The functional medicine model of care is an individualized, patient-centered, science-based approach that empowers patients and practitioners to work together to address the underlying causes of disease and promote optimal wellness. It requires a detailed understanding of each patient’s genetic, biochemical, and lifestyle factors and leverages that data to direct personalized treatment plans that lead to improved patient outcomes.
Functional medicine looks upstream to determine the cause of your symptoms and works to diminish inflammation, rather than making a diagnosis that needs a prescription. In functional medicine, we may that find one condition has many different causes and one cause may result in many different conditions. For more information check out the Institute for Functional Medicine
A nurse practitioner is a registered nurse that has completed a master’s or doctoral degree in nursing and has advanced clinical training well beyond their nursing preparation. Nurse practitioners are required to undergo rigorous national certification, periodic peer review, clinical outcomes evaluations and adhere to a code of ethical practices. A nurse practitioner’s training sets them apart from other health care providers because of the unique emphasis on the health and well-being of the whole person. A nurse practitioner’s education is focused on health promotion, disease prevention, and health counseling. Nurse practitioners are able to order and interpret diagnostic tests such as lab work and x-rays. They are able to diagnose and treat acute and chronic conditions and are able to prescribe medications as needed. In South Dakota, nurse practitioners collaborate with physicians in all specialties to ensure optimal care for a patients’ health and healing, however, they are licensed and credentialed to provide independent care and services. Nurse practitioners specialize in a certain area of healthcare, I am certified as Family Nurse Practitioner, meaning that I am licensed to see patients of all ages and specialize in the preventative care and the treatment of chronic illnesses. (from the American Association of Nurse Practitioner)
All ongoing health conditions can be improved with functional medicine. Examples of specific conditions include allergies, arthritis, autoimmune diseases, adrenal disorders, anxiety, brain fog, cognitive decline, chronic fatigue, depression, diabetes, digestive disorders including irritable bowel syndrome (IBS), celiac disease, ulcerative colitis and leaky gut, fibromyalgia, food sensitivities, gluten sensitivity, hypertension, headaches, insomnia and other sleep disorders, rheumatoid arthritis, multiple sclerosis, nutritional deficiencies, and thyroid disorders.
Certain basic supplements are almost always recommended, but it is not required that you purchase them through the dispensary. I work to keep supplements to a minimum and for the shortest time possible. My primary goal is to formulate a diet plan for you that will help you obtain maximum nutrients from your diet. I also work to make sure you are digesting your food properly so that you receive optimal nutrition from the food you are eating. In most cases, I will order testing which will help determine exactly what is needed so that you do not take unnecessary supplements. I do provide access to quality supplements that have personally vetted to guarantee quality and reduce potential reactions through the dispensary. In my own experience with supplements, many of the over-the-counter supplements made my symptoms much worse, presumably because they are contaminated and not FDA regulated. Because most over-the-counter supplements made me so ill, I give all patients a discount on the supplements I have access to so that you can obtain the results you are looking for.
A typical visit with your primary care provider (PCP) is between 10 and 15 minutes. They have sufficient time to say ‘Hello’, ask a few questions about your symptoms and then they must quickly make a diagnosis and from there give you a prescription before they move on to the next patient. You are left wondering if they even have the right diagnosis? You start the prescription which sometimes does help your initial symptoms but now you have new side-effects and you need another prescription to deal with the side-effects. It’s a never-ending cycle and you aren’t getting better. I take the time to get to know you, find out what your goals are, review your current symptoms and review the events in your life that may have contributed to those symptoms. From there, I work with you to develop a personalize plan for testing and for healing so that you being to heal instead of having your symptoms continue to worsen.
SCHEDULING AND VISIT QUESTIONS
Your credit card is simply reassurance that you truly are planning to come in. It will never be charged unless you do not come to your appointment, for further information see the cancellation policy.
Cash, check or credit card are accepted
Unfortunately, no, I am not considered a primary care provider. A primary care provider provides your annual preventative care such as pelvic exams, mammograms, colonoscopies, and immunizations. They are also available in the case of an acute illness like strep throat or minor injuries and they manage ongoing prescriptions for things like high blood pressure or diabetes. At this time, I am not offering any of those services. It is required that you have a different provider that is considered as your primary care provider. I will be working with you to improve your overall health. And my goals is through us working together that you will rarely need to see your primary care provider except for a yearly checkup!
You will receive an email and text reminder prior to your scheduled visit. Any visits canceled within 48 hours of the appointment will be charged a $40 fee.
We will start as soon as you arrive and end at the scheduled time. It is important that I stick to a strict schedule for you and my other patients. So, I ask all of my patients to arrive 10 minutes early to ensure we start on time.
Yes! However, the first visit needs to be in-person. Then virtual follow-up visits can then be scheduled if deemed reasonable. (if there is something concerning going on with you, I may need to see you in-person more often!). If we decide virtual visits are good for you we will start with a secure, HIPAA complaint video conferencing system. You will be sent a link prior to the initial in-person visit.
Please Note: There is a minimum requirement of one in-person visit per year.
At this time, I am only seeing children over the age of 10
No, it is necessary for you to have a primary care provider who manages your urgent care needs.
No, I do not complete any disability paperwork. I am unable to participate in providing care in work-comp claims.
BILLING AND INSURANCE QUESTIONS
I am considered an out-of-network provider and do not accept insurance. A detailed billing summary called a ‘superbill’ is generated for each visit. You may find this in your patient portal after our visit. You will be able to submit the ‘superbill’ to your insurer for possible reimbursement. Unfortunately, I am not able to assist with claim resolution for services.
I definitely understand the financial challenge that not accepting insurance presents to patients. Unfortunately, the current insurance environment has been designed in such a way that it is very difficult to provide more than a 10 or 15-minute visit. Insurance companies require providers to sign an agreement with them that dictates what a provider can and cannot do and how much that provider will be paid. Insurance companies typically are not focused on preventative or wellness services and dictate what tests can be ordered and prefer that prescriptions are always given to treat a particular disease. In order to spend the time needed with each patient to go in-depth with what each person needs. And to ensure I am treating a whole person and creating a personalized plan, I have decided not to work directly with insurance companies. That way, I can provide superior and more thorough care.
I have ‘opted-out’ of Medicare and therefore I am not able to accept payments from Medicare. If you have Medicare, you will have to pay out of pocket for the visit. However most of the labs that are ordered are still covered by Medicare. Occasionally, if you have a Medicare supplement plan they may cover part of the expense of the visit, but it is extremely rare. You will be given an itemized bill that you may submit to your supplement plan for the visit but you cannot submit the bill to Medicare. You will sign an agreement prior to the visit stating that you will not submit the bill to Medicare. However, this does not cause you to forfeit your Medicare benefits for services elsewhere.
No, at this time I do not see patients on Medicaid.
Please check with your employer for information regarding your specific HSA. With an itemized billing summary for the visit, you typically are able to use your HSA account.
No. Any testing or labs ordered are an additional cost. Because I use third-party vendors, the lab bill can be submitted to your insurance company. From there, you will be required to pay any additional lab costs that were not covered by your insurance plan.
The cost of labs varies greatly depending on what is needed. I will review all lab orders with you and discuss cost concerns. I work to keep the cost at a minimum and labs are usually covered by insurance.