The primary goal of our practice is to provide a full range of primary care services to our patients and to do so in a caring and compassionate manner using the latest advances in medical technology and knowledge. As primary care physicians, we are trained to carefully assess a patient’s needs and, working with our patients, determine the most appropriate plan of care or treatment. To the extent that a patient’s medical needs would be best served by a specialty physician, we will coordinate this care, working with our extensive and highly trained panel of specialists.
In support of the primary care services provided to patients in our practice, we offer a range of in-office procedures and tests. The following is a partial listing of these services:
- High-complexity laboratory
For the convenience of our patients, the Pinehurst Medical Clinic maintains a high-complexity clinical laboratory that is capable of performing 90 percent of the lab tests that are required in a multi-specialty medical practice. “High complexity” is an FDA designation for laboratory tests that involve a high level of knowledge, training, experience, materials preparation, quality control, or other specialized qualifications.
- Ambulatory blood pressure monitoring
An ambulatory blood pressure monitor is a small machine about the size of a portable radio that is worn on a belt and is attached to a blood pressure arm cuff that is worn under the clothes. The machine checks blood pressure every 15 to 30 minutes of a normal day. Ambulatory blood pressure monitoring may be recommended to determine if a patient has high blood pressure only in the doctor’s office, a phenomenon called “white coat hypertension,” or for people who have fainting spells, “borderline” high blood pressure, or blood pressure problems caused by medications.
- Ear irrigation
This procedure is used to remove wax that is obstructing the ear canal. When ear irrigation is not successful, the physician may use suction or a small device called a curette to remove the wax. Wax blockage is one of the most common causes of hearing loss, but hearing usually returns completely after removal of the blockage.
- Electrocardiogram (ECG or EKG)
This test records the rate and regularity of heartbeats. It can also measure the size and position of the heart chambers, identify damage to the heart, and test the effects of drugs or devices such as pacemakers that are used to regulate the heart. An ECG is a safe, painless test that takes just a few minutes to perform.
- Joint injections
Joint injections are used to treat painful musculoskeletal conditions such as arthritis by delivering drugs to the affected area. The most commonly used medications are local anesthetics and anti-inflammatory corticosteroids. For osteoarthritis of the knee, injectable compounds called hyaluronic acid derivatives may be used to provide cushioning and lubrication to the joint.
A nebulizer is a device that delivers a stream of medicated air to the lungs. Nebulizers are used to treat asthma, chronic obstructive pulmonary disease (COPD), and other conditions where inhaled medicines are indicated.
- Pulse oximetry
This noninvasive test measures how much oxygen the blood is carrying as a percentage of the maximum that it could carry. To perform this test, a probe is clipped to a finger or earlobe. This probe is connected to a device that monitors oxygen saturation, pulse rate, and sometimes heart rate and blood flow. Pulse oximetry may be used to assess breathing and to monitor patients with lung problems, blood vessel problems, or other conditions that can impair oxygen delivery.
- Skin tag removal
Skin tags are small, usually benign skin growths. The most common sites are the neck, armpits, trunk, and body folds. Although skin tags usually are not painful, they may be cosmetically unpleasing. Removal can be done either by freezing (cryotherapy) or by electrically burning them off (cautery).
This is a lung function test that measure how well the lungs exhale. The patient breathes into a mouthpiece connected to an instrument that records the amount and rate of air that is breathed in and out over time. Spirometry is used in the diagnosis of obstructive lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).
- Well woman care
Well woman care includes a yearly exam and Pap test as well as screening for osteoporosis, breast disease, and hormonal imbalances. Well woman care is beneficial for women during their reproductive years as well as during and after menopause.