such as stress, sleep, physical activity, nutrition, and social relationships. She believes in working together with patients as a team to help them achieve their personal health goals. Dr. Rabaut is fluent in Spanish and English.
Map for The Congregation Detroit for our celebration with Dr. Leslie Rabaut on Thursday June 24th from 5:30 to 7:30 pm.
Open Enrollment in Detroit Michigan
We wrote an Opinion on open enrollment, and how it upholds the bottom line for insurance companies, rather than protecting the health of every day Americans.
You see, if you miss the open enrollment period, you can be excluded from health insurance coverage for 12 months, which will reduce your ability to have access to healthcare resources.
Plus health insurance plan prices are often exorbitant, forcing folks to pay hefty deductibles before any "coverage" from the health insurance company kicks in.
Finally, it's a mistake to tie health insurance coverage to employment - as we've seen with this pandemic, millions of job losses lead to millions more uninsured, and this is horrible considering that the job losses are due to a pandemic that leaves folks vulnerable to high cost hospitalizations.
I have to give a big thank you to my co-author Geoffrey Ginter a 3rd year medical student at Wayne State University School of Medicine. Also a big thank you to the editorial staff at The Detroit News for featuring our opinion.
Dr. Paul Thomas Talks Health and Wellness with Strategic Community Partners
The Coronavirus Pandemic has been a trying time for our personal health and wellness. It has disrupted our typical routines, strained our relationships, and limited our ability to volunteer. The Coronavirus pandemic has also been a burden for our personal finances, as we’ve put off taking care of important projects at our homes and for our families.
This week, I was able to sit on a wonderful panel with three other people in the health and wellness space to discuss these challenges and see how we can address them going forward.
Thanks for reading and watching, and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Detroit Family Medicine Office Open During the Coronavirus Pandemic
Detroit Family Medicine Office Open During the Coronavirus Pandemic
We’ve received a lot of questions about whether or not we’re open during this Coronavirus Pandemic. Yes, we are open during the pandemic and we plan on remaining open for as long as it’s safe to treat patients. We are taking several precautions to keep our patients safe during this time.
We are open and we are continuing to offer telemedicine appointments for all of our existing patients and new members. We are also offering in-person appointments to our patients when necessary. For example, we recently sutured a dog bite for one of our patients to prevent an emergency room visit.
Where we can, we will treat patients in the office to save them money and decrease their risk of Coronavirus at hospital and urgent care settings. We are also open for medication pick ups and lab draws for patients who need medication refills or their necessary lab work completed, like hemoglobin a1c testing for our diabetic patients. We are coordinating testing for COVID-19 and we will soon have antibody testing in our office.
How Has COVID-19 Changed Our Business?
We have always been able to text and email our patients, and conduct some visits by phone and video chat. We never thought that we'd have to completely rely on digital communication to take care of our patients, but COVID-19 changed all of that.
We’re used to seeing patients in our office face-to-face and developing genuine relationships with the people we take care of during that process, but due to COVID-19 we've been limiting our face-to-face visits as much as possible to limit the potential spread of the Coronavirus. The health and safety of our patients is paramount and by limiting our contact with patients in the office, we're doing our part to limit the spread of the virus.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Dr. Raquel Orlich Reaches A Major Milestone
This week, Dr. Raquel Orlich reached a major milestone - she now has 200 patients in her practice panel. Here’s what we said on Facebook:
A huge congratulations 🎈 to Dr. Raquel Orlich. She joined our Plum Health direct primary care practice on July 1st 2019 and she’s already reached 200 patients in her panel!
Dr. Raquel 👩🏻⚕️ is intelligent, compassionate, and a relentless advocate for the health and wellbeing of her patients. She focuses on chronic musculoskeletal issues, women's health, and preventive medicine.
We’re lucky to work with you, and our patients are fortunate to have such a kind and caring doctor looking out for their best interests. 💯
Of note, Dr. Raquel has room for about 500 patients in her practice panel, so if you’d like to sign up to be one of her patients, head over to our Schedule Now page to get started!
-Drs. Paul Thomas and Raquel Orlich with Plum Health DPC
Plum Health in Crain's Detroit Business
This week, we were featured in Crain’s Detroit Business under a special section regarding the Caring for Kids radio program. Here’s the part about Plum Health DPC, our membership model family medicine service in Detroit:
Caring for kids: Advocating for the mental and physical care of children
On his monthly radio program, The Children’s Foundation President and CEO Larry Burns talks to community, government and business leaders about issues related to children’s health and wellness.
Guests for this discussion were Dr. Stephen Bloom, Medical Director of Rehabilitation, St. Joseph Mercy Hospital Rehabilitation, Ann Arbor; Dr. Paul Thomas, Family Medicine Doctor, Plum Health DPC; and David Coulter, County Executive, Oakland County.
The hourlong show typically airs at 7 p.m. the fourth Tuesday of each month on WJR 760AM. Here’s a summary of the show that aired December 31st; listen to the entire episode, and archived episodes, at yourchildrensfoundation.org/caring-for-kids.
Larry Burns and Dr. Paul Thomas discuss Plum Health DPC
Larry Burns: Plum Health DPC (Direct Primary Care) is the first practice of its kind in Detroit and Wayne Country. Tell us more about your mission.
Dr. Paul Thomas: We believe that health care should be affordable and accessible. We’ve lowered the cost of health care and allowed people to be more proactive in taking care of themselves. With this direct care model, my patients—or members—pay me directly. It’s $10 a month for kids and then it starts at $49 a month for adults. They can come see me any time they need to. They also have my cell phone number so they can call or text me anytime.
Burns: What might a parent get for that $10 kid membership?
Thomas: You have a doctor on call for you. You might send me a photo of a rash and I could walk you through that. Or you might be concerned about an ear infection and I’d want you to come in to be seen for that. Or you have your well visit.
Burns: If somebody has insurance can they still be a member?
Thomas: Yes. We see people who are uninsured, under-insured, and fully insured.
Burns: What are the membership advantages for adults?
Thomas: Again, you have me on speed dial. We also do in-house labs and medications for all of our patients at significantly lower cost. For example, for a cholesterol panel at the hospital, you might be charged $100; at our office it’s $6. Or, if you came in to manage your blood pressure and you’re taking Lisinopril, that tablet might be $10 at the pharmacy for a one-month supply. At our office it’s 1 cent per pill, so your blood pressure medications now cost 30 cents a month.
Burns: How’s the practice going?
Thomas: We initially launched in 2016 as a house call practice. I had a small office in Southwest Detroit with about eight members. We’ve now grown to about 580 members. We hired a second doctor to help with the demand and we moved into a larger office in Corktown.
Burns: What is in the future for Plum Health?
Thomas: We want to continue to grow and bring on a new doctor perhaps every year to meet the demand. There are only 100 primary care physicians practicing in Detroit for 600,000 residents. That’s one doctor for every 6,000 residents. If you go north of Eight Mile into Oakland County there’s one primary care physician for every 600 residents. That’s a 10x disparity in primary care access.
Burns: How can someone become a member?
Thomas: Go to plumhealthdpc.com.
Thanks for reading and have a wonderful day, - Dr. Paul Thomas with Plum Health DPC
This week, we were featured in a special section of Crain’s Detroit Business.
This week, Paul Thomas, MD of Plum Health DPC was featured in Crain’s Detroit Business with Larry Burns, CEO of the Children’s Foundation.
Detroit Doctors Cut the Ribbon on a New Corktown Office with Mayor Duggan
Plum Health DPC Cuts the Ribbon on Corktown Office with Mayor Duggan
DETROIT (Dec. 14, 2019) – On Thursday, the Detroit Economic Growth Corporation (DEGC), Mayor Mike Duggan and community members of Corktown joined Motor City Match (MCM) awardee Dr. Paul Thomas at a ribbon-cutting ceremony to celebrate the opening of his Direct Primary Care practice, Plum Health DPC.
The Ribbon is Cut with Mayor Mike Duggan, Paul Thomas, MD, Raquel Orlich, DO, and Chris Lake, medical assistant at Plum Health DPC in Corktown, Detroit.
Photo Credit to Nadir Ali at https://www.3andathird.com/
Plum Health DPC has expanded its presence in Detroit, moving into a new 1,700 square foot retail space at The Corner - a mixed-use development on the site of the former Tiger Stadium at Michigan Avenue and Trumbull.
The health care office, previously located in Southwest Detroit, moved to Corktown after a significant increase in demand for Plum Health’s innovative services. The new location in Corktown allows for a much larger, more tailored, and community-oriented space with easy access for patients.
Mayor Mike Duggan speaks about Plum Health DPC and the importance of primary care services in Detroit with Paul Thomas, MD and Raquel Orlich, DO.
Photo Credit to Nadir Ali at https://www.3andathird.com/
“It is crucial for Detroit residents to have access to healthcare facilities in their communities without having to travel outside of the City,” said Duggan. “We are thankful to Dr. Thomas for his commitment to the wellness of Corktown and nearby residents. I’d like to encourage more health care providers to open throughout the City so that Detroiter’s are able to receive the medical services they so richly deserve.”
Wayne State University School of Medicine alumnus, Clinical Assistant Professor, and Plum Health DPC owner Dr. Paul Thomas started his business as a house-call only practice in 2016, recognizing the need for affordable and accessible healthcare in Detroit. His physical practice began in a one-room office located inside the Detroit School of Digital Technology, at the former Third Precinct police station in Southwest Detroit. At peak capacity in the old location, Dr. Thomas and his team were serving roughly 500 patients.
“We believe that health care should be affordable and accessible for everyone, and we are very grateful to our many community partners for assisting us in expanding our services, and therefore access to vital primary care resources,” said Dr. Thomas. “First we need to thank our patients for trusting us with their health care. Next, we need to thank Mayor Mike Duggan, the Motor City Match Program, the DEGC, Quicken Loans Demo Day, TechTown’s Retail Boot Camp, and the Build Institute. So many people and organizations have helped us get to where we are today.”
Today, Plum Health DPC has expanded to a team of two physicians, adding Dr. Raquel Orlich, a graduate of Michigan State University College of Osteopathic Medicine, to the practice in July 2019. The two physicians and a newly-hired medical assistant currently serve 600 patients out of the Corktown office.
Dr. Raquel Orlich greets Mayor Mike Duggan at Plum Health DPC in Corktown, Detroit. Paul Thomas, MD and other members of the Detroit business community look on.
Photo Credit Shawn Lee at https://www.shawnleestudios.com/
The expansion also enables Plum Health to add a third physician to their team in the future, providing the center with the means to serve more than 1,500 patients in Detroit and beyond. It’s convenient location in the growing and bustling Corktown neighborhood and its low-cost membership model are further addressing Detroit’s primary care shortage.
"From the first moment I met Dr. Thomas I knew his business reflected the genuine values of the Corktown community as well as our efforts to embrace small, local, innovative, Detroit businesses," said Eric Larson, President/CEO of Larson Realty Group. "I am thrilled to welcome Plum Health to The Corner."
Plum Health’s move to Corktown and the build-out for their new space was supported by a $50,000 grant from Motor City Match and a $50,000 award from Quicken Loans Detroit Demo Day. Plum Health has also received technical support from TechTown and Build Institute.
“Quicken Loans Detroit Demo Day exists to bring capital and exposure to businesses in Detroit – especially those with innovative products or services that are creating amenities and jobs in the city. Seeing Plum Health deploy that capital to scale their operations and serve more patients is exactly the kind of outcome we hope for,” said Lauren Hoffman, Director of Entrepreneurship, Quicken Loans Community Fund.
Plum Health DPC uses a membership model for healthcare, charging patients a monthly fee, and billing them directly for specific services. Dr. Thomas said that by eliminating insurance claims for primary care services, he can offer his patients an up to 90 percent reduction in costs. For example, while a hospital might charge $3,000 for an MRI, Dr. Thomas charges only $297 for the same service. A $150 Comprehensive Metabolic Panel costs $6 at Plum Health; a $10 pharmacy charge for blood pressure medication is only $0.36 for patients there.
“Winning an MCM space and cash award allowed Dr. Thomas to build a world-class primary care office in an underserved neighborhood,” said Batton. “With high local demand for the professional health services Plum Health provides, this business is positioned for success and future growth. MCM is pleased to support business owners like Dr. Thomas who are committed to Detroit’s residents and neighborhoods that are providing the type of services that create long-term stability in communities.”
Plum Health’s new location at 1620 Michigan Avenue serves patients of all ages from 9am to 5pm, Monday through Friday. Those interested in the innovative subscription service, a full list of included procedures, and pricing can find more information here.
Dr. Paul Thomas addresses the media at the Plum Health DPC family medicine office in Corktown, Detroit.
Photo Credit Shawn Lee at https://www.shawnleestudios.com/
Media Contact:
Paul Thomas, MD | 313.444.5630 | paul@plumhealthdpc.com
Plum Health DPC, 1620 Michigan Ave, Suite 125, Detroit, MI 48216
About Plum Health DPC
Plum Health DPC is a Direct Primary Care service that is the first of its kind in Detroit and Wayne County. The family medicine service has a mission of delivering affordable, accessible health care in Detroit and beyond. This is achieved through on-time appointments, same-day/next-day appointments guaranteed, and 50- to 90-percent savings on procedures, medications, labs and imaging services. Plum Health DPC is located at 1620 Michigan Ave., Suite 125, Detroit, MI 48216. The hours are Monday through Friday, 9:00 a.m. to 5:00 p.m. To learn more, visit www.plumhealthdpc.com or call 313.444.5630.
About Paul Thomas, MD
Dr. Paul Thomas is a board-certified family medicine physician practicing in Corktown 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 has been featured on WDIV-TV Channel 4, WXYZ Channel 7, Crain's Detroit Business and CBS Radio. He has been a speaker at TEDxDetroit. He is a graduate of Wayne State University School of Medicine and now a Clinical Assistant Professor. Finally, he is an author of the book Direct Primary Care: The Cure for Our Broken Healthcare System.
About Raquel Orlich, DO
Dr. Raquel Orlich, DO is a board certified family physician. She is excited to join the mission of bringing affordable and accessible health care to Detroit. She is passionate about quality patient-centered care and establishing strong doctor-patient relationships. Her clinical interests include osteopathic manipulative medicine for chronic musculoskeletal issues, women’s health, and preventative health. She is a graduate of Michigan State University College of Osteopathic Medicine and completed her residency training at Ascension Macomb-Oakland Hospital.
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 some services are not covered by a retainer, 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 greater 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.htm
About Motor City Match
Motor City Match is a unique partnership between the City of Detroit, DEGC, the Economic Development Corporation of the City of Detroit (EDC) and the U.S. Department of Housing and Urban Development (HUD). Through 16 rounds, the program has granted $7.75 million in cash awards and leveraged a total investment of $42 million in Detroit neighborhoods. MCM also awards support in space, business plan, design and building categories. Competitive financial assistance is supported by a broad partnership of Southeast Michigan community development financial institutions and corporations. Detroit Economic Growth Corporation (DEGC) is a non-profit organization that serves as the lead implementing agency for business retention, attraction and economic development initiatives in Detroit.
Press Coverage for Direct Primary Care in Detroit and Michigan
This was a big week for press coverage for Direct Primary Care in Detroit and Michigan. The bottom line is this: people are hearing more and more about this Direct Primary Care movement and we’re getting more and better coverage as the DPC movement grows.
Plum Health DPC Interview on The Craig Fahle Show
First off, we had a fabulous interview with Craig Fahle of Deadline Detroit. Craig Fahle is the former host of the Craig Fahle Show on WDET and he currently hosts the Craig Fahle Show on Deadline Detroit:
A mix of interviews and commentary, The Craig Fahle Show is a daily 30 minute podcast telling the important political, business, and cultural stories that matter to Detroit and Michigan. Hosted by Craig Fahle, an award winning journalist and talk show host who for years hosted his eponymous talk show on WDET, Detroit's Public Radio station.
Craig Fahle’s coverage of our story at Plum Health DPC was insightful and robust. He brought a really well thought out, professional approach to this interview. You can listen to the full episode here:
Dr. Paul Thomas of Plum Health DPC interviewed by Craig Fahle of Deadline Detroit on the Craig Fahle Show. The conversation focused on the Direct Primary Care model and the impact that it is having in the Detroit market.
Paul Thomas, MD of Plum Health Mentioned During WDET’s Detroit Today
Second, during WDET’s Detroit Today radio program with Stephen Henderson, a caller rang in and asked if there was a health care model similar to the Green Bay Packers, where everyone buys in and benefits from the system. Start listening to the interview at the 34:30 mark to hear the question and answer. Additionally, I’ve taken the time to transcribe the conversation here:
Kevin in Grosse Pointe Park: “My idea may be a little simplistic, but I’d love to see something modeled off of the Green Bay Packers. As in, all of us pay our premiums to a hospital on a monthly basis, so the doctors, and the nurses, and the hospitals get our premiums. Let’s eliminate the insurance companies and the in-betweens. The doctors and nurses own the hospitals and we own shares in the hospitals and have an interest in this possibility.”
Stephen Henderson, Host of Detroit Today: “Hmm. Kevin it’s simplistic but it does get to a fundamental issue in the healthcare system. What role do the insurance companies play, and how much money do they add to the cost of things in the system and is there a way to eliminate them all-together. Abdul El-Sayed, we had a physician on the program a few months ago, Paul Thomas here in the City of Detroit, who is treating patients by eliminating insurance. He doesn’t take insurance, he has them pay into kind of a share system like Kevin is talking about. He deals with pharmaceutical companies directly to lower the cost of the meds and it seems like he’s got kind of a solution to some of the problems we see in the system now. The idea of dealing directly with physicians and hospital systems rather than insurance companies. Is that maybe a way forward?
Abdul El-Sayed, MD, MPH: “So, I love Paul’s model and I think it’s a great model for primary care. You pay him, he takes care of you, it’s simple, you eliminate the middle man. In fact though, Kevin’s idea, that’s how insurance companies started.”
Dr. Abdul El-Sayed goes on to talk about the founding of Blue Cross with Baylor’s Hospital System. When I heard this conversation, I was absolutely floored! It’s amazing that Stephen Henderson recalled our conversation and offered our model as a solution to our current health care problems.
Paul Thomas MD of Plum Health DPC was mentioned by Stephen Henderson of WDET and Abdul El-Sayed during a comprehensive conversation of healthcare costs during the Detroit Today radio program.
Direct Primary Care Physician on Michigan Radio
Finally, a friend and colleague of mine, Matthew Falkiewicz, MD Of Nova Direct Primary Care in Grand Rapids was interviewed on Michigan Radio with Cynthia Canty.
“Before insurance companies, and co-pays, and filing claims, the relationship between doctors and patients was simple. Those who needed medical care would visit their doctor’s office or request a house call. Once that care was provided, the doctor was paid directly.
“Some physicians are bringing that model into the 21st century by offering direct primary care to their patients on a subscription basis.
“Dr. Matt Falkiewicz is a physician with Nova Direct Primary Care in Grand Rapids. His practice offers a membership-based model where patients pay a monthly fee”
All told, three big mentions of Direct Primary Care in Detroit and Michigan over the last 1 week. This tells me that there’s a growing momentum for Direct Primary Care in our state. When I first started in 2016, I was an early adopter, perhaps the second doctor in the state of Michigan with a pure Direct Primary Care practice. Now, there’s over 10 doctors practicing in the DPC model in Michigan.
I believe in this model and these doctors - Direct Primary Care allows us to serve our patients on their own terms, and not at the dictates or mandates of an insurance company. The DPC model allows us to develop caring relationships with our patients and to deliver the best service possible to our patients.
I’m really excited for this growing movement - thanks for reading!
-Dr. Paul Thomas with Plum Health DPC in Detroit, Michigan
Paul Thomas, MD of Plum Health DPC. Direct Primary Care allows doctors and patients to develop deeper, more trusting relationships that can result in better health for both patients and doctors.
Plum Health at the Detroit Men's Health Event
This week, we were at Ford Field for the Men's Health event. The event was really fun and really well organized. There were stations to have blood pressure checks, EKGs, Vision Screening, Vein Examinations, Skin Examinations to screen for Cancer, and several other tables with information about follow up care and the like.
Raquel Orlich, DO and Paul Thomas, MD of Plum Health DPC at the Ford Field Men’s Health Event.
We were happy to be invited and we met with several Detroit men and women in need of excellent primary care services. There were also some fun moments - they had a giant colon set up to promote colorectal cancer screening tests, like a colonoscopy. Also, we were able to go onto the playing field of the Detroit Lions, throw around a football and kick a few field goals! This was really cool and a nice perk of volunteering at the event.
Finally, if you’re looking for high-quality primary care services for you and your family, we’d be happy to help you with this sort of care. You see, at this type of event, conditions like high blood pressure and diabetes can be diagnosed, but the most important part is the follow up care after the diagnosis to make sure the condition is treated appropriately, well-managed, and ideally reversed with the right diet and lifestyle modifications.
Thanks for reading and have a great day,
-Dr. Paul Thomas and Dr. Raquel Orlich of Plum Health DPC
How to Get a Flu Shot in Detroit
How to Get a Flu Shot in Detroit
Flu season is just around the corner and according to the Centers for Disease Control (CDC), “During the 2017–2018 influenza season there was an estimated 959,000 hospitalizations and 79,400 deaths due to complications of influenza infection.
So nearly 1 million hospitalizations and close to eighty thousand deaths due to a vaccine preventable illness! This is why we advocate for getting a Flu Shot before the start of the Flu Season - we want to prevent people from going to the hospital and potentially dying from the flu aka influenza.
How Effective is the Flu Shot aka Influenza Vaccine?
The CDC conducts studies each year to determine how well the influenza (flu) vaccine protects against flu illness. While vaccine effectiveness can vary, recent studies show that flu vaccination reduces the risk of flu illness by between 40% and 60% among the overall population during seasons when most circulating flu viruses are well-matched to the flu vaccine.
So, if you get the flu shot, and the vaccine is well-matched to the circulating virus, you can reduce your risk of getting the Flu by about half - that’s great!
Influenza Vaccine for the 2019 - 2020 season given to one of our patients at Plum Health DPC in Detroit, MI.
How Can the Flu Shot Help Me?
There are many reasons to get a flu vaccine each year. Below is a summary of the benefits of flu vaccination:
Flu vaccination can keep you from getting sick with flu.
Flu vaccination can reduce the risk of flu-associated hospitalization for children, working age adults, and older adults.
Flu vaccination helps prevent serious medical events associated with some chronic conditions such as heart disease, diabetes, and chronic lung disease.
Vaccination helps protect women during and after pregnancy.
Flu vaccine can be life-saving in children.
Flu vaccination has been shown in several studies to reduce severity of illness in people who get vaccinated but still get sick.
Getting vaccinated yourself may also protect people around you, including those who are more vulnerable to serious flu illness, like babies and young children, older people, and people with certain chronic health conditions.
So, if you’re a parent with young children, by getting the Flu Shot, you can help protect your kids. If you’re someone with many chronic diseases like diabetes or heart failure, getting the flu shot can reduce your risk of these diseases worsening if you were to be infected with the flu.
What are Flu Symptoms? What Should I Look Out For?
Flu Symptoms have a broad range, but typically people come to the doctor with the following concerns:
Fever* or feeling feverish/chills
Cough
Sore throat
Runny or stuffy nose
Muscle or body aches
Headaches
Fatigue (tiredness)
Some people may have vomiting and diarrhea, though this is more common in children than adults.
As a doctor treating folks with the flu, there’s something called the pajama sign - if you don’t have the energy to shower and get dressed into regular clothes, and you have some of the above symptoms, it’s more likely that you have the flu. Seriously - I’ve had people compare getting the flu to being hit by a truck - getting an illness as severe as the flu can feel like all of your energy has been taken away.
How Is the Flu Virus Spread?
Most experts believe that flu viruses spread mainly by tiny droplets made when people with flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might get the flu by touching a surface or object that has flu virus on it and then touching their own mouth, nose or possibly their eyes.
To rephrase, someone might cough and they might have tiny droplets fly out of their mouth and land on things that you touch, like door handles, shopping cart handles, tables at a restaurant, etc… That’s why it’s so important that you wash your hands before touching your own nose and mouth and before eating. If you are sick, it’s also very important to wash your hands after coughing and sneezing. You can help lessen the spread of the flu virus by washing your hands often during cold and flu season.
For more information, visit the CDC for the most up-to-date information on the flu.
How to Get the Flu Shot in Detroit
Protect yourself and your family (and friends and co-workers) from the flu this year! To make an appointment with Dr. Raquel, head over to our scheduling link and select her as your doctor. After you submit the information, Dr. Raquel will reach out and offer appointment times.
Thank you for reading and have a great day,
-Dr. Paul Thomas and Dr. Raquel Orlich with Plum Health DPC
Influenza Vaccine instructions for the 2019 - 2020 Vaccine Season including ingredients in the vaccine.
Osteopathic Family Medicine Doctor Accepting New Patients in Detroit
Osteopathic Family Medicine Doctor Accepting New Patients in Detroit
Dr. Raquel Orlich is an Osteopathic Family Medicine Doctor who is accepting new patients in Detroit, Michigan. She finished a successful first week at Plum Health DPC, our Family Practice office in Southwest Detroit. She has already been able to incorporate Osteopathic Manipulative Medicine techniques with some of our patient’s treatment regimens. Click here to read more about Osteopathic Medicine and Osteopathic Manipulative Medicine for musculoskeletal concerns.
Dr. Raquel Orlich using her hands to apply an Osteopathic Manipulative Medicine Treatment to one of her patients.
Dr. Raquel is excited to have started at the practice and she is eager to continue to meet new folks of the community. If you or someone you know needs a primary care doctor, Dr. Raquel is accepting new patients. Click here to learn more about Dr. Raquel and her medical interests.
Which Conditions do Family Medicine Doctors Treat?
Family Medicine physicians are the cornerstone to health maintenance and illness prevention. Family medicine physicians can provide annual wellness exams. Routine annual physical exams are important to address age related cancer screening tests, to evaluate for preventable diseases such as diabetes and heart disease, and discuss other lifestyle choices that may be affecting your overall health such as smoking, alcohol consumption, and inactivity.
Family medicine doctors can address up to 90% of your health concerns. They can manage and evaluate health concerns that arise such as the common cold, heartburn management, back pain, ankle sprains, and many others. They can also manage chronic medical conditions such as high blood pressure, diabetes, and asthma.
Family medicine doctors may also offer simple procedures in the office such as laceration repair (sewing up small to medium-sized cuts), knee joint injections, abscess drainage, wart removal, ingrown toenail removal, skin biopsies, and many more.
Why it’s Important to Have a Family Doctor
Detroit is a Health Professional Shortage Area, meaning that there are too few Family Doctors and Primary Care Doctors for the number of Residents in Detroit. There’s roughly 1 primary care physician for every 6,000 Detroit residents. Compare that to 1 primary care physician for every 600 residents in Oakland County, and you find that Detroit has a 10x disparity in access to primary care.
What’s more, An increase of one primary care doctor per 10,000 people has been shown to result in a 5% decrease in outpatient clinic visits, a 5.5% decrease in hospital admissions, a 10.9% decrease in ER visits, and a 7.2% decrease in surgeries.
Why? Because primary care physicians like Family Medicine Doctors are experts at taking care of people in a cost-effective way. Family Doctors are able to treat conditions in their early stages before they become worse or more complicated. For example, if you work with your family doctor to lower your blood pressure, this could prevent a heart attack or a stroke in the future.
How to Schedule an Appointment with Dr. Raquel
To make an appointment with Dr. Raquel, head over to our scheduling link and select her as your doctor. After you submit the information, Dr. Raquel will reach out and offer appointment times.
Thank you for reading and have a great day,
-Dr. Paul Thomas and Dr. Raquel Orlich with Plum Health DPC
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:
The body is a unit; the person is a unit of body, mind, and spirit.
The body is capable of self-regulation, self-healing, and health maintenance.
Structure and function are reciprocally interrelated.
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.
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.
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
Trashtag Challenge at Plum Health DPC
On Monday, April 22nd, it was Earth Day, and last month we contributed by completing the Trashtag Challenge! The Trashtag Challenge is where you get a bunch of your friends, neighbors, colleagues, or classmates and get outside and pick up as much trash as possible, taking before and after pictures to document the process.
When the snow melted in March, it revealed a ton of trash in our parking lot, which was not appreciated. I went out with my friend and colleague, Rob, and we absolutely destroyed a patch of refuse and debris.
But, there was still more work to be done, and we went out with a group of about 12 more people and cleared out more trash from the parking lot and surrounding areas. This is really important because trash and what we do with it has a big impact on our community and our health. Trash and its presence, or absence, impacts the way that we feel about our community.
Paul Thomas MD with a group of students from the Detroit School of Digital Technology, cleaning up trash from our parking lot at 1759 21st Street, Detroit, MI 48216.
There was a bunch of trash beforehand, but we got it done - many hands make light work! This is the Plum Health DPC and DSDT crew cleaning up our shared parking lot and completing the Trashtag Challenge.
I’ll close this with a challenge - can you get a group of people together and clean up a small patch of your community?
Thanks for reading and have a great week! - Dr. Paul Thomas with Plum Health DPC
Detroit Demo Day Promo Video Features Plum Health
This year, the Quicken Loans Detroit Demo Day Promo Video and marketing materials features Dr. Paul Thomas of Plum Health DPC. We submitted a quote for their website as well:
“A big shout out to Quicken Loans Detroit Demo Day, who helped us accelerate our business growth through their fantastic program. Because of the exposure that Plum Health DPC received through the program, and the grant money that we won through the pitch competition, we are able to provide more people with affordable, accessible health care services in Detroit and beyond.”
I'm posting this today because the application is now live for the next Quicken Loans Demo Day Event! Read more about our big win, here, and read more about Demo Day and the application process, here.
If you’re a small business in Detroit and wanting to grow and expand your business, this is a fantastic opportunity to get more recognition in the community for your brand and your business, and if you have everything in order, you could potentially walk away with grant funding for your business or an interest-free loan from Quicken Loans.
Thanks for reading and have a great day,
Dr. Paul Thomas with Plum Health DPC
Promotional image from Quicken Loans’ Detroit Demo Day, featuring Dr. Paul Thomas of Plum Health DPC
Paul Thomas MD on the DocPreneur Podcast
This week, we were featured on the DocPreneur Podcast, which is created and distributed by Michael Tetreault, Editor-in-Chief of the Direct Primary Care Journal. After publishing the book, Direct Primary Care: The Cure for Our Broken Healthcare System, Michael reached out about having me on the podcast.
I’m sincerely happy to share my experiences in Direct Primary Care, to teach and inspire other doctors to take this journey to an authentic, fulfilling practice of medicine, to become the doctors they were meant to be. This is one of the biggest reasons why I continue to get the word out about Direct Primary Care - I believe in this model and its ability to transform our healthcare system in the United States.
I want to personally thank Michael Tetreault for being on the vanguard of Direct Primary Care by creating educational materials for DPC doctors. Enjoy the podcast, and let me know what you think!
Thank you for reading, watching, and listening,
-Dr. Paul Thomas with Plum Health DPC
To read our book on Amazon, click this link.
Plum Health serves a Health Professional Shortage Area
Plum Health serves a Health Professional Shortage Area, and we’re proud to do this. Part of our mission is to deliver affordable, accessible health care services in Detroit and beyond. This is important because we are passionate about making health care available to communities that have been traditionally neglected by the existing medical system.
Unfortunately, doctors and hospital systems choose to locate their practices in neighborhoods and communities that have higher income levels and higher rates of private insurance coverage. You see, doctors in the current fee-for-service system only receive what they are paid by third party payers, like Medicare, Medicaid, and private insurance companies.
And some of these payers pay more for services than others. For example, Medicaid reimbursement is much lower than Medicare reimbursement or Private Insurance reimbursement. This really hurts Detroit as a greater proportion of Detroiters rely on Medicaid for health insurance relatives to other counties in our region.
Therefore, the current fee-for-service system incentivizes doctors to locate their practices in higher-income communities, and thus leaves lower-income communities medically underserved. As an example, the ratio of primary care physicians to general population in Detroit is roughly 1 primary care physician for every 6,300 residents. In Oakland county, there’s about 1 primary care physician for every 683 residents.
Below are the medically underserved areas in Detroit as of 2017. We are proud to be practicing in the Southwest Detroit/Corktown neighborhoods and serving our neighbors, community members, and small businesses with high-quality medical services.
Thank you for reading and understanding this important issue,
-Dr. Paul Thomas, MD with Plum Health DPC in Detroit, Michigan
More on the above map: Health Resources and Services Administration (HRSA), a Federal Agency, develops shortage designation criteria to determine whether a geographic area, population group or facility is a Health Professional Shortage Area (HPSA) or a Medically Underserved Area/Population (MUA/P). HPSAs may be designated as having a shortage of primary medical care, dental or mental health providers. They may be urban or rural areas, population groups, or medical or other public facilities. MUAs may be a whole county or a group of contiguous counties, a group of counties or civil divisions, or a group of urban census tracts in which residents have a shortage of health services. MUPs may include groups of persons who face economic, cultural or linguistic barriers to health care.
Additional information on Medicaid rates in Wayne county, take from MLive:
Paul Thomas, MD Speaks at Oakland University William Beaumont School of Medicine
This week, I was able to speak at the Oakland University William Beaumont School of Medicine to a group of about 50 enthusiastic first and second year medical students on September 24th, 2018. This presentation focuses on the philosophy and practice of Direct Primary Care and the main points of a DPC practice.
I believe in Family Medicine and I believe in Family Medicine doctors and their ability to fix our broken healthcare system, to remake it into a compassionate, intuitive system that delivers comprehensive care.
Because of this belief, I speak as often as I can to medical students, residents, doctors, and allied health professionals about Direct Primary Care and its transformative power in our healthcare ecosystem.
Thanks for reading and watching,
-Dr. Paul Thomas, family medicine physician practicing at Plum Health DPC in Southwest Detroit
How to Find the Best Prescription Drug Prices in Detroit
As many of us are aware, the price of prescription drugs can be astronomical. People are paying for a retail markup at pharmacies, often paying 10 - 20 times as much as the drug actually costs at wholesale. Even worse, insurance companies often charge more for medications purchased via your insurance plan than the medication would cost if you bought it at the cash price.
Why is this important to me? I'm a Family Doctor in Southwest Detroit and I took an oath to do no harm, and for me that oath also includes doing no financial harm. So, I am focused on lowering the cost of health care for my patients and the greater community.
How to find the best prescription drug prices in Detroit
If you're like many people, you probably go to the pharmacy with your Rx card or prescription card from your health insurance company. You then have the pharmacist 'run the card' to find out if you get a discount when you purchase medication.
What you should do instead is ask the pharmacist, "what is your cash price for this medication?" Also, you can ask for any coupons that the pharmacist might have. If you are dissatisfied with the price, then pull out your insurance card and ask for them to 'run the card'. This will ensure that you have a fair price point to start from.
In addition, you can shop around for the best prescription drug prices in Detroit or in your local community by comparing prices online. Using tools like GoodRx.com can help you find the exact price for the medication you need.
Using Direct Primary Care to Lower Drug Prices
There is another option to find even lower prescription drug prices. That option is called Direct Primary Care. In the Direct Primary Care model, doctors aim to provide as much value as possible for patients' health care dollars. In simple terms, we DPC doctors try to lower the cost of health care.
What does this look like? It looks like 70% - 90% savings on prescription drug prices in Detroit and the Metro Detroit Area. Just check out this chart and see for yourself the actual, wholesale cost of the medication compared to the price you would pay at the pharmacy with the retail pharmacy mark up, or the inflated price.
Original image taken from Consumer Reports.
How do we do this? At Plum Health DPC, we buy the medications at a wholesale price and then we sell them to our patients at-cost. This means if we buy a bottle of 1000 blood pressure medications at $10, each pill costs 1 cent. Then your monthly prescription cost for that blood pressure medication is 30 cents.
In the above example, we are able to get Pioglitazone (Actos) for $4.30 per month, Celecoxib (Celebrex) for $6.47 per month, Duloxetine (Cymbalta) for $7.04 per month, Atorvastatin or Lipitor for $2.09 per month, and Clopidogrel or Plavix for $4.28 per month. The total monthly cost would be $24.18 for our patient, and that is a huge cost savings compared to the nearest retail pharmacy.
By lowering the cost of medications, we can improve access to primary care services, better control blood pressure and diabetes, and therefore decrease the risks of heart attacks, strokes, and complications of diabetes in our community. This will lead to lower rates of disability and death, or a healthier society.
We are proud to make a difference in this way. Thank you for reading and learning about the cost of prescription drugs, and let me know if I can help you or a family member lower the cost of health care.
Sincerely,
- Dr. Paul Thomas, MD with Plum Health DPC
Dr. Paul Thomas is a Detroit Young Professionals Vanguard Award Recipient
This week I am humbled to have been selected as a Detroit Young Professionals Vanguard Award Recipient along with an amazing class of movers and shakers. The winners are from various professional backgrounds and represent the next generation of leaders in Detroit and beyond.
Beyond being an award, this honor symbolizes that this idea is gaining traction. The idea that health care should be affordable and accessible for everyone. The idea that Detroit deserves excellent primary care services. The idea that we can make a tangible difference in people's lives by doing the right thing.
A sincere thank you to the Detroit Young Professionals organization for selecting me for this honor, and a heartfelt congratulations to my fellow awardees. See you October 24th at the Vanguard Awards!
Thanks for reading, and have a wonderful day,
- Dr. Paul Thomas with Plum Health DPC
