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GLP-1 Medications And Weight Loss: Liraglutide, Semaglutide and Tirzepatide

Our previous post covered a brief introduction into what GLP-1 receptor agonist medications are. In this post we will expand a little further on the three main injectable GLP-1 medications on the market: liraglutide, semaglutide, and tirzepatide.

 

With regards to weight loss (as can be seen in the table), tirzepatide appears to perform the best of the three and liraglutide appears to be the least effective. For example, if we look at patients who successfully lost at least 10% of their body weight, we see that 76.7% of those on tirzepatide achieved this goal, 69.1% of those on semaglutide achieved it, and only 33.1% of those on liraglutide achieved it. The results for those in the placebo groups were all roughly comparable across all three drugs, thus suggesting that this is a roughly fair comparison. As one might expect, they all have fairly similar side effect profiles. And importantly of note, they all carry a potential risk of causing or exacerbating thyroid tumors. Consequently, patients with a personal or family history of thyroid cancer should make sure to discuss this with their physician before taking any of these medications.

In order to accurately consider the true cost-benefit ratio of medication you need to know the actual cost. Pricing for prescription medications is notoriously and deliberately obscure. The actual prices paid can vary enormously from state to state, from pharmacy to pharmacy, with different insurance companies, and even if you self-pay out of pocket. It can be surprisingly difficult to get a straightforward “universal price” for a prescription medication. The current “list prices” (like an MSRP) for liraglutide, semaglutide and tirzepatide are all roughly around $1,000 to $1,300 per month. And, as mentioned previously, there is not currently a generic version of any of the three GLP-1 receptor agonists we have been discussing. Consequently, while it is difficult to state the exact price at any given time, there currently is not a strong cost benefit to any of them versus the others.

However, as noted previously, liraglutide’s patent is set to expire in June of this year (2024). That means that we can reasonably expect a generic version to hit the market shortly thereafter. So, to answer the title question of whether or not there is a generic version of Ozempic, the answer is: “No, not quite yet in February 2024. But also yes, one of its major competitors should have a generic option later in 2024.” Once a generic option of liraglutide is on the market, its price will likely drop dramatically in short order. And as more generic manufacturers start producing liraglutide, the faster the price will decrease.

While it is regrettable that liraglutide seems to be the least effective of the GLP-1 medications for weight loss, it will also soon be the least expensive of them BY FAR -- and for the foreseeable future until semaglutide’s patent expires in 2031! Nevertheless, liraglutide is still undeniably an effective medication for weight loss and already has an FDA approval to be used as such. Furthermore, it is likely to cost a fraction of its competitors in late 2024. Consequently, it is highly probable that liraglutide will soon become the most cost effective medication for treating obesity within the not too distant future.

Lengthy hospital stays are often infamously derided for their seemingly exorbitant price tags, unsavory-yet-overpriced food, and general patient dissatisfaction with their perceived level of quality of care.  In all honesty, these sentiments --while potentially valid-- are also often somewhat unfair, and worsened by a lack of transparency and understanding of the basic economics that go into maintaining a viable hospital system operational, particularly within our current medico-legal environment.  All that notwithstanding, there are very legitimate reasons for someone to search for alternative solutions to long-term care that are better suited to both the patient and their family’s lives.  One of these potential alternatives is “hospitalization” at home.

Many hospitals and emergency departments (EDs) across the country are facing serious shortages of available hospital beds for inpatient care.  As a result, many ED’s are stuck “boarding” patients in hallways for days or even weeks while they await a hospital bed to open up.  Obviously, this is less than ideal for myriad reasons:  it is uncomfortable and unpleasant for the patient;  it increases potential exposure to pathogens and the development of new hospital-acquired infections;  it increases wait times in EDs;  and so forth.

Fortunately, the Centers for Medicare and Medicaid Services (CMS) actually have expanded their Hospitals Without Walls initiative by creating the Acute Hospital Care at Home (AHCAH) program, which financially covers “hospitalization” at home.  This program allows patients to remain in their homes with daily follow-up by healthcare providers, as the situation warrants.  This daily follow-up can range from in-person nurse or physician visits (to administer medications, maintain intravenous (IV) lines, perform examinations, etc,), all the way to even virtual check-ins by a clinician to make sure everything is going well.

As one would assume, there are limitations to this program.  The patient must be sufficiently ill to have otherwise warranted normal hospitalization.  However, their condition must also be sufficiently low in severity and stable that they do not require immediate access to the lifesaving resources found in a physical hospital. The patient must be able to perform the basic activities of daily living, or at least have reasonable assistance available for certain limitations. Furthermore, admittance to the program requires an in-person evaluation from a physician.  This can be performed in an ED or community clinic, where the physician determines the individual warrants hospitalization, but is safe to be admitted to the home hospitalization program.  Alternatively, if the patient is already admitted to the hospital, their hospital physician may determine that they are stable enough to continue their “hospitalization” at home.  The home must also be assessed to ensure it is a safe environment and meets basic criteria such as running water, indoor plumbing, heating and/or air conditioning, etc.  A member of the clinical team must also meet with the patient at their home to go over the entire treatment plan and assess what additional steps might need to be taken (such as providing meals, for example).

Ideally, this program should offer greater convenience and comfort to suitable patients, while also reducing the inpatient costs and overcrowding burdens on the healthcare system.  There are currently 53 health systems with 116 hospitals located across 29 states that have been approved for this program.  To see if a hospital near you is participating in the program, you can check the following list published by CMS.

Theoretically, home hospitalization programs could help alleviate hospital crowding and extended ED “boarding” stays, in addition to possible savings on healthcare expenses.  A study from Johns Hopkins found that home hospitalization cost roughly 32% less than traditional hospital care (an average difference of $5,081 vs. $7,480 for applicable hospitalizations).  However, other studies have failed to show any significant difference in the average costs of home hospitalization vs. inpatient care.  One might also worry about many possible unintended  and unwanted consequences of a program such as this.  For example, if it becomes easier for busy ED physicians to simply clear out patients by sending them back home under this program, you might find that the home hospitalization program becomes inappropriately overused, ultimately driving CMS costs up instead of down.  The program might also be abused from the consumer side, where individuals seek out the comfort and/or benefits of this service inappropriately.  Again, driving total costs up instead of down.  However, for the time being, it is a potentially promising program that will undoubtedly need further tweaking as it matures.

If you or a loved one is facing a possible hospitalization --or are/is currently hospitalized-- consider asking your physician if their hospital is participating in a home hospitalization program and whether that is a suitable option for your treatment.

 

Sources:

Background:

Syphilis is primarily a sexually transmitted disease caused by the bacterium Treponema pallidum (because syphilis is in the genus Treponema, it can also be called a “treponemal disease”; however, there are other treponemal diseases that are not syphilis). It is transmitted through the mucous membranes, broken skin, and direct mother-to-child infection during pregnancy. As such, unprotected sex (anal, oral, vaginal, or any other permutation that results in the exchange of bodily fluids) increases an individual's risk of contracting the disease. Similarly, risky sexual behavior and increased number of sexual partners also increase an individual’s risk of contracting syphilis (and other sexually transmitted diseases).

Syphilis typically presents in three distinct symptomatic stages, (described below) marked by potentially long periods of symptom-free remission between stages. If left untreated, the final stage is usually ultimately fatal. However, it can take up to several decades from the point of initial infection until an individual enters the third and final phase of the disease.

Clinical Diagnosis/Suspicion:

As mentioned above, syphilis commonly presents with three distinct symptomatic stages. These are commonly known as Primary, Secondary, and Tertiary syphilis. Each stage is marked by its own set of typical signs and symptoms of the underlying disease.

● Primary Syphilis usually presents as a single round, painless, firm lesion called a chancre. It usually appears around the genitals or anus, but can occur elsewhere on the body. It usually appears within three weeks of the time of the initial infection. Even if left untreated, the chancre will usually heal within three to ten days.

● Secondary Syphilis usually presents as a more diffuse non-itchy rash across the skin. One of the distinct features of secondary syphilis is that this rash often can involve both the palms of the hands and the soles of the feet. Even if left untreated, this phase will also usually resolve on its own.

● Tertiary Syphilis may occur multiple decades after the initial infection, if left untreated. It can cause diffuse damage throughout the individual’s body to multiple different organ systems, from bone to skin and so forth. However, what often ends up claiming the lives of the afflicted individuals is the damage done to their brain and cardiovascular system. If there is clinical suspicion of syphilis, the individual will still require additional laboratory testing to confirm the diagnosis.

Laboratory Diagnosis:

Individuals infected with syphilis can still be accurately tested even if they do not have any active symptoms suggestive of syphilis. This is done by a combination of two blood tests:

1. A nontreponemal test, such as the Venereal Disease Research Laboratory (VDRL) or Rapid Plasma Reagin (RPR) test.

2. A treponemal test, such as the Treponema pallidum Passive Particle Agglutination assay (TP-PA), Enzyme Immunoassays (EIA), Chemiluminescence Immunoassays (CIA), or rapid treponemal assays.

A positive result for both the nontreponemal and treponemal tests is required for a diagnosis of syphilis. Additionally, if there is access to drainage or fluid from an open lesion, urinary discharge, or the tissue from a lesion, darkfield microscopy can be used to look for visual confirmation of the presence of Treponema pallidum (which appear as little white spirals under the microscope, hence their alternate classification as a “spirochete” bacteria).

Treatment of Syphilis:

As dismal and dire as untreated syphilis is, the good news is that syphilis is easily treatable and curable if caught before entering the tertiary syphilis stage of the disease. The mainstay of treatment is an injection of a long-acting form of penicillin called benzathine penicillin G. Because syphilis can be transmitted directly from mother to child during pregnancy, treatment with benzathine penicillin G is highly recommended for infected pregnant women to prevent congenital syphilis in the child. There is even evidence supporting additional treatment for pregnant women. However, because of the additional risks, this issue should be discussed with the woman’s obstetrician to decide on the best treatment plan and course of action.

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Both the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) have recently reported drastically increased rates of syphilis and, correspondingly, congenital syphilis recently. The WHO estimates that 7.1 million people globally acquired syphilis in 2020. The table below from the CDC shows a 78.9% increase in syphilis cases generally over the 5-year period from 2018 to 2022. Even more concerning, over that same 5- year period there was a 183.4% increase in congenital syphilis (that is, syphilis transmitted from an infected pregnant woman to her unborn child), and a 937% increase from a decade ago.

Among the greatest risk factors for syphilis are high risk sexual behaviors and a high number of sexual partners. However, what is surprising about the data is that the incidences of chlamydia and gonorrhea have remained relatively flat over that same 5-year time period. This would seem to suggest that there has not necessarily been an increase in risky sexual behaviors, but rather that the prevalence of syphilis has been increasing within the general population.

There are many potential reasons for this. One of the most commonly cited explanations by health organizations is insufficient testing for syphilis. One much less credible explanation given is a shortage of long-acting penicillin (trade name Bicillin) over the past year. While that might explain a rise over the past year, it does little to explain the rising trend over the 10 years prior. Moreover, there are other alternative treatments for syphilis, such as doxycycline.

One thing that is important to know about the disease course of syphilis is that it often has long periods where the infected individual may have no symptoms at all, and these periods can be up to decades long! Consequently, infected individuals who are asymptomatic are less likely to seek medical attention for testing and treatment. This, in turn, means that infected individuals could potentially be unwittingly transmitting the disease to others for years at a time before their syphilis symptoms recur and prompt seeking medical treatment. Syphilis is further complicated
by the fact that it can present in all manner of symptoms that one might not necessarily associate with a classic STD, thus leading to failure to successfully recognize and treat it. For this very reason syphilis is often colloquially called “the great imitator” amongst the medical community.

Greater awareness amongst both the general population and medical providers, combined with developing better and more frequent testing protocols would likely go a long way towards stemming the rising tide of syphilis. Successfully squelching syphilis need not be a Sisyphean task.

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Understanding Sinusitis: Can It Lead to Facial Numbness?

When we think of sinusitis, common symptoms like nasal congestion, headaches, and facial pain come to mind. However, there's an uncommon symptom that often goes unnoticed - facial numbness. My Virtual Physician recognizes the importance of understanding this lesser-known connection and provides expert guidance on managing sinusitis effectively.

The Hidden Link: Sinusitis and Facial Numbness

Sinusitis, an inflammation of the sinuses, typically brings discomfort around the nasal area. But can it cause numbness in the face? Indeed, in some cases, the inflammation and swelling can put pressure on facial nerves, leading to a sensation of numbness or tingling. This phenomenon is not widely known, and many may not immediately associate it with sinusitis. Understanding this link is crucial, as facial numbness can be alarming. It's a sign that sinusitis might be more severe or complicated than usual. My Virtual Physician emphasizes the importance of not dismissing such symptoms and seeking professional advice for a proper diagnosis.

Why Professional Diagnosis Matters

Self-diagnosis can be risky, especially with symptoms like facial numbness. It's essential to consult healthcare professionals like those at My Virtual Physician. They can determine whether the numbness is indeed related to sinusitis or if it's a sign of another underlying condition. Sinusitis, especially when severe, can lead to complications if not treated appropriately. A professional diagnosis ensures that you receive the right treatment, preventing the condition from worsening or leading to further health issues.

The Convenience and Expertise of My Virtual Physician

In today's digital age, accessing healthcare has become more convenient through telemedicine services like My Virtual Physician. Consulting online for symptoms like facial numbness due to sinusitis not only saves time but also provides access to specialized care right from your home. My Virtual Physician offers comprehensive care for sinusitis, including understanding and managing unusual symptoms like facial numbness. Their expertise in telemedicine ensures that patients receive prompt and accurate diagnoses, followed by effective treatment plans.

When to Seek Medical Advice: Sinusitis with Unusual Symptoms

If you're experiencing facial numbness along with other sinusitis symptoms, it's time to consult a physician. My Virtual Physician advises not to wait until symptoms become unbearable. Early consultation can lead to a quicker diagnosis and treatment, preventing the progression of the condition. Sinusitis with symptoms like facial numbness might require more than just over-the-counter medication. It's a sign that your body is reacting more intensely to the inflammation, and professional medical advice is crucial in such cases. Understanding Sinusitis in the Digital Age The rise of telemedicine has made managing health conditions like sinusitis more accessible. My Virtual Physician stands at the forefront, providing expert medical consultations online. For anyone experiencing sinusitis symptoms, especially something as unusual as facial numbness, My Virtual Physician offers a convenient and reliable solution. Remember, understanding your symptoms is the first step toward effective treatment. Don’t hesitate to reach out to My Virtual Physician for personalized advice and comprehensive care for your sinusitis concerns.

Booking Your Virtual Consultation

If you're experiencing symptoms of sinusitis, particularly facial numbness, consider booking an appointment with My Virtual Physician. Their team of experienced healthcare professionals is ready to provide you with personalized advice and comprehensive treatment options, all from the comfort of your home.

Take Action

Sinusitis is more than just congestion and headaches. When it presents with a symptom like facial numbness, it's a sign to take action. My Virtual Physician is here to help you understand these symptoms and provide the care you need through convenient telemedicine services. Don't let sinusitis and its unusual symptoms go unchecked. Reach out to My Virtual Physician for expert care tailored to your needs.

Caya Diaphragm: A Path to Comfortable and Reliable Contraception

In an era where women's health and comfort are prioritized, the Caya Diaphragm emerges as a significant advancement in contraceptive choices. It's not just about preventing pregnancy; it's about embracing a method that aligns with your lifestyle and well-being. My Virtual Physician recognizes this need and stands ready to guide you through understanding how the Caya Diaphragm can be a game-changer in your sexual health journey.

The Comfort of Caya

The design of the Caya Diaphragm is a testament to modern medical ingenuity. Its contoured, silicone-based structure is tailored to fit the female anatomy comfortably. This means no rigid edges or uncomfortable fits – just a natural, almost unnoticeable presence during use. For women who have experienced discomfort with other contraceptive methods, the Caya Diaphragm offers a breath of fresh air. Its material is hypoallergenic, making it suitable for women with sensitivities or allergies to latex.

Moreover, the comfort it provides goes beyond the physical aspect. There’s a mental ease that comes from using a product that’s designed with your body in mind. This can significantly impact your sexual health positively, making intimate moments more enjoyable without the worry of discomfort.

Reliability You Can Trust

When it comes to contraception, effectiveness is a non-negotiable. The Caya Diaphragm, backed by clinical research, offers impressive reliability. Its design is such that, when used correctly and with spermicide, it forms a physical barrier that prevents sperm from reaching the uterus. This method’s success rate is encouraging, giving women confidence in their contraceptive choice.

It's important to note that the effectiveness of any contraceptive method, including the Caya Diaphragm, depends on proper use. This is where My Virtual Physician comes into play. Our team is dedicated to educating you on the correct usage, ensuring that you get the most out of your Caya Diaphragm.

Positive Impact on Sexual Well-being

Choosing a contraceptive method that you're comfortable with can have a profound effect on your sexual well- being and relationship satisfaction. A method that is both comfortable and reliable like the Caya Diaphragm can reduce anxiety around intercourse, leading to a more fulfilling sexual experience. This peace of mind is invaluable, allowing you to focus on the intimacy and connection with your partner.

Furthermore, the Caya Diaphragm does not interfere with the body’s natural hormonal balance. This is a crucial factor for many women who prefer or need to avoid hormonal contraception for various health reasons.

Empowering Women with Choices

My Virtual Physician’s commitment to empowering women with choices is evident in our support for the Caya Diaphragm. We understand that each woman’s needs are unique, and our approach is to provide personalized consultations. Through telemedicine, access to this modern contraceptive method is simplified, making it a viable option for women everywhere.

Our platform provides not just access but also comprehensive education about the Caya Diaphragm. We believe in informed choices, and our team ensures that you have all the information you need to make the best decision for your health and lifestyle.

The Value

The Caya Diaphragm represents more than just a contraceptive method; it's a statement of comfort, reliability, and empowerment. My Virtual Physician is here to help you explore this option, ensuring that your journey in sexual health is supported, informed, and aligned with your personal values. We invite you to schedule an appointment with us for a personalized consultation on using the Caya Diaphragm and to address any sexual health concerns you may have. Remember, your comfort and health are paramount, and with the Caya Diaphragm, you’re choosing a path that respects both.

Understanding the Equivalence: Are Generic Medications as Effective as Brand Names?

When it comes to choosing medications, one of the most common dilemmas people face is deciding between generic and brand-name drugs. At My Virtual Physician, we understand the importance of making informed health decisions. That's why we're delving into this topic to clear up misconceptions and provide you with the knowledge you need.

The Truth About Generic Medications

One might wonder, "Are generic medications the same as brand names in terms of quality and effectiveness?" The answer is a resounding yes. Generic drugs are equivalent to their brand-name counterparts in the most crucial aspects - safety, efficacy, and therapeutic value.

The Science and Standards Behind Generics

Generic medications undergo rigorous testing and approval processes. The U.S. Food and Drug Administration (FDA) requires that generics demonstrate bioequivalence to brand-name drugs. This means they must have the same active ingredient, strength, dosage form, and route of administration. The manufacturing facilities and processes also meet the same high standards as those of brand-name drugs.

Equally Effective, More Accessible

The primary difference between generic and brand-name drugs lies not in their quality but in their accessibility. Generics offer significant economic benefits. They are typically far more affordable than their branded counterparts, making essential medications accessible to a broader range of people. This cost-effectiveness can be a game-changer, especially for individuals managing chronic conditions on a budget.

Busting the Myths Around Generics

Despite their proven efficacy, some myths persist around generic medications. A common misconception is that cheaper means lower quality. However, the lower price of generics is due to the absence of the initial research, development, and marketing costs that brand names incur. The quality, safety, and effectiveness remain on par with branded drugs.

Personalized Healthcare Choices

At My Virtual Physician, we emphasize personalized healthcare. Understanding your medication options, including the viable choice of generics, is a crucial part of this. We encourage patients to discuss their medication options with our healthcare providers, ensuring they make choices that best suit their health needs and financial circumstances.

Making Informed Decisions

In the end, generic medications are not just a cost-effective alternative; they are a safe, effective, and essential part of modern healthcare. By choosing generics, patients can access the treatments they need without compromising on quality.

We encourage our readers to continue exploring these topics. If you're considering switching to generic medications or have any questions about your medication choices, we invite you to schedule a consultation with My Virtual Physician. Our experts are here to provide personalized advice and support your journey towards informed health decisions.

Remember, your health is your most valuable asset. Making educated choices about your medications is a critical step in managing it wisely. At My Virtual Physician, we're committed to guiding you through these choices, ensuring you receive the best possible care tailored to your unique needs.

Building Trust and Care with Your Online Primary Doctor

In the world of healthcare, trust and care form the cornerstone of a strong patient-doctor relationship. With the advent of telemedicine, this dynamic is evolving. My Virtual Physician, a leading online primary care provider, is at the forefront of this evolution, demonstrating how trust and care can flourish even in the digital healthcare landscape. This article explores the importance of these elements in an online setting and how My Virtual Physician is setting a new standard for patient care.

The Essence of Trust in Online Healthcare

In traditional healthcare settings, trust is built over time through face-to-face interactions. However, in the digital world, building trust with an online primary doctor requires a different approach. My Virtual Physician understands this and has crafted a platform that fosters trust from the first interaction. The use of secure, user-friendly technology for consultations ensures that patients feel safe sharing their health concerns. Moreover, the consistent quality of care and attention to detail in follow-ups reinforces this trust, proving that distance is no barrier to a reliable healthcare relationship.

My Virtual Physician’s commitment to confidentiality and adherence to medical ethics further enhances this trust. Understanding that patients might have concerns about data security and privacy, the platform uses state-of-the- art security measures. This commitment ensures that the sanctity of the patient-doctor relationship is maintained, just as it would be in a traditional setting.

Building Enduring Relationships Remotely

The key to a strong patient-doctor relationship lies in understanding and empathy. My Virtual Physician’s team of dedicated doctors takes the time to understand each patient's unique health journey. Through regular virtual check-ins and personalized health plans, patients receive care that is tailored to their individual needs. This personalized approach not only addresses the immediate health concerns but also fosters a sense of belonging and care, vital for long-term health management.

Telemedicine’s flexibility allows for more frequent and convenient communication between patients and doctors. This regular interaction builds a deeper understanding and a stronger bond, akin to what one would expect from a traditional family doctor. My Virtual Physician leverages this advantage, ensuring that patients always have access to their doctors, whether for acute conditions, chronic disease management, or preventive care.

The Benefits of a Reliable Online Primary Doctor

Access to a reliable online primary doctor means healthcare on your terms – flexible, accessible, and tailored to your lifestyle. For busy professionals, parents juggling family responsibilities, or individuals in remote areas, My Virtual Physician provides a level of accessibility that traditional healthcare often cannot match. This ease of access ensures that health concerns are addressed promptly, leading to better health outcomes.

Moreover, the continuity of care provided by online primary doctors is invaluable, especially for managing chronic conditions. Patients have the assurance of consistent care from a doctor who understands their medical history in- depth, an aspect often missing in fragmented traditional care models.

Real Stories, Real Connections

Patient testimonials and case studies are a testament to the successful relationships built through My Virtual Physician. From managing chronic illnesses to providing acute care and preventive advice, these stories reflect the positive impact of having a trustworthy online primary doctor. These real-life examples highlight how an empathetic, patient-centric approach, combined with the convenience of online consultations, can lead to meaningful and long-lasting healthcare relationships.

Take the Next Step

My Virtual Physician is more than just a platform for healthcare; it’s a community where trust, care, and professional medical advice converge to provide a holistic online healthcare experience. For those new to telemedicine or seeking a more connected healthcare journey, My Virtual Physician offers an opportunity to experience healthcare reimagined.

Ready to experience a new level of healthcare? Visit myvirtualphysician.com to learn more about our services and book your initial consultation. Discover the difference of a patient-doctor relationship that’s rooted in trust and care, all from the comfort of your home.

In recent years, the United States has witnessed an unsettling surge in cases of newborn syphilis, reaching levels not seen in the past three decades. According to the latest data from the Centers for Disease Control and Prevention (CDC), there has been a tenfold increase in newborn syphilis cases over the last decade, with more than 3,700 infants born with the infection in 2022 alone. Federal health officials are raising the alarm, emphasizing the urgent need for action to curb this concerning trend.

The Silent Epidemic:

Syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum, can be transmitted from an infected mother to her unborn child, leading to congenital syphilis. The consequences of untreated syphilis in newborns can be severe, ranging from developmental issues to organ damage and even death. The rise in cases is a stark reminder of the importance of timely and accessible healthcare, especially for expectant mothers.

The Role of Telemedicine in Combating Syphilis:

Amidst the alarming statistics, there is hope for a solution that is both convenient and effective: virtual primary doctor visits and online consultations. My Virtual Physician, a leading telemedicine service, offers a swift and secure way for individuals to address their health concerns, including the need for syphilis testing.

How My Virtual Physician Can Help:

Quick Telemedicine Visits:

My Virtual Physician provides easy access to virtual primary doctor visits, allowing individuals to consult with healthcare professionals from the comfort of their homes. This eliminates barriers such as transportation issues or the need for childcare, making healthcare more accessible to everyone.

Electronic Lab Orders:

With My Virtual Physician, patients can receive electronic lab orders that are seamlessly sent to the nearest laboratory of their choice. This streamlined process ensures that individuals can get tested for syphilis promptly, without the need for additional paperwork or physical visits.

Comprehensive STD Testing:

In addition to syphilis, My Virtual Physician offers comprehensive STD testing, including screening for HIV, hepatitis C, HSV, gonorrhea, and chlamydia. This holistic approach allows individuals to address multiple health concerns in a single telemedicine visit, promoting overall well-being.

Conclusion:

As the nation grapples with the rising tide of newborn syphilis cases, it is crucial to embrace innovative solutions that can make healthcare more accessible and efficient. My Virtual Physician stands as a beacon of hope, offering a convenient avenue for individuals to address their health concerns promptly and responsibly. Through quick telemedicine visits and electronic lab orders, this service plays a pivotal role in the fight against syphilis and other sexually transmitted infections, ensuring a healthier future for all.

Don't wait – take control of your health today with My Virtual Physician and contribute to the collective effort to combat the alarming rise of newborn syphilis in the U.S.

Telemedicine practices are on the rise, revolutionizing the way healthcare is delivered. However, a recent survey reveals that 55% of physicians find a misalignment between their patients’ expectations and what can be achieved through a virtual care model.

 

My Virtual Physician (MVP) stands out as an innovator, sharing the belief that virtual care can accomplish more for patients than ever before. While some providers offer a hybrid care model combining virtual and in-person visits, a hybrid model alone may not provide comprehensive care.

 

Let’s compare My Virtual Physician against Doctor on Demand, another popular telehealth provider, to see where MVP is breaking barriers in virtual healthcare.

What is Doctor on Demand? 

Doctor on Demand is an established telemedicine provider offering virtual visits to treat specific conditions for patients. While they offer some primary care services, their scope of services is limited. Here’s a side-by-side comparison of treatment options:

 

My Virtual Physician Doctor on Demand
Allergies ✔️ ✔️
Earaches ✔️
Cough, Cold, & Flu ✔️ ✔️
Sinus Infection ✔️ ✔️
Skin Rashes ✔️ ✔️
Pediatric Care ✔️ ✔️
Perinatal Care ✔️
STD ✔️ ✔️
Women’s Health ✔️ ✔️
Irregular Periods ✔️
Painful Periods ✔️
Birth Control ✔️
Infertility ✔️
Menopause ✔️
Acne ✔️ ✔️
Mobile Testing ✔️
Medical Marijuana ✔️
Mental Health ✔️ ✔️
Specialty Care ✔️
Wound Care ✔️
Chronic Condition Management ✔️

 

Shared Similarities between MVP and DoD

Doctor on Demand and My Virtual Physician are both complete care providers offering patients access to urgent care, primary care physicians, and pediatricians for online doctor appointments.

 

Another similarity between the two virtual providers is the availability of virtual and in-person visits. Doctor on Demand partners with certain facilities and helps patients find physical care providers.

 

My Virtual Physician, on the other hand, owns two clinics in Las Vegas with a care team employed on-site. They also provide virtual doctor visits to all 50 states offering a range from primary to specialty care physicians.

Where the Line Starts, the Divide

Doctor on Demand and My Virtual Physician appear to go toe-to-toe on paper until you start reading the fine print. That’s where MVP stands apart. My Virtual Physician is staffed with specialists, including:

And they are working to add even more specialist physicians for patients to have direct access to specialized care without a referral.

 

As far as pricing goes, Doctor on Demand comes with a bit of sticker shock. For a 15-minute virtual consultation for primary care, patients can expect to pay $79, while a 45-minute consultation with a Psychiatrist is nearly $300.

 

My Virtual Physician offers patients greater flexibility and a more straightforward pricing model. Visits are broken down into categories of acute, comprehensive, and specialty care. Depending on the nature of your visit, you’ll pay:

 

  1. Acute - $49.99 for a 15-minute consultation
  2. Comprehensive - $99.99 for chronic conditions or diseases
  3. Speciality Care- $115 for a state-specific certified physician

Care that Speaks for Itself

Reviews and ratings of telemedicine platforms provide valuable insights into patients’ experiences. Let’s address the elephant in the room between these two platforms. Doctor on Demand has a 1.5 rating on Trustpilot, indicating a significant number of negative experiences reported by users. Common complaints mention:

 

 

On the other hand, My Virtual Physician stands in stark contrast, boasting over 100 5-star reviews on Google. These positive ratings signify high satisfaction and appreciation from patients who have received care.

My Virtual Physician Breaks Barriers in Remote Care

My Virtual Physician is no doubt the forerunner in revolutionizing healthcare through telemedicine, particularly for those in remote situations. They provide a total care approach for individuals with multiple chronic illnesses, using mobile teams of certified medical assistants (MA) and specialty physicians including OBGYNs, pediatricians, internists, and more.

 

This mobile team coordinates evaluations and consultations using an actual hybrid approach, where a medical assistant travels to the patient’s home with a tablet for video connections with doctors. The MA uses assistive technology to perform physical tasks such as:

 

 

Through the power of telemedicine, doctors can directly observe and supervise critical treatments, such as wound care, from the comfort of the patient’s own home. This convenient and inclusive approach breaks barriers ensuring individuals receive comprehensive care and specialized treatments regardless of their circumstances.

The Bottom Line

Doctor on Demand and My Virtual Physician both offer online telemedicine services, providing a range of treatment options and accessible healthcare services.

 

While Doctor on Demand caters to non-emergency medical conditions, mental health concerns, and general medical advice, My Virtual Physician takes it a step further by offering a more extensive and specialized approach to care.

 

The best thing about telemedicine is that patients can reach more providers now than ever possible before. This gives patients the power to choose from more than one provider for their healthcare needs. If you’re ready to check out what My Virtual Physician can do for you, our doctors are standing by to help.

 

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The human body miraculously knows just what to do and when to do it.

Your heart beats on its own, your lungs draw in air and push out carbon dioxide without any intentional effort on your behalf, and your food goes through your body, nutrients absorbed, and waste removed without much conscious instruction.

But sometimes, those bodily processes can get out of whack. When there is pain or disruption in automatic functioning like swallowing and digestion, it grabs our attention. Luckily, today’s technology allows doctors to see what’s happening inside the body without the use of a scalpel.

 

In this blog, we’ll talk about one way to look inside the body called an EGD. Find out:

What is an EGD?

EGD (esophagogastroduodenoscopy) is a medical procedure used to examine your esophagus, stomach, and part of the small intestine (duodenum). During an EGD, a special tool called an endoscope is used to examine the upper GI tract. An endoscope is a soft, flexible tube with a camera attached to the end.

At the start of the EGD procedure, the endoscope enters the body through the mouth for visual inspection of the upper GI tract. This helps doctors identify any ulcers, irritation, or bleeding that may be the cause of your discomfort. Some endoscopes are even equipped with accessories for collecting biopsies (tissue samples) so that they can be sent to the lab for further analysis.

An EGD can also double as a treatment for some upper GI concerns. Some endoscopes are capable of cauterizing bleeds or removing polyps (small growths) during the procedure.

When Do You Need an EGD?

Since an EGD is a diagnostic procedure, you only need it if you’re having symptoms of an illness in the upper digestive tract. Here are some common problems that warrant a closer look through EGD:

Your doctor will help determine whether an EGD is necessary to diagnose the cause of your discomfort. If you’re experiencing the above symptoms or struggling to manage a digestive condition, My Virtual Physician can help. Reach out to our doctors today for a virtual appointment.

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If you’re already scheduled for an EGD, you may be wondering what the experience will be like. We’ll cover that next.

What is an EGD like?

It sounds pretty uncomfortable to have someone poking around inside you with a tube down your throat during the EGD procedure. Luckily, you will be under mild sedation as an outpatient procedure, allowing your experience to be very relaxed and pleasant (but still awake).

Before coming in for your EGD, your doctor will provide instructions to prep for the procedure. It’s very important to avoid eating or drinking before your procedure so that you do not aspirate. Aspiration is when your stomach contents are inhaled into your lungs. Aspiration can lead to very serious health problems like pneumonia or even death.

When you arrive at the clinic or hospital for your EG, here’s what will go down:

  1. Change into a gown
  2. Have your vitals taken
  3. Speak with the nurse, endoscopist, and anesthesiologist
  4. Partial sedation medication is given by IV
  5. Endoscopist performs the procedure (you won’t remember this part)
  6. Go to recovery for an hour
  7. Have someone drive you home

If you want to learn more about the endoscopy from a doctor’s perspective while you’re in the procedure room zoned out, check out our Talk Tuesday episode below on EGD:

What Happens After an EGD?

Immediately after your EGD, you should closely monitor your body for signs of infection, bleeding, or perforation. Since an EGD has an inherent risk of serious complications if the endoscope perforates your upper GI tract, it’s critical to go to the ER (or at least speak with a doctor) if you have any of these serious symptoms after the procedure:

About two weeks after your EGD, you’ll have a follow-up appointment with your doctor to go over the findings. If any biopsies were taken, you’ll get results during your follow-up appointment or sooner. In some cases, your doctor may have been able to treat the cause of your symptoms from the EGD alone. If not,  your doctor will make recommendations on the next steps required to restore your health.

My Virtual Physician’s Doctors Can Help

If you’re struggling with digestive issues, talk to a specialist at My Virtual Physician for help. Our virtual appointments are easy, affordable, and convenient. And our team of doctors is passionate about helping you get well. We can help you decide whether an EGD is the best route to take or if there are alternative solutions to try first.

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doctor in las vegasEveryone needs to see a doctor at some point in their lives. Whether you’re facing an illness, pain, disorder, or just need a medication refill or regular checkup; our society relies heavily upon primary care physicians.

 

How long has it been since you last saw yours? 

 

The Problem

It can be a struggle to get an appointment scheduled with your Las Vegas primary care physician (PCP). Waits are long and many doctors aren’t even accepting new patients. One reason for this is that there is a shortage of physicians.

 

Related: Increasing Access in Las Vegas: Physician-to-Patient Ratio

 

That may leave you wondering—what can I do to see a Las Vegas doctor sooner? Read on to find out a solution to the doctor access dilemma.

 

Availability isn’t the only problem that patients face when trying to schedule doctor appointments in Las Vegas. Physical limitations, such as transportation, access to technology, and geographical location, can also hinder access for patients to see their doctors regularly.

 

What’s a PCP and Who Needs One?

A primary care physician, or PCP for short, is a general practitioner who you know as your “go-to” doctor. Any time you have an infection, need medication, or want a consultation, your PCP is probably your initial point of contact.

 

This type of doctor sees a broad range of patients, in the age ranges of anywhere from children to the elderly, and treats a wide variety of conditions. If you have to manage an ongoing health condition, such as diabetes or asthma, you likely see your PCP more frequently.

 

While it’s not necessarily required to have a PCP, establishing a relationship with a primary care doctor in Las Vegas can be beneficial for both patients and physicians. That’s because your doctor can get to know you, your health, and you become comfortable with one another to discuss private health matters.

 

Reasons to See Your Primary Care Physician (PCP)

Here’s a list of common conditions or patient needs that most primary care physicians are capable of handling without the need for specialist visits:

 

But if you can’t get in to see your PCP or get established with a new primary care doctor in Las Vegas, then what can you do?

 

A Simple Solution

My Virtual Physician has a new solution to the patient access problem in Las Vegas. Our Las Vegas specialists can provide PCP services online through our hybrid clinic on Paradise Road.

 

Related: Hybrid Medical Clinics: Expanding OBGYN Access in Las Vegas

 

This physical clinic solves many problems when it comes to patient access to doctors in Las Vegas.

 

Can’t get an appointment? No problem, walk-in visits are welcome in our hybrid clinic.

 

No computer, phone, or internet connection? Our hybrid clinic offers a private room with all the technology already set up for our patients to use.

 

Need a second opinion? Our professional doctors are available to meet with you today to provide medical advice.

 

Uninsured? My Virtual Physician offers affordable and transparent pricing on our telemedicine appointments, both in the clinic and online.

 

See a Doctor in Las Vegas Today

Stop waiting for an opening at your traditional doctor’s office. See a doctor today in Las Vegas who can meet your healthcare needs.

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Need to see a specialist? Whether you’re looking for a Las Vegas OBGYN or a pediatrician for your child, getting established with a specialist physician can be an intimidating venture.

 

It used to be a lengthy, expensive, and convoluted process.

 

Luckily—things have changed. Today, there’s a new path available for patients. Now, you can see a healthcare specialist without the red tape.

 

More providers are paying attention to the patient experience, and a clear demand has surfaced: patients need easier access to specialists for healthcare. Healthcare specialist appointments must be easily accessible, swiftly scheduled, and transparently priced. 

 

In this blog, we’ll define what specialists are and when you need to see them. And then, we’ll explore the processes required to see a healthcare specialist, both old and new—letting you in on the secret to seeing a Las Vegas Specialist in a snap.

 

What is a Specialist?

When you call to schedule your appointment for your annual physical or a routine checkup, you’re likely booking with your primary care physician. These doctors can handle a wide range of common medical ailments seen in the general population.

 

A specialist, on the other hand, is a doctor who has expertise in a particular body system.

For example, an OBGYN specializes in the female reproductive system. Read more about the special care focus of an OBGYN below in the related blog at the link below.


Related: What’s an OBGYN: Get to Know Our Las Vegas Gynecology Team

 

An ENT doctor specializes in ailments of the ears, nose, and throat. A pediatrician specializes in the healthcare needs of children.

 

Here are some other specialists found in our healthcare system:

 

This is just a small selection of the many specialty fields out there in the world of healthcare.

 

Las Vegas Specialist - My Virtual Physician

When Should I See a Specialist?

There are many reasons to seek medical care from a healthcare specialist. Here are a few.

Your Primary Care Doctor is Unable to Treat Your Condition

If you’re experiencing a chronic medical condition that your primary care doctor is unable to treat, it may be time to see a specialist. For example, if you’ve been asking your regular doctor to help clear up a skin condition, but it doesn’t seem to be improving—a dermatologist, who specializes in skin conditions, may be more qualified to help. Sometimes your doctor will refer you to a specialist; other times, you may need to seek out the specialist yourself.

You Have a Rare (or system-specific) Condition

Primary care physicians (PCPs) are trained to treat a broad scope of conditions that occur in the general population. If you know that you have a condition that is rare or that a specialist is more qualified to treat, then it may be appropriate to book directly with a specialist rather than a PCP. For example, if you have irregular menstrual cycles, an OBGYN or endocrinologist may be better able to pinpoint a care plan than a doctor with general training.

Your Regular Doctor is Unfamiliar with Treatments

A third reason that patients desire to see a specialist is to find a doctor who is more familiar with treatment options that they have researched. If a primary care doctor is unfamiliar with a treatment that you want to try, seeing a specialist with experience using the treatment is a valid option.

 

So, now that you know when it’s time to see a specialist—let’s look at how to do it.

 

The Traditional Method

First, the long way.

 

Traditionally, the process of seeing a specialist involved making multiple appointments. Ultimately, your primary care physician was the gatekeeper who decided whether patients were permitted to schedule an appointment with a specialist.

 

Sometimes, you’d also need to have pre-approval from your insurance company before seeing a specialist. Insurance companies may deny coverage of specialist visits if the proper referral paperwork is not filed by your doctor’s office.

 

With the traditional method, you had to jump through hoops to see a specialist physician, including:

 

  1. Multiple appointments required
  2. Pre-approval is required for insurance coverage
  3. Primary care physicians must provide a referral
  4. Long waiting list to get an appointment

 

With the shortage of specialists in the Las Vegas area, seeing an OBGYN or other specialists in the area could take months.

 

Luckily, there’s a better way!

 

Bypass the Wait and See a Specialist Today

It’s hard to believe that anyone would follow the long process above to see a healthcare specialist when there’s such a simple shortcut. So, how can you see a specialist physician without jumping through hoops?

 

Schedule directly with your specialist. 

 

My Virtual Physician wants patients to have access to specialists. That’s why we are here. Our patients have the option to visit with our Las Vegas specialists either online or inside our hybrid clinic located on Paradise Road in Las Vegas.

 

Our specialists include:

 

My Virtual physician offers transparent pricing and affordable visits for self-paying patients. Read more about grabbing affordable medications as a self-pay patient below.

 

Related: Guide to Self-Pay Prescriptions: Get the Best Price on Medications

 

If you’re located or visiting the Las Vegas area, walk-ins are welcome at our hybrid clinic. At this clinic, you can visit virtually with our specialists inside a private exam room right on the Vegas strip, making seeing a specialist on your own terms as easy as can be.

 

Ready to Schedule Your Specialist Appointment?

If you’re ready to book your appointment with one of our specialists, click below to self-schedule or walk into our hybrid clinic for an instant appointment. We look forward to serving you by providing a positive patient experience.

 

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You’ve been planning this vacation for months and now you’ve arrived—you finally made it to Vegas! Now, the fun begins…

 

You’re full of excitement and ready to experience the Vegas strip and have some fun! But there’s one detail that you probably didn’t plan out while you were booking tickets, packing your bags, and making your way to Nevada.

 

That detail is this—what to do if you need to see a doctor while you’re on vacation. 

 

If you’re insured, seeing an out-of-state doctor may mean that you’ll face steep out-of-network charges that don’t count toward your regular deductible. If you’re uninsured, you might get stuck with hefty out-of-state medical bills.

 

If you’ve just arrived at your hotel in Las Vegas and realized you need to see a doctor ASAP, here’s what to do in order to see a doctor quickly and affordably so that you can turn your focus back to enjoying your vacation.

 

Step #1: Write Down Your Troubles

Before making any decisions, just pause for a moment. Focus on the reason that you need to see the doctor. If it’s because you forgot your medications at home, then write down the medications that you need refilled in Las Vegas to cover you during your vacation.

 

On the other hand, if you’re having indications of an illness that requires medication for you to feel better, write down your symptoms and how long you’ve had them. Some common illnesses that pop up during vacation include UTIs and bacterial infections.

 

If you feel a urinary tract infection (UTI) coming on or you are experiencing a sudden and extreme sore throat, write down your answers to the following questions:

 

 

In many cases, you’ll continue to feel miserable until you get antibiotics to fight the infection if it’s caused by bacteria. Tracking your symptoms as soon as you notice them can help you evaluate whether things are getting worse.

 

Related: What To Do If You Are Traveling With a UTI on Your Road Trip to Las Vegas

 

Take an account of the facts and assess the urgency of your situation before reacting. Once you’ve got your troubles documented, you can make an informed decision on whether or not you need to see a doctor.

 

Step #2: Determine the Type of Doctor You Need to See

The next step before taking action is to figure out the best type of doctor that can help you. A general practitioner can handle many common health concerns. But local doctors probably won’t have an opening for months and an urgent-care clinic staffed with general practitioners might cost you a small fortune in medical bills.

 

If your medical need requires a specialist, how can you find one in Vegas? Specifically, can you find an OBGYN in Las Vegas? OBGYNs specialize in the female reproductive system and cover anything from contraceptive prescriptions to menstrual problems and infertility. Read more about what conditions OBGYNs treat

Once you’ve narrowed down whether it’s a general practitioner or a specialist that you need to see, you can start looking for a doctor or clinic. The two main places to look are in-person clinics in Las Vegas or online.

 

Step #3: Check Telehealth Options or Find a Local Walk-in Clinic

Telemedicine has provided greater access to healthcare and specifically, to specialists. Today, you can see a doctor in minutes rather than months. Searching for a provider online (who is licensed to practice in Nevada) can be one of the simplest solutions to finding a provider while traveling.

 

Online providers also tend to be more self-pay friendly. Since insurance companies don’t typically cover out-of-network providers, going online can be an affordable alternative. You’ll find a wide selection of specialists online who are taking new appointments.

 

Related: What to Expect During an online OBGYN Las Vegas Appointment

 

If you prefer a brick and mortar visit to the doctor without breaking the bank, My Virtual Physician has created a hybrid clinic to meet that need. Located on Paradise Road in Las Vegas, this clinic offers televisits for walk-ins and same-day appointments. Appointments are available for a flat, affordable price. Get back to the fun after stopping by the hybrid clinic on Paradise Road.

 

Our hybrid clinic is staffed virtually with a variety of physicians and specialists (including pediatricians and OBGYNs) to help you get feeling better faster.

 

Step #4: Pick up Your Prescription & Get Back to Fun!

If you’ve been prescribed medication during your hybrid or telemedicine visit, picking it up is also a simple process. You’ll need to find a Las Vegas pharmacy that is nearby so that you can get your prescription right away. There are several pharmacies within walking distance of our hybrid clinic where your doctor can send your prescription to be filled.

 

For help finding the most affordable local pharmacy, check out our guide to self-pay prescriptions below.

 

Related: Guide to Self-Pay Prescriptions: Get the Best Price on Medications

 

This Hybrid Clinic on Paradise Road Takes Walk-in Visits

My Virtual Physician is proud to provide greater access to doctors and specialists, particularly in the Las Vegas area with our hybrid clinic on Paradise Road. Our board-certified Las Vegas team of OBGYNs, pediatricians, and other specialists are here to help if you find yourself needing to see a doctor urgently while on vacation in Las Vegas or elsewhere.

 

Walk into our hybrid clinic today or schedule your online appointment now by clicking below.

 

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Holiday traditions encourage families to get together to celebrate with distant relatives—including aunts, uncles, grandparents, and in-laws. This is an opportunity to catch up with one another and find out how everyone in your family has been doing since you were last together.

Family get-togethers are also a suitable occasion to recognize when something isn’t quite right. This season provides a short window of opportunity for intervention when someone is crying out for help from elder abuse.

In this article, we aim to spread awareness about elder abuse during this holiday season by covering:

What is Elder Abuse?

Elder abuse is when a trusted caregiver knowingly or negligently takes advantage of an elder—it can include physical or sexual abuse—or take another form, such as:

The elderly tend to be more vulnerable to abuse than other adults. That’s because there is a gradual decline in physical strength and mental acuity as we age. Many of our elders also depend on caregivers to help with day-to-day functioning.

According to the American College of Obstetricians and Gynecologists, as many as one in ten adults over the age of 60 may become a victim of elder abuse. And only around 1 in 23 cases of elder abuse are reported to authorities. With such a high incidence, it’s critical to know what to look for to spot elder abuse.

Recognizing the Signs of Elder Abuse

Doctors often screen for signs of elder abuse during regular visits, and the ACOG recommends that OBGYNs screen all patients over the age of 60 for signs of abuse.

But doctors are not the only ones who can recognize the signs of abuse. When you meet with your loved ones this holiday season, look deeper at any red flags that grab your attention.

For example, if your grandpa shows up to Christmas dinner with teeth missing from his dentures and unkempt hair, you might begin to look for other signs that he is not receiving proper care. If your aunt, who takes care of grandpa, has a shiny new car out of the blue and a bad attitude toward grandpa—that’s worth investigating further.

Here are some other signs to look out for:

If you notice any of these signs, it’s worth investigating whether your family member has become a victim of elder abuse. Talking to your loved one directly about the red flags may not be enough to get them the help they need—so what can you do to get real help if you suspect elder abuse?

Getting Help: Freedom from Elder Abuse

Our elders deserve protection. If you suspect elder abuse, the best course of action is to report it to authorities, who are trained to investigate this type of situation. You can report suspected abuse to a number of agencies, including:

  1. Local police
  2. Local adult protective services
  3. Local Department on Aging
  4. Local Public Health Department
  5. Eldercare hotline: 1-800-677-1116
  6. Doctors

The National Center on Elder Abuse website has state-specific resources for you to contact the right professionals in order to get help in your region.

If you’re not sure whether your loved one is suffering from abuse, you can encourage your elder to see his or her doctor, who will do an elder abuse screening. Physicians are mandated reporters, which means that they must report suspected abuse to authorities.

Keep Your Loved Ones Safe

Sadly, elder abuse is not an uncommon occurrence. But the good news is that everyone has the ability to do their part to help stop the abuse. Simply reporting any suspicions to the proper authorities may be enough to put an end to elder abuse.

My Virtual Physician prioritizes protecting vulnerable populations and can help with the reporting process. Contact us today if you or a loved one needs help.

 

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