Direct Care Services

Primary Care Evolved

Direct Care offers highly personalized and preventive measures to keep you healthy. A focus on early detection helps manage potential issues before they escalate. Whether it’s an annual exam, follow up exam or a new concern, this will be your first point of contact.

Encounters will be unhurried with adequate time to address medical issues, discuss guideline recommended treatment and patient initiated concerns. Easy accessibility aids in avoiding Urgent Care and ER visits. Recurrent visits will be available as needed in a timely fashion. Preop and post hospitalization visits are part of this program.

Chronic Care & Lifestyle maintenance

A healthy lifestyle and good quality of life is essential for happiness and is encouraged. As the body ages, chronic conditions can arise. Most aging and chronic conditions like diabetes, hypertension, and cholesterol, are routinely treated in an Internal Medicine practice.

To maintain and improve quality of life, individual healthcare plans can be developed and reviewed at intervals in an effort to establish and maintain the highest quality and active life. Over time, individual healthcare goals may change. With regular monitoring and open communication, you stay fully involved in your treatment and healthcare goals.

Emergency & Acute Care

Drawing from an extensive 35 year emergency medicine experience, rapid evaluation and assessment, completed in person, by telehealth or phone, can be used to determine the most favorable course of action for acute illness or injury. Our goal is to avoid use of urgent care and when appropriate, use of the emergency setting. While we cannot provide a comprehensive evaluation for all medical and surgical emergencies, triage by an experienced individual may lead to outpatient recommendations that can avoid the need for ER/Urgent care.

Preventive Health

Adult preventative health should begin at a young age but recommended screening generally starts at age 45. In some cases, screening can start earlier based on multiple factors including examination, family history and genetics. There are established guidelines for preventative screening and treatment which can be discussed and tailored to individual health plans.

Expanded screening can be performed in the presence of certain underlying conditions. Medical screenings are for prevention of disease and early detection is essential for treatment and mitigation of any discovered medical or surgical issues.

Diagnostic Treatment & Procedures

Some in-house capabilities will be part of the subscription. At present, this will include dip urines, strep, flu and covid testing. Procedures will generate further, add on charges. These include cryotherapy for skin lesions, joint aspirations/injections, excisions and laceration repair. A list of procedures and add on costs is available

Lifestyle Guidance

Unburdened by traditional time constraints, Direct Care allows the time to create a holistic health and wellness plan. This is personalized to the individual and may include advice on nutrition, exercise, sleep and mental health/stress management.

Work/Life ratios can become unbalanced and lifestyle change is difficult but by unburdening the traditional time constraints, Direct Care will enable both health coaching as well as the needed follow up to achieve success in the jointly decided, incremental changes.

Lakes Region Internal Medicine is a direct care practice delivering transparent, personalized healthcare, combining extensive internal medicine expertise with patient-focused solutions for individuals throughout New Hampshire’s lake region and beyond.