- Osteoporosis
- Headaches
- ArthritisPersons on medications which can affect the immune system. Examples of this include the following: high dose corticosteroids which include prednisone at doses of 20 mg or more daily; anyone receiving cancer chemotherapy drugs; transplant related immune suppression drugs; or anyone receiving a category of medicines called Biologics. These are commonly used in people with autoimmune conditions including rheumatoid arthritis, psoriatic arthritis, Crohn’s disease, and ulcerative colitis to give a few examples. Common medicines in these categories include methotrexate, Humira, Enbrel, Remicade, Simponi, Stelara, and Taltz.
- CryotherapyAdditional procedures Troy Internal Medicine offers include cryotherapy of skin lesions, joint injections including steroid and hyaluronic acid, wart removal, PFT (pulmonary function studies) and suture removal.
- Sinusitis
- Medical Weight LossOur chief areas of expertise are: Type ll Diabetes, vaccines, hypertension, hyperlipidemia, osteoarthritis, weight loss, osteoporosis, erectile dysfunction, cancer prevention and metabolic syndrome.
- Rheumatology
- Nutritional CounselingAdditionally, your doctor may suggest you see our nurse practitioner who specializes in diabetes management. She can help with your initial diabetic education, medication administration instruction, nutrition counseling and follow up visits.
- Pediatric CareI was going to make this one of the last, but data published this past week has moved it first. Southern states from Georgia through Texas are experiencing the worst COVID outbreak since the pandemic began. The biggest reason is the low vaccination rates (as discussed above). The American Academy of Pediatrics reported in the beginning of July 12,000 new infections in children. At the beginning of August, the number was 94,000. The Dallas-Fort Worth area has 300 pediatric intensive care beds through the area hospitals. Last week they ran out of available intensive care beds due to COVID-19 infected kids filling most of them. Many of these kids are on ventilators. This is all due to the aggressiveness of the Delta variant. These are in kids under the age of 18 including 4 and 5 years old. Again, these are kids. They should not be in the hospital. They should be enjoying their summers and going back to school.
- Primary CareThe Patient-Centered Medical Home (PCMH) is an approach to providing comprehensive care for children and adults, in a health care setting that facilitates partnerships between patients and their primary care physicians.
- Ear Infections
- High Cholesterol
- Emergency CareWe offer same-day appointments for urgent care issues. If your doctor is out of the office, another provider can see you. This is the best place to get care for common illnesses, minor injuries, and routine health exams.
- ColonoscopyVirtual colonoscopy is a recently developed, minimally invasive technique for detecting polyps and cancer in a patient’s colon. In many cases, it serves as an effective alternative to traditional colonoscopy. Virtual colonoscopy uses a CT scanner and virtual reality computer software to examine the colon thereby eliminating the need of inserting a long tube (colonoscope) or barium solution into the colon. Virtual colonoscopy takes only a few minutes to complete, requires no sedation, and does not risk perforation of the colon wall. CO2 (carbon dioxide) is placed into the colon during the test to help visualize any abnormalities. Because CO2 is rapidly absorbed, the discomfort level using this method is extremely minimal, and patients can return to normal activities directly after the test.
- Erectile Dysfunction
- Flu Shots). You may also choose to call 248-267-5000, ext. 3007, and leave a voicemail with the same information (You do not need to wait for a representative to dial this extension.). An office representative will reach out to you and schedule an appointment for a flu shot. These flu shots will be given in our Walk-in Lab.
- Irritable Bowel SyndromeDiseases such as: irritable bowel syndrome, reflux/heartburn, ulcers, celiac sprue, Crohn’s disease, ulcerative colitis, liver diseases, pancreatic diseases and colon cancer are covered.
- ElectrocardiogramThe EKG is a test often used as part of an assessment of the heart. The pattern recorded on the tracing gives information on the heart rhythm and can be helpful in identifying evidence of a previous heart attack or compromised blood supply to specific areas.
- Bronchitis
- Diarrhea
- Pneumonia
- ImmunizationsSource of immunization information and educational materials for health professionals and patients, including publications specific to pediatric and vaccine safety issues.
- Ophthalmology
- Gynecology
- Obstetrics
- Internal MedicineAll of the physicians in our office are Board Certified/Eligible in Internal Medicine and are members of the staff at William Beaumont Hospital – Royal Oak.
- Gastroenterology
- Urology
- Nephrology
- Cervical Cancer
- Colon Cancer
- Endoscopy
- Lung Cancer
- Neurology
- Mental HealthOur internists or doctors have intensive training in prevention, diagnosing, and treating adult medical disorders, from the simplest to the most complex. This includes a broad spectrum of disorders including the heart and circulation, digestive, respiratory, arthritic, blood, infectious, diabetic, cancer, kidney, neurologic, skin, and hormonal. However, we also have a background and emphasis on disease prevention and the promotion of health, mental health and substance abuse. We do not deliver babies, treat children, or perform surgery.
- Anxiety
- Diabetes Care
- Thyroid
- Thyroid Cancer
- UltrasoundUltrasound imaging uses high-frequency sound waves which are transmitted through the body to produce images of the area of interest. There is no radiation exposure from this test.
- MRI
- RadiologyGeneral radiology studies can be done at the time of your office visit and the images are available immediately for your physician to go over them with you.
- X-Rays
- Mammography
- Computed Tomography
- ChemotherapyWhat about the 10-20% of people testing positive with delta variant who had vaccines? It is simple. After 6 months the effectiveness of the Pfizer and Moderna vaccines diminish, and we become more susceptible. The effectiveness of the Johnson & Johnson vaccine is worse. It diminishes after 2 months from receiving it. Getting a booster puts the protection back to 90-100%. Those getting the infection who are vaccinated are individuals who have not received the booster. You rarely see individuals with 3 shots getting it. The other factor involved are people over the age of 80. Their immune systems are weakened because of age. People getting chemotherapy are at risk because of their immune systems are suppressed.
- General Surgery
- Orthopedic Surgery
- Vascular Surgery
- Otolaryngology
- Skin CancerAny person who is actively getting treatment for cancer. This includes solid organ cancers, blood cancers such as lymphomas, leukemias, multiple myeloma, etc. and melanoma.
- Dermatology
- Lesions
- Allergies