COVID-19 UPDATE
During this time of social distancing, we are keeping all patients safe, and preventing transmission of the virus by doing all appointments remotely, including new patient appointments and follow up visits.
What can still be done: taking a history, looking at past blood tests and other functional tests, recommending specific diets and supplements, ordering tests that can be done from home, such as stool tests, urine tests, and saliva tests, help with stress reduction, with sleep, exercise recommendations, brain games, and more.
What is more difficult: blood testing. Sending people to a draw station incurs a small risk. Thus it is fair to request only blood test that are very important. However, we don't know how long the virus will be circulating in our community, and when it will be safe again to lead life the way we have been used to. Thus, if the problem is relatively pressing, your level of comfort is compromised, or you are anxious about the future with worsening symptoms, it may still make sense to start functional medicine treatment at this time. We can certainly still have a phone conversation to discuss what might be needed to address your issues, and what we may still safely do.
On the other hand, there has never been a better time to focus on becoming as healthy as you could possibly be. Optimizing the immune system is always a major goal of functional medicine treatment. We want the immune system to be strong enough to fight off coronavirus, but in a controlled way that doesn't cause acute respiratory distress syndrome (a common cause of death from COVID-19). While we have no proof, we suspect that having underlying inflammation, such as is commonly found in hypertension and diabetes, could be a factor in this disease.
During this time of social distancing, we are keeping all patients safe, and preventing transmission of the virus by doing all appointments remotely, including new patient appointments and follow up visits.
What can still be done: taking a history, looking at past blood tests and other functional tests, recommending specific diets and supplements, ordering tests that can be done from home, such as stool tests, urine tests, and saliva tests, help with stress reduction, with sleep, exercise recommendations, brain games, and more.
What is more difficult: blood testing. Sending people to a draw station incurs a small risk. Thus it is fair to request only blood test that are very important. However, we don't know how long the virus will be circulating in our community, and when it will be safe again to lead life the way we have been used to. Thus, if the problem is relatively pressing, your level of comfort is compromised, or you are anxious about the future with worsening symptoms, it may still make sense to start functional medicine treatment at this time. We can certainly still have a phone conversation to discuss what might be needed to address your issues, and what we may still safely do.
On the other hand, there has never been a better time to focus on becoming as healthy as you could possibly be. Optimizing the immune system is always a major goal of functional medicine treatment. We want the immune system to be strong enough to fight off coronavirus, but in a controlled way that doesn't cause acute respiratory distress syndrome (a common cause of death from COVID-19). While we have no proof, we suspect that having underlying inflammation, such as is commonly found in hypertension and diabetes, could be a factor in this disease.
4 OPTIONS
We offer a free 20 minute phone call to evaluate your situation and choose one of the options below. Kindly read through the options and take the time to understand our pricing. We ask that patients pay the entire program fee at the initial visit, in order to keep our billing costs down. We have opted out of Medicare and have not signed up with any insurance companies. We provide superbills so that patients with PPOs can submit requests for out-of-network reimbursement.
These choices allow us to practice proper comprehensive functional medicine and take the time to fully evaluate each patient.
When you understand what is offered in our programs, please email to set up a time.
FIRST OPTION: Total of 4 visits, most appropriate for younger patients and simpler issues
Simple program: $2100
This includes:
SECOND OPTION: Total of 7 visits, for most other issues - autoimmune illness, GI issues, and diabetes
Standard program: $3100
This includes:
BREDESEN PROTOCOL/ReCODE: Total of 12 visits - please see blog posts here and here.
Patients interested in prevention only can use a shorter program.
Cognitive program: $4250
FOURTH OPTION: usually reserved for young children
Cost: $1100
This includes:
AFTER THE PROGRAM: patients can continue on a pro-rated basis at $480 per 55-minute visit.
Simple program: $2100
This includes:
- reviewing your forms ahead of the appointment
- 2-hour initial appointment
- a report summarizing the instructions provided during the appointment
- completing the medical chart, which includes
- inputting a list of your supplements and medications
- organizing the list of symptoms and presenting medical problems
- developing a theory of illness (how did this come about in this particular person?)
- researching approaches to your illness
- setting up the “chart” for follow up over time, for example making a spreadsheet of lab results if needed
- invitation to online supplement store with full 35% discount
- clarification emails between appointments
- 60 minutes follow up appointment with Dr. Ashe, to review lab results, either in one or two sessions
- 60 minute nutrition consult with Deena Thompson
SECOND OPTION: Total of 7 visits, for most other issues - autoimmune illness, GI issues, and diabetes
Standard program: $3100
This includes:
- reviewing your forms ahead of the appointment
- 2-hour initial appointment
- a report summarizing the instructions provided during the appointment
- completing the medical chart, which includes
- inputting a list of your supplements and medications
- organizing the list of symptoms and presenting medical problems
- developing a theory of illness (how did this come about in this particular person?)
- researching approaches to your illness
- setting up the “chart” for follow up over time, for example making a spreadsheet of lab results if needed
- invitation to online supplement store with full 35% discount
- clarification emails between appointments
- 60 minute follow up appointment with Dr. Ashe, to review lab results
- 60 minute nutrition and stress reduction consult with Deena Thompson
- 60 minute appointments at 2, 4 and 6 months to follow up and make adjustments to the program.
BREDESEN PROTOCOL/ReCODE: Total of 12 visits - please see blog posts here and here.
Patients interested in prevention only can use a shorter program.
Cognitive program: $4250
- reviewing your forms ahead of the appointment
- 2-hour initial appointment: we are finding that this allows inadequate time to review all issues with our cognitive decline patients, thus, we have added a 1 hour follow up a few days later, after Dr. Ashe has had a chance to put the story together.
- a report summarizing the instructions provided during the appointment
- 1 hour follow up visit to review this report: we also go over the list of supplements, details on lab testing, and using online resources. When you book your appointment, consider also booking a time for a blood draw the following week.
- completing the medical chart, which includes
- inputting a list of your supplements and medications
- organizing the list of symptoms and presenting medical problems
- developing a theory of illness (how did this come about in this particular person?)
- researching approaches to your illness: with cognitive decline, this still applies when there are unusual diagnoses
- setting up the “chart” for follow up over time, for example making a spreadsheet of lab results if needed
- invitation to online supplement store with full 35% discount
- clarification emails between appointments
- Four 60 minute nutrition and stress reduction consults with Deena Thompson
- 60 minute appointments monthly (five separate visits) until the 6 month mark, to follow up on interventions, order more lab tests, and make adjustments to the program.
FOURTH OPTION: usually reserved for young children
Cost: $1100
This includes:
- reviewing forms ahead of the appointment
- 1 hour initial appointment
- a report summarizing the instructions provided during the appointment
- completing the medical chart, which includes
- inputting a list of your supplements and medications
- organizing the list of symptoms and presenting medical problems
- developing a theory of illness (how did this come about in this particular person?)
- researching approaches to your illness
- setting up the “chart” for follow up over time, for example making a spreadsheet of lab results if needed
- invitation to online supplement store with full 35% discount
- clarification emails between appointments
- 30 minute follow up appointment with Dr. Ashe, to review lab results
AFTER THE PROGRAM: patients can continue on a pro-rated basis at $480 per 55-minute visit.