“Doctor At Home gave my wife a sense of security and comfort at a time when she needed it most. Much more than Medical, it was Emotionally uplifting.”
“When the doctor and his medical assistant come to my home, they are the only people I have seen in weeks. They are professional and friendly, and light up my day.”
“The Doctor at Home physician saved my life. He saw something on my leg, and sent me straight to the hospital. It ended up being a blood clot.”
“The Doctor at Home program is extraordinary. The doctor and her assistant, come right to my home, and bring all the equipment that a doctor's office would have.”
“I had thought good old-fashioned service was a thing of the past. Not with Doctor at Home. I would recommend them to anyone who can't get out to their doctor.”
“I don't like to inconvenience my daughter to take me to my own doctor, so in between visits, Doctor at Home physicians come to check in on me.”
“I know that Doctor at Home is available to check on my father and check on him on a regular basis. If I have any concerns, the doctor is only a long distance phone call away!”
“Doctor at Home takes away the worry of arranging how my mother will get to her doctor's appointment. They come right to her apartment with regular, scheduled appointments.”

Our Specialties:

Alzheimer’s Disease and Related Dementias

Alzheimer ’s disease is now the fourth leading cause of death in adults.  Alzheimer ’s disease accounts for half to two thirds of all dementia cases. Other causes of dementia include: Vascular disease, Brain injury, Parkinson’s disease, Vitamin B deficiencies, Drug or alcohol abuse.  Alzheimer’s disease is a degenerative disease of the brain from which there is no recovery. There are medications that can slow the progression of the disease process. The disease attacks nerve cells in all parts of the cortex of the brain, impairing a person’s ability to govern emotions, coordinate their movements, and remember things.

Alzheimer’s disease is common in older individuals with over 50% of all 95 year olds reporting some type of impairment.  DOCTOR AT HOME Physicians have extensive experience in treating Alzheimer’s disease.

Competency Examinations

If you have a family member or client that can no longer manage his or her own affairs; it might be time for our DOCTOR AT HOME Physician to evaluate their mental capacity. Before a power of attorney or guardianship is signed it may be necessary for a physician to perform a complete physical and mental assessment. Since we are able to meet with the elderly individual in their own home and perform a full competency exam, it minimizes the stress on the individual and their family. Our physicians work closely with a variety of Elder Care Attorneys so, when necessary, legal and proper steps may then be taken.

Geriatric Medicine

DOCTOR AT HOME is exclusively home based medical care for the elderly and disabled. Ninety percent of our patients are over the age of 75. Our highly experienced staff makes observations and recommendations in the ever-changing world of health care. Our medical director is board certified in geriatrics and we are specialists in the treatment of elderly individuals.

We focus on providing a comprehensive approach to medical care that includes a complete physical examination, an evaluation of all medications, and lab tests. We then address the opportunities to improve physical and mental functions rather than simply diagnosing and treating diseases.

Parkinson’s Disease

Parkinson ’s disease is a slow progressive disorder that occurs when cells are destroyed in certain parts of the brainstem. There is probably no single cause for Parkinson’s disease, but rather it is a combination of genetic susceptibility and environmental factors. This destruction appears to have an impact on the release of dopamine, a major neurotransmitter. A loss in dopamine negatively affects the nerves and muscles controlling movement and coordination. The DOCTOR AT HOME team works closely on both the medical and physical deterioration to attempt to slow the process down.

Cardiovascular Conditions

Congestive Heart Failure, commonly referred to as CHF, occurs when the heart cannot pump out enough blood to meet the needs of the body. All forms of heart disease may eventually lead to CHF. CHF is the most common cause of death for people over the age of 65.

Since 90% of our patients are over the age of 75, we have extensive experience in the detection and treatment of all forms of heart disease. We carry mobile EKG devices that allow us to monitor the performance of the heart. We can also perform on-site x-rays when necessary. With the use of proper medications and ongoing care by a medical professional, DOCTOR AT HOME physicians are able to help many patients with heart ailments.

Arteriosclerosis or “hardening of the arteries” occurs when the inside walls of an artery become thicker and less elastic. The thickening reduces the area available for blood flow. Although arteriosclerosis reveals few symptoms at first, the damaged artery eventually cannot carry enough blood to supply the necessary amount of oxygen. Cholesterol and similar substances attach themselves to the inside linings of the arteries. There they gradually thicken into a substance called plaque. As plaque grows, it narrows the artery and in some cases blocks it entirely. This can lead to angina and heart attacks.

Hypertension, or “high blood pressure”, usually has no symptoms, and is often called the “silent killer.” High blood pressure occurs when the body’s smaller blood vessels narrow, which causes the blood to exert excessive pressure against the vessel walls. Two numbers are used to describe blood pressure: systolic and diastolic. Systolic pressure (the top number) refers to the pressure the blood exerts on the artery walls as the heart pumps blood, and diastolic (the bottom number) refers to the force as the heart relaxes to allow the blood to flow back to the heart.

Congestive Heart Failure, commonly referred to as CHF, occurs when the heart cannot pump out enough blood to meet the needs of the body. All forms of heart disease may eventually lead to CHF. CHF is the most common cause of death for people over the age of 65.

Since ninety percent of our patients are over the age of 75, we have extensive experience in the detection and treatment of all forms of heart disease. We carry mobile EKG devices that allow us to monitor the performance of the heart. With the use of proper medications and ongoing care by a medical professional, DOCTOR AT HOME Physicians are able to help many patients with heart ailments.

Osteoporosis

There are currently 10 million Americans suffering from osteoporosis, as well as another 18 million who have low bone mass. Osteoporosis occurs when the body fails to form enough new bone, or when the body reabsorbs too much old bone. Calcium and phosphate are two minerals that are essential for normal bone formation. As people age, calcium and phosphate may be reabsorbed back into the body from the bones, which makes the bone tissue weaker. Women over the age of 60 are the most frequent sufferers of the disease.

Conducting a thorough physical examination, performing x-rays, and bone density testing can all detect this “silent disease.”

Urinary Incontinence

Urinary Incontinence (UI) is a common but poorly understood problem in the elderly population. Aging does result in a reduced size of the urinary bladder producing a decreased bladder volume and a need for more frequent bladder emptying. Additionally, many diseases and medications can contribute to the problem of urinary incontinence.

By reviewing past medical histories, performing a complete physical examination, and conducting blood and urine analyses, our physicians are able to diagnose and treat the majority of UI cases. For most patients, diagnosis and treatment options are inexpensive, non-invasive, and successful.

Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease (COPD) is an umbrella term used to describe progressive lung diseases, encompassing emphysema, chronic bronchitis and chronic asthma. In COPD, the airways — tubes that carry air in and out of your lungs — are partly obstructed, making it difficult to breathe. COPD is the 4th leading cause of death in the U.S. and the world.

COPD develops slowly, and it may be many years before symptoms are noticed, such as feeling short of breath. Most of the time, COPD is diagnosed in middle-aged or older people.

The single most important thing you can do to reduce your risk of developing COPD or to slow the progress of the disease is to quit smoking. However, people who do not smoke can have a form of COPD. Although COPD cannot be cured, your doctor will recommend treatments that can help relieve your symptoms and help you breathe easier.

Diabetes

Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.

There are 20.8 million people in the United States, or 7% of the population, who have diabetes. While an estimated 14.6 million have been diagnosed with diabetes, unfortunately, 6.2 million people (or nearly one-third) are unaware that they have the disease. In order to determine whether or not a patient has pre-diabetes or diabetes, Doctor at Home can conduct a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT).

Palliative Care/Pain Management

Palliative care is forms of medical care or treatment that concentrates on reducing the severity of disease symptoms; rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure. The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex illness. Non-hospice palliative care is not dependent on prognosis and is offered in conjunction with curative and all other appropriate forms of medical treatment.

Palliative Care Involves interdisciplinary approach for easing the suffering and improving the quality of life of those living with pain from various disease condition including Cancer and other diseases such as chronic, progressive pulmonary disorders, renal disease, chronic heart failure, HIV/AIDS, and progressive neurological conditions.

DOCTOR AT HOME Board Certified Physicians understand and address pain management for various Painful conditions.

Wound Care

Given the aging population and the prevalence of conditions such as diabetes, balance and obesity, there has been an increase in the number of people being treated for chronic wounds. Not only is the DOCTOR AT HOME medical team experienced at treating these wounds but we have tests to find out why they are occurring if it appears to be habitual.