What is concierge medical care? Is it boutique care? Maybe it’s direct primary care or personalized care?  These are all euphemisms for paying directly for your care and not going through an insurance provider. Because this allows the patient and no other party to have control of the healthcare encounter. These concierge medical care practices are usually the ones providing executive health physicals.  This practice takes the service to a higher level by providing care directly in your home.

Concierge Medical Care = Personalized care

If your physician is not providing you with the time and attention to detail you need and deserve, perhaps it is time to switch or get a second opinion.

Making time for individualized preventative care can be difficult. Of course, an executive health physical may be the perfect solution to your time-constrained life in New York City and abroad. Now with the resurgence of medical house calls this level of attention is readily accessible.

What is an executive health physical and do you have to be an executive to get one?

Firstly, you do not have to be an executive to have an executive health physical exam. It is simply a comprehensive physical exam and health assessment that helps you and your primary care provider stratify the risk for the disease over time. What’s unique about executive health physicals is the care. We deliver the service to your home via medical house call.

Physicals and testing

An executive health physical begins with a one-on-one meeting in your home with your primary care provider. We conduct a detailed comprehensive health history. We give special attention to family history and lifestyle choices to identify risk factors.  Moreover, as part of your comprehensive health history, your primary care provider will review your current diet, exercise, sleep, and even your sexual practices. After your comprehensive health history is reviewed a hands-on head-to-toe examination will be done in the privacy of your own home. For men, this will include a urogenital prostate exam.

Following your comprehensive history and physical exam, your primary care provider may consider ordering various blood tests for screening and diagnosis.  Additionally, we may prescribe a more detailed look at your physiology via non-radiation imaging studies and sensory tests (Vision, and Hearing). False positive test results compound stress and increase the risk of harm so we carefully choose which tests to administer.  For this reason, total body scanning is generally not a prudent idea for screening purposes. There is a very high risk of incidental findings without clinical significance in general body scanning.

Additional psychiatric details

In addition to the comprehensive history and physical exam at home, you should also receive a comprehensive psychiatric evaluation. This evaluation does not identify mental illness (it could).  Mostly this is to identify coping mechanisms and risk factors for maladaptive coping in the future. And a comprehensive psychiatric evaluation can provide you with the anticipatory guidance necessary to relieve your stress at the different ages and stages throughout your lifespan.  Mental illnesses such as depression and anxiety schizophrenia and bipolar likely have been discovered before your executive health physical. We also screen for lesser-known but more common conditions such as dysthymia, adjustment disorders, dysfunctional grief, addiction, PTSD, insecurities, and phobias.  A comprehensive medical history, a complete physical exam, and a psychiatric evaluation are the three components that comprise an executive health exam.

So, after a comprehensive evaluation, you will have a foundation for a participatory care relationship with someone that knows you very well. Now you have a relationship with medically trained consiglieri (who come to your home) whom you can call on in your times of need. Not only that but a coach will provide a modifiable personal wellness plan to implement at your side.

What happens if you need a specialist?

If needed referrals are made. Some specialists also make house calls, All referrals are selected from renowned institutions in the New York City area.

Furthermore, wouldn’t it be great if you had convenient and confidential in-home medical care? A service that takes care of you and your family’s medical needs?

Dr. Raymond Zakhari is a triple board certified (Adult- Adolescent, Family Practice, Psychiatric Mental Health) Nurse Practitioner (NP). He provides Concierge Medical House Call services in Manhattan and the outer boroughs.

General #MedicalHouseCalls #PsychiatricHouseCalls (Therapy & Medication Management) #SkilledNursing House Calls Dr. Raymond Zakhari, NP does not take any insurance as he is out of network; provides concierge-style medical and psychiatric House call services. (Reimbursement for Out of network care may be available. Check your plan for details).

Book an appointment here and check out the rest of this site for more information about concierge medicine.

Also, check out Dr. Ray’s Podcast The Psychology of it All here. Also available on Apple Podcasts.