Do You Know Who Is Making Your Medical Decisions?

Who Makes Your Medical Decisions? Ever wonder what patient-centered medical care would be like? Talk to us about direct primary care with Sentinel. Why Direct Primary Care? A question we frequently hear is, "Why would I need the kind of direct primary care that Sentinel provides when I have insurance?" The answer can be complex, but at its core is bringing health care decisions closer to you. Do You Know Who Makes Your Healthcare Decisions? For many years now, medical insurance companies have been intricately involved in your healthcare. We recommend reading Dr. Deane Waldman's [...]

2020-01-21T19:16:34+00:00January 21st, 2020|Categories: Concierge Primary Care, Direct Primary Care|

Testosterone #2: Testing

Video Series: Testosterone #2: Testing Edited transcript In our first video, we talked about the basic biology of testosterone. If you haven't looked at that video, go back and check it out. Today, we're going to talk about symptoms, testing, and diagnosis. Symptoms of low testosterone The first couple of symptoms, the most self-evident symptoms are things like low libido, just not interested and difficulty with erections. Those are really characteristic symptoms of low testosterone. In addition, things like lower energy, lower vigor can be part of low testosterone. If the low testosterone sticks around long enough, [...]

2020-01-20T16:52:34+00:00September 23rd, 2019|Categories: Concierge Primary Care, Direct Primary Care, Healthy living, Testosterone|

Testosterone #1: The Basics

Video Series: Testosterone #1: The Basics Edited transcript Today we're talking everybody's favorite hormone, testosterone, so I thought I'm going to do a series of videos. We'll keep them short but to help this topic make sense to you, we're going to start today with the biology of testosterone. In the course of maybe 90 seconds, I will make you into first-year medical students. How testosterone is made The basic way that it works: the hypothalamus which is in the central area in the brain directs the pituitary gland which is kind of dead center in the [...]

Avoid Heat Exhaustion!

Avoid Heat Exhaustion! (Video Transcription) Got an outdoor project planned this weekend? Well, how are you going to prevent heat exhaustion?  It's going to be 97 degrees this weekend! Stay tuned for more info. The first year that I was married and was a first-time homeowner, I needed to stain the deck of the house. I think it was the Fourth of July or some other holiday that summer, and I thought, "I'm going to get out there and stain this deck myself. I can do it!" So I just barreled through it. I [...]

Gluten Made Simple

Gluten Made Simple (Video Transcription) Is my peanut butter and jelly sandwich gluten-free, and does that matter? What's the deal with gluten anyway? So what is the deal with gluten? You know, you look at the restaurant menu and things are labeled as gluten-free and the question is, is gluten bad or what's the story with this? Do I need to be worried about gluten? Do I need to avoid gluten? So here's the deal in a quick take-home nutshell: Gluten is found in wheat and many grain products and it can cause two [...]

Exercise: How much to do?

Exercise: How much to do? (Video Transcription) Did you see on WRAL about a week and a half ago that Winston-Salem was rated the 18th most overweight city in America? I grew up about 25 minutes from Winston-Salem, and I thought, "This is almost my hometown and it's number 18 in America in terms of being overweight." I decided to say something about exercise in today's video. Today's message is on exercise, and I want to give you some very quick, practical pointers on what to do and how much to do. Now first, [...]

2019-11-20T19:22:05+00:00March 26th, 2018|Categories: Concierge Primary Care, Direct Primary Care, Exercise, Healthy living|

Drinks to Rehydrate from that Stomach Bug!

Stomach Bugs: Rehydration Drinks, and How to Reduce Transmission! (Video Transcription) Are you tired of every medical news story being about the flu? Let's talk about something different: stomach bugs. Last weekend as I was cleaning my son's barf out of the floor mats in the car, I thought, "There is a community outbreak going around and this is a timely topic." The symptoms that you can get with a stomach bug are variable, but they typically include some combination of feeling pretty bad, potentially having some fever (sometimes kind of high), nausea with [...]

2019-11-20T19:24:36+00:00February 9th, 2018|Categories: Concierge Primary Care, Conditions, Direct Primary Care, Stomach bugs|

A Cold… or the Flu?

A Cold…or the Flu? (Video Transcription) How do you know if the sore throat and the runny nose and the cough that you're coming down with is a cold or if it might be the flu? Because starting antiviral medication for the flu early can be helpful, it's an important question. When researchers have looked at this question, it turns out there's a couple of things that are useful predictors. Fast onset of symptoms First off, when it's flu season, the appearance of a cough and a fever and in some of the studies [...]

2019-11-20T19:29:27+00:00January 8th, 2018|Categories: Cold, Concierge Primary Care, Conditions, Direct Primary Care, Flu|

Check Your Blood Pressure the Right Way!

Check Your Blood Pressure the Right Way! (Video Transcription) Greetings to all of you members of Sentinel Primary Care. We're going to get into the medical content in just a moment, but for this members video I actually wanted to open with a story. As you probably know, a portion of our work here is charitable care. I give away a portion of my care for folks who don't have insurance. A few weeks ago, we were seeing a person who was coming in to receive charitable care. At the end of the visit [...]