Plum Health Blog

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Raquel Orlich DO is a Detroit Doctor who is Board Certified in Obesity Medicine

Raquel Orlich DO is a Detroit Doctor who is Board Certified in Obesity Medicine

Dr. Raquel Orlich is Board Certified in Family Medicine and she is Board Certified in Obesity Medicine. Dr. Orlich helps people in our practice lose weight and keep it off with an evidence-based approach. This is just another way that we're making comprehensive health care affordable and accessible at Plum Health DPC.

Dr. Raquel Orlich is Board Certified in Obesity Medicine and Family Medicine. She helps patients lose weight via an evidence-based approach to care.

Dr. Raquel Orlich is Board Certified in Obesity Medicine and Family Medicine. She helps patients lose weight via an evidence-based approach to care.

Rates of Obesity in Detroit

The rate of Obesity in Detroit is 38%, that means that more than 1 in 3 Detroiters are Obese. The rate of Obesity in the State of Michigan is high as well, and it leads to early heart attacks and strokes, as well as an increase in the risk of diabetes. Here’s some striking findings from a recent report from the Michigan Department of Community Health:

  • Michigan had the 8th highest prevalence rate of obesity in the United States in 2008.

  • In 2008, 65.3% of Michigan adults were either overweight or obese; 35.2% were overweight and an additional 30.1% were obese.

  • Blacks had a significantly higher obesity rate (39.8%) than whites (28.8%).

  • Obese adults had a higher prevalence of arthritis, high blood pressure, high cholesterol, asthma, coronary heart disease, stroke, heart attack, diabetes and inadequate sleep compared with non-obese adults.

  • Obese adults also reported the highest prevalence of poor life satisfaction, poor general health, poor physical health, poor mental health and activity limitations compared with non-obese adults.

This is why it’s so important to take an evidence-based approach to weight loss via healthy eating and healthy exercising. If we continue to grow heavier as a society and as a community, the weight-related comorbidities will cause big problems for our overall health - physical, psychological, and emotional.

If you’d like to schedule a consultation with Dr. Raquel Orlich, you can do so here.

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Congrats to the WSU SOM Class of 2021!

Congrats to the Wayne State University School of Medicine Class of 2021

Congrats to the Wayne State University School of Medicine Class of 2021 as they become Doctors this week! It takes 10,000 hours to become an expert in any given field of study, and these new graduates have definitely put in the time over this 4 year journey and course of study. We wish you the best as you embark on Transitional Years, Internship, Residency, Fellowship, and your practice years beyond these years of additional training.

What it takes to become a Family Physician

For those of you unfamiliar with medical education, to become a board certified family medicine physician, it takes four years of undergraduate or college study, four years of medical school training, and at least three years of residency training. That comes out to 11 years of higher education after high school to become a board certified family medicine physician.

At Plum Health, we’re incredibly lucky to work with a team of four board-certified family medicine doctors. To learn more about our team, check them out here.

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Dr. Paul Thomas Talks Direct Primary Care on the Powers Report Podcast

This week, Dr. Paul Thomas was featured on the Powers Report Podcast. In the podcast Dr. Thomas and Janis Powers talk about the pros and cons of Direct Primary Care.

Janis Powers talks in depth with one of direct primary care’s (DPC) most committed practitioners, Dr. Paul Thomas of Plum Health DPC. In this episode, Dr. Thomas gives some great examples of the benefits of DPC, describing his in-depth relationships with patients. Powers also probes some of the challenges of scaling DPC, given the exclusivity of both insurance and provider networks in America.

In our opinion, Direct Primary Care solves so many challenges in the primary care system. Direct primary care addresses long wait times to see the doctor and the inflated cost of care.

Direct primary care is different than concierge medicine. Direct primary care is a monthly membership for health care and it usually costs about $50 to $89 monthly. With DPC, patients are not required to carry insurance, although most members have some form of insurance coverage. Concierge Medicine is billed annually and usually costs $2,400 per year. Concierge doctors require a premium health insurance coverage to expedite referrals and minimize prior authorization requests. In the past, our blog has covered this in depth, here.

In the podcast, we discuss how we’re able to save our patients 50% to 90% on medications, lab work, and imaging services. We buy medications at wholesale and pass on the cost savings to our patients, we draw blood at cost and pass on the savings to our patients, and we have found local imaging centers with very affordable cash-pay rates for services. This cost savings can make a big impact on folks with a limited income and limited access to high quality health care resources. We were recently featured on Channel 7 Action News about how we save money on prescription meds.

Thanks for reading and listening, and have a great day,

-Dr. Paul Thomas with Plum Health DPC

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Dr. Paul Thomas of Plum Health DPC Featured in the Save Summer 2021 Campaign

We all want to get through this COVID-19 pandemic as soon as possible. The best tool that we have at this time is the Coronavirus vaccine. A group of ambitious and vocal young adults and college students are working to get their peers vaccinated so that Summer 2021 can go off without a hitch. If everyone gets vaccinated, we’ll be able to have more graduations, concerts, get togethers, and celebrations while we minimize the risk of transmitting the virus. Check out their important work at Save Summer 2021!

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Three Excellent Family Physicians in Detroit Michigan Accepting New Patients

Detroit Primary Care Doctors Accepting New Patients

Paul Thomas MD, Raquel Orlich DO, and Leslie Rabaut DO are family medicine doctors accepting new patients in Detroit, Michigan. Their practice is called Plum Health and they see patients using a membership model for health care. Patients pay a low monthly fee to be a part of Plum Health, and with that membership, receive excellent primary care services.

Patients can come into the office whenever they want to be seen - we guarantee a same-day or next-day appointment for our Plum Health members. We also offer easy communication, with phone calls, text message, and email access to the doctors.

To see what all the buzz is about, you can enroll yourself, your family, or your small business into the Plum Health service via this link.

Thanks for reading and have a wonderful week!

The Doctors at Plum Health DPC are Raquel Orlich DO, Paul Thomas MD, and Leslie Rabaut DO. They are all board certified family medicine physicians and they are all accepting new patients.

The Doctors at Plum Health DPC are Raquel Orlich DO, Paul Thomas MD, and Leslie Rabaut DO. They are all board certified family medicine physicians and they are all accepting new patients.

Connect with Dr. Paul Thomas on LinkedIn

If you’d like to connect with Dr. Paul Thomas on LinkedIn, follow this link:

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Dr. Leslie Rabaut of Plum Health DPC is also an Artist

Dr. Leslie Rabaut, Physician and Artist

Some doctors have a creative streak and Dr. Leslie Rabaut has a fantastic talent for painting. She has been engaging in art and the fine arts since a young age, and she recently entered a painting competition via the Grosse Pointe News. Here’s her entry:

Artwork by Dr. Leslie Rabaut, entitled “Entranced by the Michigan Woods”

Artwork by Dr. Leslie Rabaut, entitled “Entranced by the Michigan Woods”

When asked about her broad color palette in her works, she says “My paintings are an expression of how beautiful nature can be if we are truly looking.” The art work is on display at the Grosse Pointe War Memorial at this time, from May 6th to June 3rd, 2 pm to 6:30 pm on Tuesdays and Thursdays.

From her Facebook page:

Hey guys..so funny thing but I somehow found my way into the Grosse Pointe News art contest.

If you are a subscriber to the Grosse Pointe News, please show some love and throw me a vote! Apparently you can also sign up for a 1 week subscription and vote (how deep is our friendship? lol)

Vote online at :

www.grossepointenews.com/art/vote

Voting ends online This Saturday May 15th!

Dr. Leslie Rabaut is a Family Medicine Doctor in Detroit Michigan

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.

Dr. Leslie Rabaut is a board certified family medicine doctor in Detroit, Michigan. She works in Corktown at Plum Health DPC.

Dr. Leslie Rabaut is a board certified family medicine doctor in Detroit, Michigan. She works in Corktown at Plum Health DPC.

Thanks for reading and have a great day,

-Dr. Paul Thomas with Plum Health DPC

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Coronavirus Vaccines in Pregnancy

The Coronavirus Vaccines are Safe and Effective in Pregnancy

First, I want to say that the coronavirus vaccines are safe and effective in pregnancy. There’s a great research article from the New England Journal of Medicine followed over 35,000 pregnant women and revealed the following, “Preliminary findings did not show obvious safety signals among pregnant persons who received mRNA Covid-19 vaccines.”

In this video, I talk with a mom who was in the process of deciding whether or not to get the coronavirus vaccine, but ultimately decided to get vaccinated. We talk about the pros and cons of the vaccine, the difference between the Johnson and Johnson Vaccine and the Pfizer and Moderna vaccines, the risk of getting a fever during pregnancy after getting the coronavirus vaccine, and many other topics.

The Vaccine Confers Immunity to Your Growing Baby

If you’re a pregnant mother and you receive the coronavirus vaccine, your body will produce antibodies and those antibodies will go from your body, to your placenta, to the baby’s body and protect the baby from Coronavirus. You will also share antibodies with your baby after birth via breast milk.

From the Harvard Gazette:

In the largest study of its kind to date, researchers at Massachusetts General Hospital (MGH), Brigham and Women’s Hospital and the Ragon Institute of MGH, MIT and Harvard have found the new mRNA COVID-19 vaccines to be highly effective in producing antibodies against the SARS-CoV-2 virus in pregnant and lactating women. The study also demonstrated the vaccines confer protective immunity to newborns through breast milk and the placenta.

Coronavirus Vaccine and Fever in Pregnancy

Getting the coronavirus vaccine during pregnancy may cause a fever, however, this is not very likely and the fever after vaccination is of short duration and unlikely to cause any damage to the growing baby or fetus. From Harvard Health:

One possible side effect of the COVID-19 vaccines is fever a day or two after vaccination. This occurred in about

  • 1% to 3% of people after the first dose of mRNA vaccine

  • 15% to 17% after the second dose of mRNA vaccine

  • 9% after the Johnson & Johnson single-dose vaccine.

These fevers are generally low and can be managed with acetaminophen, which is safe to take during pregnancy. Rarely, high, prolonged fevers in pregnancy may lead to birth defects.

Thanks for reading and have a great day,

-Dr. Paul Thomas with Plum Health DPC

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Why Have a Membership with Plum Health DPC

Why Have a Membership with Plum Health DPC?

Plum Health DPC is a relatively new business - we’ve been operating for the last 4.5 years - so we understand that people have questions about Plum Health and direct primary care in general. A lot of people ask us why they should sign up for this different kind of health care model.

Our patients choose our service at Plum Health for several reasons, but one of the biggest reasons why people trust us with their health care is because of reachability and communication. In short, we respond to our patients right away when they reach out to us via text, phone calls, or emails.

When you’re a member of Plum Health, you have timely, clear, and consistent communication with your doctor.

We recently reached 90 + five star reviews on Google for our business, and we analyzed the data. Three main categories of responses stood out: Reachability & Communication, Cost, and Wait Times. While affordable healthcare is a trend during this decade, the results show that 'Reachability & Communication' is the most appreciated benefit for our patients.

Plum Health DPC Patient Response Graph.jpg

A staggering 72% of the reviews left by our patients included a comment in this Reachability & Communication category. Affordable pricing is our 2nd highest rated benefit in the practice according to our patients.

More than 40% of our patients included affordable pricing in their review of our clinic. Another 32% of those reviews included positive remarks about wait times.

While these are the most frequently mentioned benefits of a Plum Health DPC membership in terms of our google reviews, there are several other reasons to join! Find out more, here.

Thanks for reading and have a great day,

- Dr. Paul Thomas MD with Plum Health DPC

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Plum Health DPC Lowers the Cost of Prescription Drugs via Channel 7 Action News

Plum Health DPC Lowers the Cost of Prescriptions Drugs in Detroit and Beyond

This evening we were featured on Channel 7 Action news for lowering the cost of medications in Detroit. We started Plum Health DPC in 2016 with a mission: to make health care more affordable and accessible in Detroit and beyond. One part of that broader mission is to lower the cost of medications for our patients.

2021.04.12 Paul Thomas MD Plum Health DPC on Channel 7 Action News 34.JPG

Paul Thomas MD of Plum Health on Channel 7 Action News

Paul Thomas MD of Plum Health DPC is on Channel 7 Action News with Jennifer Ann Wilson, discussing how we lower the cost of medications in Detroit and beyond.

We buy the most common medications at wholesale and sell them to our patients directly - without a mark up. That’s why our service is called Plum Health DPC, the DPC stands for Direct Primary Care - we deliver primary care services directly to our patients.

By delivering care directly to our patients, we remove the profit takers, pharmacy benefit managers, and retail pharmacies between you and your medications, effectively lowering the cost of those prescriptions by 50% to 90%. Here’s the cost of our seven most commonly used medications:

  • Metformin 500 mg 1.2 cents/pill or $0.36 for a 1 month supply

  • Ibuprofen 600 mg 7 cents/pill or $2.10 for a 1 month supply

  • Lisinopril 10 mg 2.3 cents/pill or $0.66 for a 1 month supply

  • Amlodipine 5 mg 1.1 cents/pill or $0.33 for a 1 month supply

  • Sertraline/Zoloft 50 mg 4.8 cents/pill or $1.44 for a 1 month supply

  • Cetirizine/Zyrtec 10 mg 5.2 cents/pill or $1.52 for a 1 month supply

  • Loratadine/Claritin 10 mg 3.4 cents/pill or $1.02 for a 1 month supply

We do this work because we know that the cost of medications continues to climb and that people in our community need a fair shake when it comes to getting the medications that they need to stay healthy.

Here’s what Detroit’s Channel 7 Action News (WXYZ Detroit) had to say:

Dr. Paul Thomas started Plum Health Direct Primary Care four years ago in Detroit with a mission.

"We believe that medication should be affordable and accessible," Dr. Thomas said.

His membership-based business model eliminates the pharmacy and prescription benefit managers by getting medications directly from the wholesalers then selling it to his patients at cost.

Here’s the full interview from Channel 7 Action News:

Thanks for reading and watching, and have a wonderful day,

-Dr. Paul Thomas with Plum Health DPC in Detroit, Michigan

2021.04.12 Paul Thomas MD Plum Health DPC on Channel 7 Action News 43.JPG

Paul Thomas MD of Plum Health DPC on Channel 7 Action News

Dr. Paul Thomas on Channel 7 Action News discusses how Plum Health DPC lowers the cost of medications for patients in Detroit and beyond.

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Reaching out to Young People with the Coronavirus Vaccine

How to Reach Young People with the Coronavirus Vaccine

Presently, young adults have a wait-and-see mentality when it comes to the coronavirus vaccination. According to Kaiser Health News, young adults, ages 18-29, were most likely to be in this “wait and see” group, at 25% of respondents.

One young adult trying to change this wait-and-see attitude among her peers is Christina Zerka, an undergraduate/pre-medical student at the University of Michigan.

She started a campaign called Save Summer 2021, through which she advocates for vaccine acceptance among young people, with the goal of returning to fun and engaging public events, like concerts, once herd immunity is reached.

The Save Summer 2021 campaign can be found on Instagram, YouTube, and their own website.

In this interview, we talk about the Save Summer 2021 campaign and how we can make sure that all groups within our country have access to the best information around coronavirus and the vaccine.

Thanks for reading and have a great day,

- Dr. Paul Thomas with Plum Health DPC

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Coronavirus and Misleading Headlines for April 7th 2021

I've been reading too many misleading headlines in the Detroit Media landscape recently and I'm frustrated by this misinformation.

Media companies can present information in certain ways, and the way that this information is presented makes a difference for public perceptions, especially around coronavirus vaccine efficacy.

The headline I'm talking about is this one that I saw circulated on several news media outlets: "246 fully vaccinated Michiganders got COVID-19 between January and March, state reports"

This information is true, but it misleads the public into thinking that the coronavirus vaccines are not safe and effective.

The media organizations neglected the greater context in their initial reporting, failing to state clearly that 1,700,000 Michigan residents have been vaccinated and only 246 of those have become ill with Covid-19.

If I were to re-write this headline, it would say: "99.99% of vaccine recipients in Michigan have not become ill with Covid-19"

This speaks clearly to the safety and efficacy of the vaccine.

Additionally, some media outlets also reported that 3 fully vaccinated Michiganders have died after being fully vaccinated.

This is true, but again misleading.

When taken in the greater context of 1,700,000 (or 1.7 million) fully vaccinated Michiganders, that means that only 0.00017% of those fully vaccinated Michiganders have died from coronavirus.

That means that 99.9999% of those who have achieved full vaccination have NOT died from the coronavirus.

Further, these media organizations did not fully discuss the cases and left out pertinent details.

I would like to know, and these media outlets should report:

  • - How old were the people who got sick?

  • - Did these people have pre-existing conditions?

  • - Were these people taking medications that would suppress an immune response, like steroids or drugs for auto-immune conditions?

  • - Did these patients have HIV/AIDS or another condition that suppresses normal immune functioning?

  • - Did these patients die from COVID or were their deaths due to another cause, such as heart attacks, strokes, etc…?

My biggest fear is that people who are opposed to vaccinations will use these misleading headlines as "evidence" that the vaccines don't work, when, in fact, these vaccines are safe and effective.

Thanks for reading, and reach out to your City or County health department to get the vaccine.

If you live in the City of Detroit:

  • - Call: 313-230-0505

  • - Monday-Friday from 9 am until 6 pm.

  • - Any resident of the City of Detroit who is age 16+.

  • - Any person who works in the City of Detroit whose job requires them to work from their job site.

  • - There will be no cost to individuals for the COVID-19 vaccination.

Thanks again,

- Dr. Paul Thomas with Plum Health DPC

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Coronavirus Update for Detroit on April 5th, 2021

The house is on fire.

Michigan reported 8,413 new Covid-19 cases on Saturday, bringing the state's total pandemic case count to 692,206.

There were 8,413 new Covid-19 cases on Saturday - we’re getting close to that big spike that we had around the holidays in November and December of 2020, and that’s not good news.

There were 8,413 new Covid-19 cases on Saturday - we’re getting close to that big spike that we had around the holidays in November and December of 2020, and that’s not good news.

16,218 Michigan residents have died over the last 13 months from the Coronavirus.

Just because you're "over it" doesn't mean that Coronavirus will magically disappear.

We're all tired - we all want this to be over with.

But now is not the time for recklessness.

Be safe, be smart, mask up, keep your distance, and get the vaccine as soon as you can.

On the bright side, 31% of Michigan residents have gotten at least one dose of the vaccine, and 19% are fully vaccinated.

2021.04.05 Michigan Coronavirus Vaccines Administered.jpg

I was on Daily Detroit with Jer Staes talking about Coronavirus and why cases are skyrocketing here in Metro Detroit.

Listen here: http://www.dailydetroit.com/2021/03/30/the-house-is-on-fire-with-coronavirus-in-metro-detroit/

Or listen here:

Thanks for reading and have a great week. - Dr. Paul Thomas with Plum Health DPC

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Throwback to March 2018: Paul Thomas MD on IT in the D

Unfortunately, David Phillips, long-time Detroit podcaster, has passed away. To honor his memory, and to highlight his humor and magnetism, here’s our interview with Bob Waltenspiel, David Phillips, Jer Staes, and Randy Walker. As a warning, there is some adult humor and language in this episode, so if you want to jump to a cleaner portion of the interview, skip to time 31:00: