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There are many benefits to seeing a family physician. We are skilled at treating the most common conditions that affect children and adults. In fact, 90% of all health care conditions can be treated by a family physician. Our same-day service policy for acute problems allows our physicians to rapidly respond to any type of illness. Our overwhelming support from our community gives us ample patient flow so we never hesitate to refer patients for specialty care. Our physicians are not offended if a patient requests a second opinion from a specialist. In fact, our staff and physicians will do everything possible to help facilitate the transfer of information to any referring physician or specialty clinic. We have long lasting relationships with the best specialists in all fields of medicine which allows us to efficiently refer patients.

Our office is constantly evolving to help minimize wait times. We offer an onsite lab, surgical suite for minor surgery and laceration repairs. We have physicians and staff to provide comprehensive physical exams, annual pap tests, gynecology exams and the care for newborns and children. Our doctors frequently treat respiratory illnesses including asthma, allergies and sinus disease. We are recognized experts in the community at treating and preventing heart disease, diabetes, hypertension and hyperlipidemia. We can perform exercise treadmill stress testing (heart tests), pulmonary function tests (for diagnosing asthma and emphysema) and audiograms (hearing tests). We also treat skin disorders such as acne, warts, moles and perform minor surgeries.

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Physicals

We are among the few remaining practices to provide comprehensive physical exams. At Family Physicians of Carmel, Inc. we are committed more to preventing health problems than treating a disease state. Our physicians review any present illnesses, a complete review of all of your medical systems and perform a “head to toe” physical exam which includes checking the eyes, ears, nose, throat, neck, skin, heart, lungs, abdominal cavity and joints. A pelvic or prostate exam will be performed when appropriate. Comprehensive laboratory tests can be performed that screen for diabetes, thyroid, anemia, high cholesterol, kidney and liver disorders. We screen for diabetes, heart disease and a wide array of cancers, such as lung, skin, prostate, breast, cervical, colon and ovarian cancer. We make recommendations as far as ideal body weight, exercise and diet. We welcome patients to bring a list of their medical concerns at the beginning of the physical. We will provide necessary follow-up on any abnormalities that are found during a physical.

Heart disease

Over ten years ago, our physicians recognized that it was possible to not only prevent heart disease but to reverse it. We were one of the first groups in the state to start utilizing gated CT scans with calcium imaging and later, electron beam tomography to uncover silent heart disease. We are proficient at aggressively using statin and other cholesterol lowering medication, blood pressure medicine and “blood thinners”, when appropriate. We offer many treatment options to help patients quit smoking. We diligently screen for and treat insulin resistance and diabetes.

Insulin resistance

Family Physicians of Carmel, Inc. are pioneers in the diagnosis and treatment of insulin resistance. Many years before most physicians had ever heard of this condition, Family Physicians of Carmel was aggressively diagnosing and treating their patients with risk factors for diabetes. Ten years ago, our goal was to have no compliant patient have a heart attack. Our new goal is to eliminate adult onset diabetes from our practice. We do believe that all adults with a family history of diabetes or other risk factors for diabetes such as obesity, abnormal lipids, (particularly low HDL cholesterol and high triglycerides), patients with hypertension and women with a history of gestational diabetes, should be screened for insulin resistance and pre-diabetes.

Diabetes

What is your hemoglobin A1C? Where do you fit on the insulin curve (figure 1)? How well-versed are you on the glycemic index? Are you currently taking a TZD (Avandia or Actos), metformin (Glucophage), an ACE or ARB (Altace, Lotensin, Accupril, Benicar, Micardis, Diovan, Capoten)? Did you know that over 90% of diabetics can reverse their condition and put it into complete remission? Our goal is to “catch” patients before they develop diabetes, and if they come to us with diabetes, our goal is to put the condition in remission, whether it be with or without medication. Did you know that exercising twice daily allows more pancreatic recovery than exercising just once daily? If you have diabetes you should be familiar with these terms. It is our goal to thoroughly educate our diabetics.



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